Rehabilitation Hospital at Sheba Medical Center
The Rehabilitation Hospital at Sheba Medical Center is Israel’s national rehabilitation center. We offer both long-term and life-long treatment and rehabilitation programs in specialized areas such as orthopedics, neurology, respiratory, psychiatry, geriatrics, and trauma.
We are honored with the national responsibility for the long-term treatment and care of the most difficult and complex cases in Israel, such as injured soldiers and terror victims.
We are devoted to advancing the field of rehabilitation through research, education, and the development of life-saving therapies and technologies. We are globally known for our many specialized laboratories and centers where we develop innovative technologies in rehabilitation medicine, including our Virtual Reality Training Facility, the Computerized Motion Analysis Laboratory, and the Isokinetic Laboratory.
We provide acute care, in-patient, and outpatient rehabilitation. Our team of experts works in concert with our patients, helping them to return to their normal lives as quickly as possible.
Orthopedic Rehabilitation at Sheba
The Orthopedic Rehabilitation Department, headed by Dr. Oren Barzel, provides a number of unique surgical and rehabilitation services for a variety of conditions, including skeletal and bone injuries, amputations, diabetes-associated pain, and treatment of multi-trauma patients who present complex rehabilitation challenges.
The patient population is diverse and includes adults and young people who have been injured in road accidents or military operations. A specialized outpatient clinic provides for the needs of children with limb abnormalities, whether congenital or traumatic.
The department also specializes in providing prosthetic limbs to patients, assisting in their fitting, and facilitating their proper use.
These services are provided both on an in-patient basis and at our many outpatient clinics and are a cooperative effort between our prosthetist technicians and doctors.
Our comprehensive program for prosthetic rehabilitation includes:
• Walking training post-amputation
• Prosthetic fitting
• Improvement of walking ability long-time amputees
• Prostheses upgrades
• Medical supervision by a Physical Medicine and Rehabilitation specialist physician
• Consultation on the selection of prosthetic parts customized for patient and activity
• Hydrotherapy treatments by qualified physiotherapists
• Virtual reality therapies that focus on improving weight bearing and proper gait patterns
• Daily training at the Institute for Restorative Activity
• Occupational therapy treatments as needed
The optimal time to begin rehabilitation is typically six to eight weeks after amputation if the stump has healed sufficiently. A below the knee amputation generally requires three to four weeks of rehabilitation, while above the knee amputations usually need about six weeks of rehabilitation.
Orthopedic Rehabilitation Team
Physiotherapy provided at the Department of Orthopedic Rehabilitation focuses on bringing the patient back to maximum function following an injury. Our treatments include improving range of motion, strengthening muscles, and increasing stability and balance.
The physiotherapy team is supervised by Yael Dotan-Marom, MSc-PT, and works closely with Sheba’s innovative Motion Analysis Laboratory, as well as the Virtual Reality lab where patients can practice motor functions in a safe but realistic environment. Our advanced technology makes these futuristic services available to our patients today.
The physiotherapy team is also responsible for hydrotherapy treatments. Our large, indoor therapeutic swimming pool is available to both inpatients and outpatients, who are supervised by our trained, expert hydrotherapists at all times
Wound and Ulcer Treatment
In addition to prosthetic rehabilitation, the Rehabilitation Hospital at Sheba Medical Center provides advanced care of diabetic foot wounds. Diabetics often have a poor blood supply to their feet and may also experience decreased sensation in their feet. This can lead to serious wounds that are resistant to healing.
We employ both conservative and surgical methods in an attempt to heal wounds and prevent problems in the future.
These methods include outpatient and inpatient services. Some of our treatments include:
• Medical supervision by a team of doctors and nurses who specialize in rescuing limb
• The use of advanced dressings and dressing techniques
• Employing advanced technologies such as VAC dressings and the TopClosure system
• Surgical treatments if needed
• Physiotherapy to address unique needs like strength, endurance, balance, and mobility
• Custom orthotics to prevent foot ulcers and wounds
• Daily training at the Institute for Restorative Activity
We measure our success by the successful return of our patients to their normal daily lives. To ensure the best outcomes, our therapists stay up to date on the latest research and treatments by continuing their education and regularly attending international conferences.
Occupational therapy focuses on our patients’ personal functioning and the adaptation of their environment to their needs.
To assess their needs, patients hospitalized in the Orthopedic Rehabilitation Department undergo a functional status evaluation and a series of tests to determine their strength, range of motion, sensation, and functional values. This data, along with the nature of the patient’s injury, is then used to create a personalized treatment plan and goals.
An integral part of treatment is training in activities of daily living (ADLs). ADLs include everyday activities such as transitions from bed to wheelchair, shower and toilet transitions, entering and exiting a car, performing hygiene, and changing clothing. We also provide instructions and guidance on necessary adaptations to the patient’s home or living environment.
Here is an outline of therapies and training we use to address different injuries suffered by our patients:
We focus on training and practicing wheelchair transitions at first. After the prosthesis is made and fitted, the treatment focuses on functioning with the prosthesis: wearing the prosthesis, putting on trousers over the prosthesis, mobility, and performing ADLs.
For upper limb injuries, we focus on improving range of movement, strength, fine and gross motor skills, and sensation. Our treatments include brace fitting, therapy for scars, and training for independent functioning.
Our Orthopedic Rehabilitation Department is Israel’s national center for the fitting of advanced prostheses to the upper limbs. Our therapists help our patients learn to use their prosthesis and perform functions that require two-hands, such as writing, computer use, and eating.
Treatment typically consists of the adjustment of pressure bandages and silicone sheets, especially for hypertrophic and cheloid scars.
Additional Technologies and Therapies
At Sheba Medical Center, we make use of the most advanced technologies to bring our patients world class medicine with a personal touch. These include:
• E-link – a computerized system for practicing motion ranges and strengthening using fun games.
• MediTouch – a computerized system that provides visual feedback and is operated by the patient through a glove or a brace.
• Gertner Tele-rehabilitation System – a system for upper limb training that identifies patient movements using a Kinect camera. The patient can use the system to activate games and tasks.
• Surface EMG biofeedback – a system that provides visual data reflecting muscle activity.
• Electronic muscle stimulation – to assist in muscle strengthening.
We also provide the following to aid our patients in rehabilitation and a quick return to their regular activities:
Our Orthopedic Rehabilitation Department is equipped with a therapeutic apartment that includes all the domestic amenities like a kitchen, bathroom, living room, and bedroom. The apartment is adapted for patients using a wheelchair or crutches and is equipped with accessories that enable independent functioning with a disability.
The therapeutic apartment provides for individual treatments as well as interactive cooking groups.
We are happy to offer ceramics workshops, therapeutic gardening, and beads workshops to our patients. These workshops provide our patients with a channel for creativity and expression, as well as practical methods of building motor skills.
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