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Alteraciones perceptivas y práxicas en pacientes con TCE: relevancia en las actividades de la vida diaria. (Parte XIII)

El trabajo terapéutico realizado con las familias de estos pacientes es de vital importancia para el logro de los objetivos establecidos en los programas de rehabilitación.
Conclusiones:

Los déficits perceptivos y práxicos limitan en gran medida la recuperación de este tipo de pacientes e influyen tanto en su pronóstico funcional al alta como durante el proceso de rehabilitación limitando en numerosas ocasiones el éxito de la recuperación física de este tipo de pacientes.
Es fundamental la conciencia sobre las limitaciones de los procesos perceptivos-cognitivos, así como del movimiento por parte del sujeto, ya que determinan en gran medida el éxito de las técnicas de intervención seleccionadas para el tratamiento. De igual relevancia es considerar el grado y análisis de las actividades junto con el potencial del paciente para aprender, ya que variando las características de la tareas y del entorno podríamos aumentar el nivel de independencia funcional del sujeto.
Dadas las características de estos pacientes se hace necesario el reentrenamiento en contextos reales para con ello asegurarnos su correcta intervención y disminuir los problemas derivados de la falta de generalización de aprendizajes.
Las técnicas basadas en los principios de recuperación han mostrado ser menos efectivas que las basadas en la compensación; actualmente se debería tender a utilizar los abordajes dinámicos que utilizan el uso de actividades de la vida diaria con un doble fín: recuperar la función perceptiva y práxica afecta y entrenar al sujeto a lograr el mayor grado de independencia funcional en dicha actividad.
El trabajo terapéutico realizado con las familias de estos pacientes es de vital importancia para el logro de los objetivos establecidos en los programas de rehabilitación.

 

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