{"id":9432,"date":"2019-10-28T06:55:15","date_gmt":"2019-10-28T06:55:15","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=9432"},"modified":"2019-10-28T06:56:17","modified_gmt":"2019-10-28T06:56:17","slug":"interviu-conf-univ-dr-adrian-costin-bighea","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/interviu-conf-univ-dr-adrian-costin-bighea\/","title":{"rendered":"Interviu  Conf. univ. dr. Adrian-Costin Bighea"},"content":{"rendered":"<p style=\"text-align: justify\"><strong>\u201eEvolu\u0163ia tehnologiilor pentru reabilitarea medical\u0103 a fost una de-a dreptul spectaculoas\u0103 \u00een ultimii 10\u00a0ani \u0219i va continua s\u0103 fie\u00a0la\u00a0fel \u0219i \u00een anii urm\u0103tori\u201d<\/strong><\/p>\n<p style=\"text-align: justify\">Interviu: <em><strong>Conf. univ. dr. Adrian-Costin Bighea<\/strong><\/em><\/p>\n<ul style=\"text-align: justify\">\n<li>Pre\u0219edinte Societatea Rom\u00e2n\u0103 de Reabilitare Medical\u0103<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><em>\u00cen perioada 2-5 octombrie 2019, specialitatea Reabilitare Medical\u0103 va \u00eembr\u0103ca haine de s\u0103rb\u0103toare, deoarece ora\u0219ul Cluj va fi gazd\u0103 pentru cel de-al 42-lea Congres Na\u0163ional Anual de Reabilitare Medical\u0103, manifestare ce ne-a obi\u0219nuit cu un \u00eenalt caracter \u015ftiin\u0163ific. Cu ocazia acestui eveniment vor fi aduse \u00een discu\u0163ie at\u00e2t subiecte de actualitate, c\u00e2t \u015fi subiecte importante ca rezultat al practicii zilnic e \u015fi \u00eenv\u0103\u0163\u0103rii permanente. Cei mai importan\u0163i speciali\u0219ti vor \u00eemp\u0103rt\u0103\u0219i participan\u0163ilor din experien\u0163a acestora \u015fi vor oferi cuno\u015ftin\u0163e de v\u00e2rf \u00een nefrologie \u0219i specialit\u0103\u0163ile \u00eenrudite. Cu aceast\u0103 deosebit\u0103 ocazie, am avut onoarea de a discuta cu domnul conf. univ. dr. Adrian-Costin Bighea, Pre\u0219edinte Societatea Rom\u00e2n\u0103 de Reabilitare Medical\u0103 care ne-a oferit mai multe informa\u0163ii despre acest eveniment.<\/em><\/p>\n<p style=\"text-align: justify\"><strong><u>\u00cen aceast<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> toamn<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> va avea loc al 42 \u2013lea Congres Na<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>ional Anual de Reabilitare Medical<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>. Care sunt nout<\/u><\/strong><strong><u>\u0103\u0163<\/u><\/strong><strong><u>ile dezb<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>tute \u00een cadrul acestui congres important pentru Societatea Rom\u00e2n<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> de Reabilitare Medical<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Sunt mai multe nout\u0103\u0163i \u0219i chiar c\u00e2teva surprize sper\u0103m pl\u0103cute pe care le preg\u0103tim. Anul trecut am organizat o sesiune rom\u00e2no-maghiar\u0103 care a fost foarte bine primit\u0103 \u0219i a prilejuit o ocazie pentru un bun schimb de experien\u0163\u0103. Pentru anul acesta am preg\u0103tit o sesiune comun\u0103 cu Asocia\u0163ia de Podiatrie care va avea ca tem\u0103 central\u0103 piciorul diabetic.<\/p>\n<p style=\"text-align: justify\">O noutate, care este mai degrab\u0103 organizatoric\u0103, este aceea c\u0103 nu vom mai avea sesiuni separate de prezentare a posterelor, ci am integrat posterele \u00een sesiuni \u00een func\u0163ie de tematic\u0103. Sunt nout\u0103\u0163i \u0219i \u00een expozi\u0163ia pe care o organiz\u0103m \u00een paralel cu congresul. Pe l\u00e2ng\u0103 prezentarea unor echipamente de reabilitare foarte avansate, avem \u0219i mai multe firme noi, care particip\u0103 pentru prima dat\u0103 la congresul nostru.<\/p>\n<p style=\"text-align: justify\"><strong><u>Ce ne pute<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i spune despre invita<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>ii str<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>ini la aceast<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> edi<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>ie, care va fi aportul lor?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Din Italia vor fi prezen\u0163i Mauro ZAMPOLINI care va vorbi despre scleroza multipl\u0103 \u0219i Maria-Gabriella CERAVOLO care va aborda mecanismul neuroplasticit\u0103\u0163ii post-AVC. Christian-Friedrich ANGLEITNER din Austria va vorbi despre disfunc\u0163iile articula\u0163iei sacroiliace. Frederic ALBERT din Fran\u0163a se va ocupa de stimularea func\u0163ional\u0103 proprioceptiv\u0103 \u00een neuroreabilitare. Jes\u00fas-Benito PENALVA din Spania va sus\u0163ine un raport despre tehnologiile avansate folosite \u00een reabilitarea traumatismelor vertebro-medulare. Artur SERRANO din Norvegia va vorbi despre dimensiunea emo\u0163ional\u0103 a tehnologiilor asistive. \u00cen cadrul simpozionului pe care \u00eel organiz\u0103m \u00een timpul congresului \u00eempreun\u0103 cu Asocia\u0163ia de Podiatrie din Rom\u00e2nia va conferen\u0163ia \u0219i David DUNNING din Marea Britanie.<\/p>\n<p style=\"text-align: justify\"><strong><u>Care sunt a<\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>tept<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>rile vis a vis de acest eveniment?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Congresul Na\u0163ional Anual de Reabilitare Medical\u0103 este \u00een primul r\u00e2nd o manifestare \u0219tiin\u0163ific\u0103 \u0219i este normal ca principala noastr\u0103 dorin\u0163\u0103 este s\u0103 oferim participan\u0163ilor teme variate de discu\u0163ie \u0219i comunic\u0103ri \u0219tiin\u0163ifice de calitate. Ne bucur\u0103 c\u0103 o treime din lucr\u0103ri sunt de reabilitare neurologic\u0103 dar ne bucur\u0103 \u0219i c\u0103 reu\u0219im anul acesta s\u0103 avem o sesiune \u00eentreag\u0103 despre reabilitarea pediatric\u0103 a\u0219a cum avem \u0219i una despre traumatismele cranio-cerebrale \u0219i medulare, o alta despre patologia genunchiului sau una despre calitatea vie\u0163ii persoanelor cu dizabilit\u0103\u0163i.<\/p>\n<p style=\"text-align: justify\"><strong><u>Anul acesta a avut loc <\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>i simpozionul \u201cTehnologii Avansate pentru reabilitarea medical<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>\u201d, eveniment adresat medicilor de medicin<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> fizic<\/u><\/strong><strong><u>\u0103<\/u><\/strong> <strong><u>\u0219<\/u><\/strong><strong><u>i de reabilitare <\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>i fiziokinetoterapeu<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>ilor. Cum a fost primit evenimentul? <\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Din necesitatea de a coordona programul simpozionului cu cel al numero\u0219ilor invita\u0163i str\u0103ini, acest simpozion na\u0163ional s-a desf\u0103\u0219urat la Bucure\u0219ti \u00een 6-7 mai 2019, adic\u0103 luni mar\u0163i, zile \u00een care este greu s\u0103 nu fii prezent la locul de munc\u0103. Cu toate acestea, simpozionul s-a bucurat de o important\u0103 audien\u0163\u0103, de aproape 100 de participan\u0163i. Temele de discu\u0163ie au fost prezentate de 12 lectori dintre care 5 au fost invita\u0163i str\u0103ini din Marea Britanie, Fran\u0163a, Italia, Elve\u0163ia \u0219i Israel. Participa\u0163ii au apreciat con\u0163inutul prezent\u0103rilor, competen\u0163a oratorilor, majoritatea dintre ei consider\u00e2nd c\u0103 au avut ceva de \u00eenv\u0103\u0163at de la acest eveniment creditat de Colegiul Medicilor din Rom\u00e2nia cu 12 puncte EMC.<\/p>\n<p style=\"text-align: justify\"><strong><u>Care sunt noile tehnologii din domeniu <\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>i cum au fost acestea implementate \u00een cabinetele de reabilitare <\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>i recuperare medical<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Evolu\u0163ia tehnologiilor pentru reabilitarea medical\u0103 a fost una de-a dreptul spectaculoas\u0103 \u00een ultimii 10 ani \u0219i va continua s\u0103 fie la fel \u0219i \u00een anii urm\u0103tori. Computerizarea \u0219i robotizarea sunt la ordinea zilei \u0219i nu reprezint\u0103 doar o mod\u0103, ci reprezint\u0103 viitorul medicinii fizice \u0219i de reabilitare. Noi am f\u0103cut mereu eforturi pentru a prezenta colegilor no\u0219tri aceste tehnologii \u00een expozi\u0163iile organizate \u00een paralel cu congresele noastre anuale \u0219i la fel se va \u00eent\u00e2mpla \u0219i \u00een 2019. A\u0163i pomenit deja simpozionul din mai \u201cTehnologii Avansate pentru reabilitarea medical\u0103\u201d.\u00a0 \u00cen 3 septembrie 2019 s-a desf\u0103\u0219urat la Spitalul Elias un alt simpozion cu ocazia c\u0103ruia\u00a0 domnul Motoaki Komiya din Japonia a prezentat un exoschelet de ulim\u0103 genera\u0163ie cu care\u00a0 s-au f\u0103cut\u00a0 demonstra\u0163ii practice. Problema \u00een Rom\u00e2nia este aceea c\u0103 aceste tehnologii sunt foarte scumpe iar finan\u0163area serviciilor de reabilitare medical\u0103 este tot mai proast\u0103. Sunt pu\u0163ine unit\u0103\u0163i medicale care \u00ee\u0219i permit astfel de achizi\u0163ii, deci sunt pu\u0163ini pacien\u0163i rom\u00e2ni care pot beneficia de ele. \u00cen Rom\u00e2nia mul\u0163i colegi de-ai no\u0219tri au cabinete medicale individuale cu care abia dac\u0103 supravie\u0163uiesc cu fondurile insuficiente alocate de CAS, ce s\u0103 mai vorbim de achizi\u0163ionarea de tehnologii robotice!<\/p>\n<p style=\"text-align: justify\"><strong><u>Care sunt principalele probleme cu care v<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> confrunta<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i ca pre<\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>edinte al Societ<\/u><\/strong><strong><u>\u0103\u0163<\/u><\/strong><strong><u>ii Rom\u00e2ne de Reabilitare Medical<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Problemele Societ\u0103\u0163ii Rom\u00e2ne de Reabilitare Medical\u0103 sunt problemele membrilor s\u0103i, iar principala problem\u0103 a colegilor no\u0219tri este subfinan\u0163area serviciilor de medicin\u0103 fizic\u0103 \u0219i de reabilitare. An de an \u00eenainte de semnarea contractelor cu CAS adres\u0103m acelea\u0219i \u00eentreb\u0103ri f\u0103r\u0103 a primi vreun r\u0103spuns. De ce \u00een continuare serviciile la specialitatea clinic\u0103 de medicin\u0103 fizic\u0103 \u0219i de reabilitare sunt decontate pe tarif serviciu (neactualizat \u00een 2019) \u0219i nu pe puncte, ca la celelalte specialit\u0103\u0163i clinice? De ce cu foarte pu\u0163ine excep\u0163ii suma alocat\u0103 nu acoper\u0103 nici m\u0103car o treime din capacitatea furnizorului de servicii de medicin\u0103 fizic\u0103 \u015fi de reabilitare? De ce \u00een continuare serviciile de acupunctur\u0103 sunt decontate din fondul alocat pentru medicina fizic\u0103 \u0219i de reabilitare? De ce dup\u0103 at\u00e2\u0163ia ani \u0219i at\u00e2tea discu\u0163ii sanatoriile de boli mintale \u0219i preventoriile TBC sunt finan\u0163ate din fondul alocat medicinii fizice \u0219i de reabilitare? De ce se prelunge\u0219te aceast\u0103 confuzie (voit\u0103?) \u00eentre recuperarea st\u0103rii de s\u0103n\u0103tate \u0219i reabilitarea medical\u0103? V-am dat doar c\u00e2teva exemple dar mai sunt multe altele.<\/p>\n<p style=\"text-align: justify\"><strong><u>\u00centr-un interviu anterior ne spunea-<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i c<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> v<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> confrunta<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i ca <\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>i specialitate cu dificult<\/u><\/strong><strong><u>\u0103\u0163<\/u><\/strong><strong><u>i mari \u00een formarea echipei de reabilitare medical<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>. Cum crede<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i c<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> s-ar putea \u00eendrepta aceast<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> situa<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>ie?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Noi nu putem s\u0103 ne trat\u0103m pacien\u0163ii f\u0103r\u0103 o cooperare multidisciplinar\u0103 \u0219i f\u0103r\u0103 o echip\u0103 pe care medicul de medicin\u0103 fizic\u0103 \u0219i de reabilitare s-o coordoneze. G\u00e2ndi\u0163i-v\u0103 c\u0103 \u00een Rom\u00e2nia nu exist\u0103 recunoa\u0219terea profesiunii de terapeut ocupa\u0163ional \u0219i ca atare nu exist\u0103 nici interes pentru facult\u0103\u0163i s\u0103 produc\u0103 astfel de speciali\u0219ti. \u0218tim deja cum au fost am\u0103gi\u0163i mii de tineri s\u0103 urmeze cursuri de kinetoterapie la facult\u0103\u0163i de Educa\u0163ie Fizic\u0103 \u0219i\u00a0 Sport, f\u0103r\u0103 un plan de \u00eenv\u0103\u0163\u0103m\u00e2nt care s\u0103 respecte rigorile studiilor medicale. La sf\u00e2r\u0219itul lui 2016 a ap\u0103rut Legea 229, numit\u0103 alegea fizioterapeutului, care n-a f\u0103cut dec\u00e2t s\u0103 produc\u0103 \u0219i mai mult\u0103 confuzie. Ar mai fi \u0219i problema competen\u0163ei de neuroreabilitare pe care \u0219i-o doresc neurologii \u0219i care este complet nejustificat\u0103. Cred c\u0103 ar fi foarte bine dac\u0103 Ministerul S\u0103n\u0103t\u0103\u0163ii ar finaliza un proiect anun\u0163at cu ceva timp \u00een urm\u0103, cel al Legii profesiunilor medicale \u00een care s\u0103 se specifice clar ce \u00eenseamn\u0103 profesie medical\u0103, ce \u00eenseamn\u0103 profesie conex\u0103 actului medical, ce atribu\u0163ii are fiecare persoan\u0103 care lucreaz\u0103 cu omul bolnav.<\/p>\n<p style=\"text-align: justify\"><strong><u>Societatea Rom\u00e2n<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> de Reabilitare are \u00een desf<\/u><\/strong><strong><u>\u0103\u0219<\/u><\/strong><strong><u>urare mai multe proiecte. Crede<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i c<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> implementarea lor depinde numai din punct de vedere material?\u00a0 <\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Factorul material este important dar nu esen\u0163ial. P\u00e2n\u0103 la bani este nevoie de ac\u0163iuni concertate, de o viziune asupra viitorului specialit\u0103\u0163ii care s\u0103 fie \u00eemp\u0103rt\u0103\u0219it\u0103 nu numai de c\u00e2t mai mul\u0163i dintre colegii no\u0219tri, dar \u0219i de factorii de decizie ai politicilor de s\u0103n\u0103tate. Organiza\u0163ia Mondial\u0103 a S\u0103n\u0103t\u0103\u0163ii are \u00een desf\u0103\u0219urare mai multre planuri de ac\u0163iune care se adreseaz\u0103 persoanelor cu dizabilit\u0103\u0163i. Cu toate c\u0103 acestea au fost semnate \u0219i de \u0163ara noastr\u0103, vedem foarte pu\u0163ine ac\u0163iuni concrete \u00een acest sens.<\/p>\n<p style=\"text-align: justify\"><strong><u>V<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> rug<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>m s<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> ne vorbi<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i despre proiectul \u00eenceput \u00een 2016 www.postavc.ro, de unde a pornit ideea unui astfel de proiect? Cum au r<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>spuns pacien<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>ii?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Societatea Rom\u00e2n\u0103 de Reabilitare Medical\u0103 a demarat \u00een 2016 proiectul www.postavc.ro. Am dorit s\u0103 punem la un loc c\u00e2t mai multe informa\u0163ii despre ceea ce se \u00eent\u00e2mpl\u0103 \u00een realitate \u0219i ceea ce ar trebui s\u0103 se \u00eent\u00e2mple de fapt \u00een via\u0163a unui pacient care a suferit un accident vascular cerebral deoarece am constatat c\u0103 pacien\u0163ii cu AVC \u0219i familiile lor nu \u0219tiu cui s\u0103 se adreseze. Am pus astfel la dispozi\u0163ia tuturor pe postavc.ro o serie de informa\u0163ii despre accidentul vascular cerebral, despre evaluarea \u0219i autoevaluarea pacientului cu AVC, despre indica\u0163iile recuper\u0103rii \u00een func\u0163ie de stadiul bolii \u0219i modalit\u0103\u0163ile de recuperare. Cei care au accesat aceste informa\u0163ii au fost \u00een primul r\u00e2nd pacien\u0163ii, care ne-au adresat \u00eentreb\u0103ri sau sprijin pentru rezolvarea problemelor lor de s\u0103n\u0103tate. Un mare succes \u00eel au \u201dpove\u0219tile pacien\u0163ilor\u201d, prin intermediul c\u0103rora \u00een fiecare lun\u0103 se public\u0103 pe postavc.ro o istorioar\u0103 despre un pacient care a suferit un AVC. Utilizarea unui limbaj care nu con\u0163ine aproape de loc terminologie medical\u0103, un limbaj pe \u00een\u0163elesul pacientului \u0219i apar\u0163in\u0103torilor s\u0103i a f\u0103cut ca aceste articole inspirate din cazuri reale s\u0103 aib\u0103 o mare priz\u0103 la cititorii no\u0219tri.<\/p>\n<p style=\"text-align: justify\"><strong><u>Un an mai t\u00e2rziu \u00een 2017 a \u00eenceput <\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>i proiectul \u2018\u2019AVC 360\u00b0 &#8211; C<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>l<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>toria Pacientului\u2019\u2019 care se adreseaz<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> de data aceasta speciali<\/u><\/strong><strong><u>\u0219<\/u><\/strong><strong><u>tilor implica<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i \u00een tratarea AVC. Care a fost finalitatea proiectului? Cum a fost primit de medici?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Vorbeam mai \u00eenainte de lucrul \u00een echip\u0103, de colaborarea multidisciplinar\u0103. Proiectul AVC 360\u00b0 &#8211; C\u0103l\u0103toria Pacientului, a fost un proiect multidisciplinar, adresat de data aceasta medicilor, implic\u00e2nd specialit\u0103\u0163i medicale ca Neurologia, Medicina de Urgen\u0163\u0103, Cardiologia, Neurochirurgia, Geriatria, Medicina de familie, Terapia Intensiv\u0103, Psihiatria, Medicina Fizic\u0103 \u0219i de Reabilitare. La evenimentele organizate au participat profesioni\u0219ti cu o experien\u0163\u0103 vast\u0103 pe domeniile lor de competen\u0163\u0103. Obiectivul proiectul a fost s\u0103 promoveze o mai bun\u0103 colaborare \u0219i comunicare \u00een sistemul medical dar \u0219i \u00eentre medici \u0219i pacien\u0163i. S-au desf\u0103\u0219urat patru astfel de evenimente, la Craiova, Constan\u0163a, Sibiu \u0219i Bra\u0219ov, toate extrem de bine primite de medicii participan\u0163i.<\/p>\n<p style=\"text-align: justify\"><strong><u>\u00cen ultimii ani, inciden<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>a AVC a crescut \u00een randul categoriei de v\u00e2rst<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> sub 30 de ani. De ce apare aceast<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> afec<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>iune la v\u00e2rste tot mai tinere? <\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Accidentul vascular cerebral apare \u00een str\u00e2ns\u0103 leg\u0103tur\u0103 cu o serie de factori de risc, dintre care enumer\u0103m doar c\u00e2\u0163iva: hipertensiunea arterial\u0103, fumatul, consumul excesit de alcool, obezitatea, sedentarismul, hipercolesterolemia, diabetul zaharat. To\u0163i ace\u0219ti factori de risc se reg\u0103sesc la persoane tot mai tinere, acesta fiind \u0219i motivul principal pentru care AVC apare \u0219i el la persoane din aceast\u0103 categorie de v\u00e2rst\u0103.<\/p>\n<p style=\"text-align: justify\"><strong><u>\u00a0\u00cen final, pute<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i s<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u> ne spune<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i cum vede<\/u><\/strong><strong><u>\u0163<\/u><\/strong><strong><u>i viitorul \u00een Reabilitarea Medical<\/u><\/strong><strong><u>\u0103<\/u><\/strong><strong><u>?<\/u><\/strong><\/p>\n<p style=\"text-align: justify\">Medicina fizic\u0103 \u0219i de reabilitare se dezvolt\u0103 peste tot \u00een lume. Apar tot mai multe echipamente care \u00eenglobeaz\u0103 tehnologie de v\u00e2rf, \u00een sprijinul pacien\u0163ilor no\u0219tri. Sunt promovate noi concepte care fac ca necesarul de speciali\u0219ti s\u0103 fie tot mai mare. Un exemplu este cel al reabilit\u0103rii pe baze comunitare, promovat de OMS \u0219i care a luat av\u00e2nt \u00een alte \u0163\u0103ri dar la noi este practic inexistent.\u00a0 Tot recent au fost actualizate documentele privind domeniile de competen\u0163\u0103 ale medicinii fizice \u0219i de reabilitare. Foarte recent, la \u0219edin\u0163a sec\u0163iunii de Medicin\u0103 Fizic\u0103 \u0219i de Reabilitare a Uniunii Europene a Medicilor Speciali\u0219ti din 4-7 septembrie 2019 de la Plovdiv am asistat \u00eempreun\u0103 cu cei doi delega\u0163i ai Rom\u00e2niei, Prof. Dr. Mihai Berteanu \u0219i Dr. Daiana Popa, la lansarea de c\u0103tre Mauro Zampolini a conceptului de \u201dplan individual de reabilitare\u201d, despre care se va vorbi mult \u00een urm\u0103torii ani. Este vorba de a face un mare pas \u00eenainte \u0219i de a nu mai aplica un protocol anume unui pacient cu un anumit diagnostic, ci de a \u00eentocmi un plan de reabilitare pentru fiecare caz \u00een parte, cu evaluarea dizabilit\u0103\u0163ii, stabilirea obiectivelor pe termen scurt, mediu \u0219i lung, stabilirea rolului fiec\u0103rui membru al echipei de reabilitare \u0219i a rolului familiei, etc. Evident, medicului de medicin\u0103 fizic\u0103 \u0219i de reabilitare \u00eei revine rolul de a \u00eentocmi acest plan \u0219i de a superviza punerea lui \u00een practic\u0103.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201eEvolu\u0163ia tehnologiilor pentru reabilitarea medical\u0103 a fost una de-a dreptul spectaculoas\u0103 \u00een ultimii 10\u00a0ani \u0219i va continua s\u0103 fie\u00a0la\u00a0fel \u0219i \u00een anii urm\u0103tori\u201d Interviu: Conf. univ. dr. Adrian-Costin Bighea Pre\u0219edinte [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":9433,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[276,363],"tags":[],"class_list":["post-9432","post","type-post","status-publish","format-standard","has-post-thumbnail","category-interviu","category-reabilitare-medicala"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Interviu Conf. univ. dr. Adrian-Costin Bighea<\/title>\n<meta name=\"description\" content=\"Interviu Conf. univ. dr. 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