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A Rehabilitation Program of Exoskeleton-assisted Body Weight-Supported Treadmill Training with Non-immersive Virtual Reality for Stroke Patients

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[Trauma rehabilitation : Implementation and challenges].

Jean-Jacques Glaesener¹, Stefan Simmel²

¹Institut für Interdisziplinäre Medizin, Lohmühlenstr. 5, 20099, Hamburg, Deutschland. jj.glaesener@icloud.com.

Unfallchirurgie (Heidelberg, Germany)

|November 23, 2022

Summary

Posttraumatic rehabilitation in Germany faces challenges despite efforts for continuity. Improving specialized structures and financing is crucial for trauma patients

Keywords:

Early rehabilitation Health care quality assurance Network Polytrauma Post-acute rehabilitation

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Area of Science:

Trauma Surgery
Rehabilitation Medicine

Context:

Posttraumatic rehabilitation in Germany is characterized by primary care efforts for early transfer to rehabilitation.
Significant treatment gaps persist due to limited options, specialized structures, and inadequate financing.
Severely injured patients encounter difficulties in social reintegration due to these gaps.

Purpose:

To present the phases and challenges in posttraumatic rehabilitation.
To emphasize the need for a continuous rehabilitation chain, addressing structural, process, and financial prerequisites.
To propose the German statutory accident insurance's continuum of care as a model for other insured groups.

Summary:

The article outlines current posttraumatic rehabilitation phases and identifies critical gaps.
It highlights the necessity of continuity, quality assurance, and financial support for effective care.
The German statutory accident insurance model for trauma victim reintegration is presented as a potential benchmark.

Impact:

A continuous rehabilitation chain is essential for improving outcomes for severely injured individuals.
The proposed model aims to enhance social and work reintegration for trauma survivors.
Trauma surgery and rehabilitation medicine societies advocate for differentiated trauma care and networks to improve quality of life.