Rehabilitation of SCI in Lithuania
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Rehabilitation of SCI in Lithuania
Tomas MorkeviciusLithuanian Paraplegic Association
Lithuanian University of Health Sciences Rehabilitation Clinic
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Population of Lithuania: ~3.3 million
Total area: 65 000 km²
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• We have about 100-120 new cases of SCI every year.
• There are 3 rehabilitation centres for SCI:
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- in Vilnius University Hospital,
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- in Kaunas University Hospital,
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- in Palanga Rehabilitation Hospital.
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• Primary rehabilitation span depends on the level and severity of injury:– 100 days for all ASIA A,B,C injuries,– 24-70 days for ASIA D injuries.
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• After the primary rehabilitation, if it is needed, rehabilitees can continue rehabilitation as out-patients up to 14 visits.
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• The disabled after the primary rehabilitation, first three years after the injury can come every year to rehabilitation centre for repeated 24 day rehabilitation.
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• In the fourth year after the injury and later, people can go every year to non specialized rehabilitation centers (19 places around the country) for 20 day “maintaining rehabilitation”.
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• Tetraplegics with injuries at C5 and above, and tracheostoma or artificial pulmonary ventilation can get specialized help at home 3 days a week.
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• There is not national registry of SCI in Lithuania.
• Also there is no organized life-long follow up of SCI.
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• After the primary medical rehabilitation, people can go to professional rehabilitation centres.
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• Important role in psychological and social rehabilitation is played by nongovernmental organizations, which organize classes for fresh survivors.
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My personal opinion on SCI rehabilitation in Lithuania
• Strong side:– very good primary medical rehabilitation;– strong nongovernmental organizations, which
help to re-integrate the disabled into society.
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• Shortcomings:– Absence of life-long medical follow up of SCI;– Absence of the SCI registry;– Insufficient professional rehabilitation;– Lack of coordination between hospital social
workers and the social workers caring for the disabled in the home setting.