The Center for Speech Pathology and Neurorehabilitation is a state institution in the system of the Ministry of Health of the Russian Federation. The clinic has been carrying out activities aimed at the study and treatment of higher mental functions since 1968. Adults and children with speech pathologies, traumatic brain injuries, the consequences of a stroke, violent acts, operations, etc. are accepted for treatment.
Activities
A clinic for speech pathology and neurorehabilitation was opened for the rehabilitation and treatment of patients with mental problems. The Center carries out activities not only within its hospital, but also implements organizational work for medical institutions of various types in the city of Moscow.
The accumulated experience and scientific activity allowed the clinic to develop specialized programs for the neurorehabilitation of patients with pathologies such as:
- Stroke and its consequences.
- Injuries to the cerebral cortex of varying degrees of complexity.
- Neuroinfection.
- Larynx diseases, voice disorders.
- Stuttering and other speech disorders.
- Underdevelopment of speech functions in children (dysgraphia, stuttering, etc.).
- The consequences of stroke, neuroinfection, trauma in children.
The main principles of the practical application of treatment methods are:
- Early rehabilitation.
- Continuity of therapeutic measures.
- The intensity of the measures applied.
- Sufficient process time (up to 90 days).
- Comprehensive application of rehabilitation measures at each stage of rehabilitation treatment.
- Diagnosis (clinical, neuropsychological).
- Constant monitoring of the patient's condition in all manifestations (somatics, neurology, psychiatry, psychology).
- Monitoring the appropriateness of the measures taken.
- Involvement of relatives (family, friends) in the patient rehabilitation process.
- Patient support at every stage, help in solving socio-psychological, adaptive, domestic, labor problems.
Assistance to patients living in Moscow is provided on a budgetary basis.
Indications and contraindications
Many diseases require treatment for the emerging pathology of speech and neurorehabilitation. The center accepts patients according to the following indications:
- Violations of speech and speech communication (logoneurosis).
- A disorder of mental functions aggravated by impaired motor functions (or without them) resulting from a stroke, a head injury, oncology, infectious and other brain lesions.
Contraindications to assistance at the Center for Speech Pathology and Neurorehabilitation (Moscow) are:
- Diseases in a chronic or acute form, the treatment of which requires a specialized approach.
- Infectious diseases (infectious, skin, sexually transmitted).
- Diseases of the central nervous system (hereditary, degenerative).
- Oncology.
- Mental illness (dementia, alcoholism, drug addiction, epilepsy with frequent attacks, etc.).
- Violations of motor functions, excluding the possibility of self-care and movement on their own.
- Hearing and speech disorders to the extent that it is not possible to carry out pedagogical work with the patient.
Branches
The structure of the Center for Speech Pathology and Neurorehabilitation includes the following departments:
- Clinic
- Department for adult patients with brain lesions.
- Five daily hospitals.
- Children's department.
- Complex of diagnostic departments (MRI, X-ray, ultrasound, functional diagnostics, laboratory department).
- Inpatient day care.
- Specialized departments (optotherapy, cardiorehabilitation, ergotherapy, reflexology, physiotherapy, etc.).
- Hospital at home.
- Medical psychology.
Advisory Clinic
Doctors of the outpatient department of the Center for Speech Pathology and Neurorehabilitation (Moscow) conduct an initial appointment of patients, where they determine what form of care will be useful - specialized inpatient, outpatient, etc. The primary appointment is complex and is carried out in collaboration with doctors of related specialties - neurologist, psychiatrist, dermatologist, defectologist, neuropsychologist, etc. To clarify the diagnosis, additional tests are prescribed.
The final verdict is passed by the selection committee of the clinic for speech pathology and neurorehabilitation. The center takes the patient to a specialized department, where a set of necessary medical procedures is carried out, in which specialists from other areas of medicine are involved. A personal program is formed for each patient, including medical, physiotherapeutic procedures.
Targets and goals
The main tasks of the clinic are:
- Examination and counseling of patients.
- Diagnosis and degree of damage to speech functions.
- Assessment of the patient's condition (psycho-neurological, somatic), determination of indications and contraindications for the clinic stay of speech pathology and neurorehabilitation. The center accepts patients for treatment without contraindications.
- Doctors of the outpatient consultation clinic prepare justifications and documents for the selection committee.
Documents required for examination in the clinic:
- Passport, SNILS, compulsory medical insurance policy.
- Referral of the attending local doctor from the clinic (hospital, other medical facilities where the patient underwent treatment or examination).
- The results of analyzes and examinations (pictures in the original).
Residents of Moscow receive free treatment. Nonresident patients pay for treatment at a commercial cost or are served free of charge by the Moscow Department of Health. Background information and appointments are made at the reception by phone 698 04 14.
Hospital treatment
The inpatient department, under the supervision of specialists around the clock, can accommodate 230 adults and 25 children (including accompanied by a mother). The outpatient department serves 120 people daily, treatment under the program "Inpatient at home" is designed for 100 people. Each patient can count on a full course of treatment for speech pathology and neurorehabilitation.
The center develops personal patient recovery and treatment programs. The package of measures includes individual or group sessions with a psychologist, occupational therapy, massage, exercise therapy. At each stage, test analyzes are performed (clinical, EEG, ECG, ultrasound, etc.). The course of treatment is a period of 45 to 90 days with the possibility of further extension.
The Center for Speech Pathology and Neurorehabilitation on Taganka places patients in six daily hospitals, one of which is intended for children. For patients, wards are equipped with different capacities from one to six.
Day hospital
A day hospital treats patients with neurotrauma, the consequences of cerebral infarction. A visit to the procedures is negotiated individually for each patient according to the indications of the somatic state and is at least 2 visits per week. The main condition of service is the possibility of independent movement of the patient in the city and arrival for treatment at the clinic of speech pathology and neurorehabilitation.
The center, as part of the treatment of a day hospital, provides patients with:
- Two meals a day.
- Drug treatment.
- Speech therapy classes (group, individual).
- Physical therapy, massage, physiotherapy.
- Occupational therapy, reflexology, etc.
Reception is conducted by specialists with extensive experience and a high level of qualification in the areas of: neurology, psychology, psychiatry, defectology, dermatology, etc.
The department of the day hospital for the treatment of patients with logoneurosis performs a set of procedures for 90 days, of which 45 days the treatment is carried out in the day hospital and 45 days the patient undergoes treatment in closed outpatient groups (3 times a week).
The range of measures includes individual and group sessions with a psychologist, hydrotherapy, medications, acupuncture, etc. At the stage of diagnosis, the specialist fixes the degree of deviation and makes individual recommendations for further rehabilitation at home when discharge.
Children's department
The Moscow Center for Pathology and Neurorehabilitation provides medical and psychological assistance to children and adolescents with severe forms of speech impairment, including stuttering, dysgraphia, delayed speech development, the consequences of birth injuries, central nervous system injuries, the consequences of craniocerebral injuries, heart attacks and strokes. The target audience of the department is children from 3 to 15 years.
The structure of the children's department includes:
- Outpatient clinic (capacity - up to 250 visits per day).
- Inpatient (round-the-clock observation and treatment for children from 2 to 15 years old with the consequences of neuroinfection, brain injuries, local CNS lesions, stroke). The length of hospital stay is up to 90 days.
- Day hospital (for children with stuttering)
A separate treatment program for speech pathology and neurorehabilitation is being developed for each child. The center conducts dynamic monitoring of each small patient; at the end of the course, prophylactic treatment is offered under the supervision of specialists. The telephone number of the children's department is 698 04 15.
Home hospital
A special form of assisting patients at home, requiring treatment for speech pathology and neurorehabilitation. The center provides this form of treatment to patients suffering from the consequences of a stroke, and to those who are limited in their ability to move. Inpatient care at home is accessible to patients with brain tumors, central nervous system injuries discharged from the inpatient department of the central medical care and patients whose condition does not allow receiving treatment for other forms of care.
The patient is included in the program by the selection committee, after the initial admission to the outpatient department. The complex of rehabilitation programs includes:
- Inspection by specialized specialists (neurologist, therapist).
- Up to 40 lessons with a speech therapist.
- Consultations and examinations by a neuropsychologist (family consultation is possible).
- Based on the results of the examination, the neuropsychologist may appoint additional tests by specialists in related fields (speech therapist, otolaryngologist, ophthalmologist, optometrist, etc.).
Reviews
Many positive reviews were left by patients who underwent rehabilitation after a stroke at the Center for Speech Pathology and Neurorehabilitation. They say that they did not expect to get an improvement in their condition, many had partial paralysis of one of the sides of the body, slurred speech and depression. After a course of procedures, the situation improved significantly, progress in the condition became noticeable. Some have recovered fully, while someone will have a second course of treatment.
The mothers of young children claim that the Center received a full consultation, an updated diagnosis, and the prescribed treatment helped the children begin to talk normally and show interest in understanding the world.
Negative reviews are devoted to some doctors who were not attentive at the reception and therefore could not make an accurate diagnosis and, as a result, the patient did not receive adequate treatment. There were also comments that getting to treatment at the Moscow Center for Speech Pathology and Neurorehabilitation is very difficult, since the lineup is scheduled for years to come. Some talk about the light load of the children's department, where, however, do not accept patients,
Address
The Shklovsky Center for Speech Pathology and Neurorehabilitation is located in Moscow at 20 Nikolayskaya Street, Building 1 (Taganskaya metro station). The reception department for adults is open from Monday to Friday, business hours are from 09:00 to 19:00, and the telephone number is 598 04 14.