- \n
- Terapii fizice \u0219i Kinetoterapie<\/a>;<\/li>\n
- Terapii bazate pe asisten\u021b\u0103 tehnologic\u0103<\/a>;<\/li>\n
- Terapia ocupa\u021bional\u0103;<\/li>\n
- Psihoterapia<\/a>;<\/li>\n
- Interven\u021bii neurologice.<\/li>\n<\/ul>\n
Pentru a \u00een\u021belege mai bine cauzele AVC, vizita\u021bi urm\u0103torul link.<\/a><\/p>\n
Pentru informa\u021bii despre reabilitarea post-AVC, accesa\u021bi acest link<\/a>, iar pentru informa\u021bii despre preven\u021bia acestei afec\u021biuni click aici.<\/a><\/p>\n
Pentru \u00een\u021belegerea cauzelor \u0219i mecanismelor TCC, vizita\u021bi acest articol<\/a>. Interven\u021bia logopedic\u0103 reprezint\u0103 un factor esen\u021bial \u00een procesul de recuperare \u0219i reabilitare a pacien\u021bilor care au suferit un traumatism craniocerebral (TCC) sau AVC.<\/p><\/blockquote>\n
Care sunt etapele \u0219edin\u021belor de logoterapie?<\/h2>\n
Recuperarea semnificativ\u0103 a func\u021biei limbajului este posibil\u0103 \u00een urma unui AVC, dar predic\u021bia nivelului de recuperare este dificil\u0103. Informa\u021biile despre severitatea ini\u021bial\u0103 a afaziei \u0219i integritatea domeniilor cognitive, altele dec\u00e2t limbajul, pot ajuta la ghidarea echipei de reabilitare, precum \u0219i la gestionarea a\u0219tept\u0103rilor legate de recuperare [15]. Exist\u0103 mai multe etape \u00een recuperare. Acestea pot fi prezentate sub forma unui reper general [7-15] care s\u0103 cuprind\u0103:<\/p>\n
Etapa ini\u021bial\u0103<\/h3>\n
Procesul debuteaz\u0103 cu evaluarea detaliat\u0103 a limbajului, vorbirii, abilit\u0103\u021bilor cognitive. <\/strong>Mai apoi terapeutul stabile\u0219te o atmosfer\u0103 deschis\u0103 care s\u0103 permit\u0103 pacientului s\u0103 \u00ee\u0219i exprime sentimentele \u0219i dificult\u0103\u021bile cu care se confrunt\u0103. Urm\u0103torul pas este de a identifica \u00eempreun\u0103 cu pacientul obiectivele comunica\u021bionale care sunt de maxim\u0103 urgen\u021b\u0103 pentru el.<\/p>\n
Etapa interven\u021bional\u0103<\/h3>\n
Odat\u0103 ce obiectivele au fost alese, terapia va fi centrat\u0103, \u00een func\u021bie de nevoile specific ale pacientului, pe restabilirea unei comunic\u0103ri func\u021bionale precum:<\/p>\n
- \n
- Exprimarea nevoilor,<\/li>\n
- Reconectarea cu membrii familiei,<\/li>\n
- Restabilirea rela\u021biilor profesionale.<\/li>\n<\/ul>\n
Tot \u00een cadrul acestei etape, logopedul va alege exerci\u021bii de vorbire prioritizate pe nevoile pacientului, precum exersarea pronun\u021b\u0103rii numelor \u0219i propozi\u021biilor simple, folosirea conversa\u021biei pe subiecte de interes (hobby-uri, amintiri, etc.).<\/p>\n
Deasemenea, pacientul are nevoie de ajutor pentru a-\u0219i corecta articularea, tonul vocii, g\u0103sirea cuvintelor potrivite \u0219i fluen\u021ba vorbirii.<\/p>\n
Monitorizarea progresului<\/h3>\n
- \n
- \u00cencurajarea pacientului pentru a dob\u00e2ndi o perspectiv\u0103 pozitiv\u0103 a progresului s\u0103u prin:\n
- \n
- Eviden\u021bierea succeselor ob\u021binute,<\/li>\n
- Reformularea provoc\u0103rilor ca oportunit\u0103\u021bi de a se implica creativ \u0219i cu r\u0103bdare \u00een g\u0103sirea modalit\u0103\u021bilor de exprimare,<\/li>\n
- Cultivarea efortului \u0219i disciplinei pacientului ca parte a unei c\u0103l\u0103torii de via\u021b\u0103.<\/li>\n<\/ul>\n<\/li>\n
- \u00cencurajarea pacientului de a \u00ee\u0219i exprima liber sentimentele;<\/li>\n<\/ul>\n
Adaptarea gradat\u0103 a logoterapiei la ob\u021binerea rezultatelor pe termen lung<\/h3>\n
- \n
- Revizuirea obiectivelor de comunicare semnificative pentru pacient,<\/li>\n
- Introducerea unor sarcini din ce \u00een ce mai complexe, corelate cu nevoile pacientului.<\/li>\n<\/ul>\n
\u00cenceperea colabor\u0103rii cu echipa de reabilitare<\/h3>\n
- \n
- Asigurarea unei abord\u0103ri holistice, multidisciplinare,<\/li>\n
- Stabilirea de noi obiective comunica\u021bionale cu echipa,<\/li>\n
- Realizarea de exerci\u021bii interdisciplinare (de exemplu, exersarea vorbirii \u00een timpul mersului),<\/li>\n
- Ajutarea pacientului de a se sim\u021bi \u00eencrez\u0103tor \u0219i independent \u00een comunicarea sa,<\/li>\n
- Realizarea unui jurnal scris \u00een care pacientul s\u0103 consemneze tot ceea ce a realizat \u00een timpul \u0219edin\u021belor terapeutice, precum \u0219i alte subiecte de interes pentru el.<\/li>\n<\/ul>\n
Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n
Dac\u0103 ave\u021bi nevoie de logoterapie, sau dac\u0103 ave\u021bi nevoie de reabilitare post-AVC, programa\u021bi-v\u0103 acum la o consulta\u021bie <\/span>contact\u00e2nd recep\u021bia Institutului RoNeuro<\/strong> la num\u0103rul de telefon<\/span> 0374 46 2222<\/a><\/b>, luni \u0219i mar\u021bi \u00eentre orele 08:00 – 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele 08:00 – 18:00<\/strong>.\u00a0<\/span><\/p>\n
La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate.\u00a0<\/span><\/p>\n
Program\u0103ri online neurologie<\/a><\/p>\n
Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? Institutul RoNeuro ofer\u0103 \u0219i op\u021biunea de <\/span>telemedicin\u0103<\/a>.<\/b><\/p>\n
Ce este logoterapia?<\/h2>\n
\u00cen prezent logoterapia este recunoscut\u0103 ca fiind una dintre \u0219colile de psihoterapie bazate pe dovezi, de c\u0103tre Societatea Medical\u0103 American\u0103, Asocia\u021bia American\u0103 de Psihiatrie \u0219i Asocia\u021bia American\u0103 de Psihologie [1].<\/p>\n
Conform Federa\u021biei Rom\u00e2ne de Psihologie, logoterapia este integrativ\u0103, deoarece se bazeaz\u0103 pe realitatea integral\u0103, \u00een sens real \u2013 psihoterapie centrat\u0103 pe persoan\u0103 [2].<\/p>\n
Logopedia este un domeniu de cercetare \u0219i o form\u0103 de terapie care ajut\u0103 pacien\u021bii s\u0103 \u00ee\u0219i \u00eembun\u0103t\u0103\u021beasc\u0103 comunicarea verbal\u0103 \u0219i\/sau abilitatea de a \u00eenghi\u021bi (ap\u0103, alimente), care au fost afectate de anumite boli sau factori perturbatori [3].<\/p>\n
Care este rolul logopediei?<\/h2>\n
\u00cen sens mai larg, logopedia [4,5] are rol \u00een evaluarea,diagnosticarea \u0219i interven\u021bia \u00een tulbur\u0103ri de:<\/p>\n
- \n
- comunicare,<\/li>\n
- limbaj expresiv \u0219i receptiv,<\/li>\n
- \u00een\u021belegere \u0219i exprimare verbal\u0103,<\/li>\n
- pronun\u021bie \u0219i fluen\u021b\u0103,<\/li>\n
- \u00eenghi\u021bire.<\/li>\n<\/ul>\n
fiind aplicabil\u0103 at\u00e2t la copii c\u00e2t \u0219i la adul\u021bi, \u00een vederea rec\u00e2\u0219tig\u0103rii\/\u00eembun\u0103t\u0103\u021birii:<\/p>\n
- \n
- abilit\u0103\u021bilor pierdute precum:\n
- \n
- vorbire,<\/li>\n
- ascultare,<\/li>\n
- scriere,<\/li>\n
- \u00een\u021belegere.<\/li>\n<\/ul>\n<\/li>\n
- rela\u021biilor interpersonale,<\/li>\n
- succesului academic \u0219i profesional,<\/li>\n
- calit\u0103\u021bii vie\u021bii \u00een general.<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/Aplicatii-logopedie-scaled.jpg\" "\\"\\"")
<\/p>\nCe alte metode de logoterapie pot fi recomandate?<\/h2>\n
\u00cen urma evalu\u0103rii simptomelor \u0219i nevoilor pacientului, precum \u0219i a aptitudinilor manifestate de acesta \u00een cadrul sesiunilor terapeutice, logopedul poate decide abordarea urm\u0103toarelor practici [16]:<\/p>\n
- \n
- Dereflectarea;<\/li>\n
- Inten\u021bia paradoxal\u0103;<\/li>\n
- Dialogul socratic.<\/li>\n<\/ul>\n
![\"\"](\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2025\/01\/Practici-logopedice-scaled.jpg\" "\\"\\"")
<\/p>\nDereflectarea<\/h3>\n
Dereflectarea<\/strong> \u00een logoterapie este o tehnic\u0103 folosit\u0103 pentru a distrage aten\u021bia unui pacient de la simptome, prin redirec\u021bionare, c\u0103tre obiective sau activit\u0103\u021bi semnificative, facilit\u00e2nd un sentiment de scop \u0219i \u00eemplinire [17].<\/p>\n
Inten\u021bia paradoxal\u0103<\/h3>\n
Inten\u021bia paradoxal\u0103<\/strong> \u00een logoterapie este o tehnic\u0103 \u00een care pacientul se implic\u0103 \u00een mod inten\u021bionat sau exagereaz\u0103 simptomul sau comportamentul pe care dore\u0219te s\u0103-l schimbe, cu scopul de a reduce anxietatea sau de a dep\u0103\u0219i problema, confrunt\u00e2ndu-l direct [18].<\/p>\n
Dialogul socratic<\/h3>\n
Dialogul socratic<\/strong> folose\u0219te o metod\u0103 de auto-descoperire pentru a demonstra pacientului c\u0103 solu\u021bia la problem\u0103 este de fapt \u00een el \u00eensu\u0219i. Logoterapeutul ar folosi cuvintele pacientului, observ\u00e2nd tiparele, pentru a-l ajuta s\u0103 descopere noi semnifica\u021bii prin propriile sale cuvinte [19].<\/p>\n
Concluzii<\/h2>\n
Exist\u0103 numeroase tipuri de exerci\u021bii cognitive, dar eficien\u021ba lor pentru supravie\u021buitorii AVC depinde de consisten\u021b\u0103 \u00een practicarea terapiei pe termen lung. Acest lucru se datoreaz\u0103 faptului c\u0103 practica repetitiv\u0103 promoveaz\u0103 neuroplasticitatea, iar neuroplasticitatea este cheia<\/em><\/strong> recuper\u0103rii dup\u0103 un AVC.<\/p>\n
Cea mai eficient\u0103 perioad\u0103 de timp \u00een recuperarea limbajului este \u00een primele s\u0103pt\u0103m\u00e2ni dup\u0103 un AVC. A\u0219adar, cu c\u00e2t mai activ\u0103 \u0219i implicat\u0103 este participarea pacientului la procesul terapeutic, cu at\u00e2t mai bune \u0219i mai rapide vor fi \u0219i rezultatele. Acest fapt poate maximiza poten\u021bialul de recuperare post-AVC.<\/p>\n
Este important ca planul de recuperare \u0219i tratament s\u0103 \u00eenceap\u0103 c\u00e2t mai cur\u00e2nd posibil, deoarece promptitudinea interven\u021biei multidisciplare poate avea un impact semnificativ asupra rezultatelor pe termen lung pentru s\u0103n\u0103tatea dumneavoastr\u0103.<\/p>\n
Referin\u021be<\/h2>\n
- \n
- Psych Central, Logotherapy: How to Find More Meaning in Your Life. Available at: https:\/\/psychcentral.com\/lib\/logotherapy-how-to-find-more-meaning-in-your-life<\/a><\/li>\n
- Federatia Romana de Psihoterapie, Logoterapia \u0219i analiza existen\u021bial\u0103<\/a>.<\/li>\n
- Nynorsk Wikipedia Det fritt oppslagsverk, Logopedi. Available at: https:\/\/nn.wikipedia.org\/wiki\/Logopedi<\/a><\/li>\n
- Terapie Pentru Copii, Ce este logopedia?. Available at: https:\/\/www.terapiepentrucopii.ro\/logopedie-comunicarea-si-dezvoltarea-verbala\/<\/a><\/li>\n
- Emerald, Recuperare post Accident Vascular Cerebral (AVC). Available at: https:\/\/emeraldmed.ro\/recuperare-post-accident-vascular-cerebral-avc\/<\/a><\/li>\n
- Adriana Pop Logoped Clinician Psiholog, Available at: https:\/\/logopediapop.ro\/ciorna-automataaccident-vascular-cerebral-reabilitare-si-terapiile-necesare-recuperarii\/<\/a><\/li>\n
- Mayo Clinic, Stroke rehabilitation: What to expect as you recover<\/a>.<\/li>\n
- PAM Health, The Benefits of Speech Therapy for Stroke Patients. Available at: https:\/\/pamhealth.com\/company\/company-updates\/the-benefits-of-speech-therapy-for-stroke-patients<\/a><\/li>\n
- Flint Rehab, Speech Therapy for Stroke Recovery. https:\/\/www.flintrehab.com\/<\/a><\/li>\n
- American Stroke Association, Post-Stroke Rehabilitation. Available at: https:\/\/www.stroke.org\/en\/life-after-stroke\/stroke-rehab\/post-stroke-rehabilitation<\/a><\/li>\n
- Nexus Health Systems, Speech Therapy for Stroke Rehabilitation. Available at: https:\/\/nexushealthsystems.com\/the-impacts-of-speech-therapy-on-stroke-patients-experiencing-neurological-changes\/<\/a><\/li>\n
- Todaro F, Pizzorni N, Scarponi L, Ronzoni C, Huckabee ML, Schindler A. The Test of Masticating and Swallowing Solids (TOMASS): Reliability and validity in patients with dysphagia. Int J Lang Commun Disord. 2021 May;56(3):558-566. doi: 10.1111\/1460-6984.12613. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/33687133\/<\/a><\/li>\n
- Harvard Health Publishing, Addressing language challenges after a stroke. Available at: https:\/\/www.health.harvard.edu\/heart-health\/addressing-language-challenges-after-a-stroke<\/a><\/li>\n
- Heart and Stroke Foundation of Canada, Rehabilitation to Improve Language and Communication. Available at: https:\/\/www.strokebestpractices.ca\/recommendations\/stroke-rehabilitation\/rehabilitation-to-improve-language-and-communication<\/a><\/li>\n
- Gerstenecker A, Lazar RM. Language recovery following stroke. Clin Neuropsychol. 2019 Jul;33(5):928-947. doi: 10.1080\/13854046.2018.1562093. Available at: https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8985654\/<\/a><\/li>\n
- Simply Psychology, Logotherapy Techniques. Available at: https:\/\/www.simplypsychology.org\/logotherapy.html<\/a><\/li>\n
- Viktor Frankl Institute of Israel, Dereflection in Logotherapy: A path to self-discovery. Available at: https:\/\/themeaningseeker.org\/dereflection\/<\/a><\/li>\n
- PositivePsychology.com B.V., Logotherapy: Viktor Frankl\u2019s Theory of Meaning. Available at: https:\/\/positivepsychology.com\/viktor-frankl-logotherapy\/<\/a><\/li>\n
- Viktor Frankl Institut, Logotherapy and Existential Analysis. Available at: https:\/\/www.viktorfrankl.org\/logotherapy.html<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
Interven\u021bia logopedic\u0103 post AVC – care sunt etapele acestei proceduri? Interven\u021bia logopedic\u0103 post AVC trebuie s\u0103 \u00eenceap\u0103 \u00een cel mai scurt timp posibil de la momentul diagnostic\u0103rii accidentulul vascular cerebral, dup\u0103 acordarea medica\u021biei specifice. Deoarece un accident vascular cerebral reprezint\u0103 o problem\u0103 medical\u0103 grav\u0103 \u0219i complex\u0103, terapia logopedic\u0103 trebuie asociat\u0103 cu urm\u0103toarele terapii [6]: Terapii […]<\/p>\n","protected":false},"author":2,"featured_media":1561,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":[],"footnotes":""},"categories":[8,6],"tags":[],"class_list":["post-1556","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-psihologie","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1556","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1556"}],"version-history":[{"count":3,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1556\/revisions"}],"predecessor-version":[{"id":1571,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1556\/revisions\/1571"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1561"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1556"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Federatia Romana de Psihoterapie, Logoterapia \u0219i analiza existen\u021bial\u0103<\/a>.<\/li>\n
- Psych Central, Logotherapy: How to Find More Meaning in Your Life. Available at: https:\/\/psychcentral.com\/lib\/logotherapy-how-to-find-more-meaning-in-your-life<\/a><\/li>\n
- abilit\u0103\u021bilor pierdute precum:\n
- \u00cencurajarea pacientului pentru a dob\u00e2ndi o perspectiv\u0103 pozitiv\u0103 a progresului s\u0103u prin:\n
- Terapii bazate pe asisten\u021b\u0103 tehnologic\u0103<\/a>;<\/li>\n