{"id":12497,"date":"2026-07-24T13:55:47","date_gmt":"2026-07-24T13:55:47","guid":{"rendered":"https:\/\/barcelonainternationalhospitals.com\/?p=12497"},"modified":"2026-07-24T14:04:16","modified_gmt":"2026-07-24T14:04:16","slug":"neurorehabilitacio-barcelona-ictus-lesio-medul%c2%b7lar-cerebral","status":"publish","type":"post","link":"https:\/\/barcelonainternationalhospitals.com\/ca\/blog\/neurorehabilitation-barcelona-stroke-brain-spinal-cord-injury\/","title":{"rendered":"Neurorehabilitaci\u00f3 a Barcelona despr\u00e9s d'un ictus, lesi\u00f3 cerebral o lesi\u00f3 medul\u00b7lar"},"content":{"rendered":"

Despr\u00e9s d'un ictus, una lesi\u00f3 cerebral traum\u00e0tica o una lesi\u00f3 de la medul\u00b7la espinal, sortir de l'hospital d'aguts sovint nom\u00e9s \u00e9s el comen\u00e7ament de la recuperaci\u00f3. Especialitzat neurorehabilitaci\u00f3 a Barcelona<\/strong> ofereix als pacients internacionals acc\u00e9s a atenci\u00f3 m\u00e8dica coordinada, ter\u00e0pia intensiva, tecnologia de rehabilitaci\u00f3 avan\u00e7ada i programes adaptats a les seves necessitats individuals.<\/p>\n\n

Una lesi\u00f3 neurol\u00f2gica pot afectar molt m\u00e9s que el moviment. Tamb\u00e9 pot alterar l'equilibri, la comunicaci\u00f3, la degluci\u00f3, la mem\u00f2ria, el comportament, la sensaci\u00f3, el benestar emocional i la independ\u00e8ncia en la vida quotidiana. Com que cada pacient es veu afectat de manera diferent, la rehabilitaci\u00f3 neurol\u00f2gica hauria d'abordar la persona com un tot en lloc de centrar-se en un sol s\u00edmptoma.<\/p>\n\n

Aquesta guia explica qu\u00e8 implica la neurorehabilitaci\u00f3, quins pacients se'n poden beneficiar i com la xarxa sanit\u00e0ria especialitzada de Barcelona d\u00f3na suport a la recuperaci\u00f3 despr\u00e9s de lesions neurol\u00f2giques complexes.<\/p>\n\n

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Qu\u00e8 \u00e9s la neurorehabilitaci\u00f3?<\/p>\n

La neurorehabilitaci\u00f3 \u00e9s un proc\u00e9s supervisat m\u00e8dicament que ajuda els pacients a recuperar, millorar o compensar les funcions afectades per una lesi\u00f3 o malaltia del sistema nervi\u00f3s. Depenent del pacient, pot combinar fisioter\u00e0pia, ter\u00e0pia ocupacional, logop\u00e8dia, rehabilitaci\u00f3 cognitiva, neuropsicologia, infermeria especialitzada, maneig del dolor i tecnologia assistiva.<\/p>\n<\/div>\n\n

Qui pot necessitar neurorehabilitaci\u00f3 especialitzada?<\/h2>\n\n

Es pot considerar un programa especialitzat de rehabilitaci\u00f3 neurol\u00f2gica quan una afecci\u00f3 afecta la mobilitat, la comunicaci\u00f3, la cognici\u00f3, l'autonomia o la capacitat per dur a terme activitats quotidianes.<\/p>\n\n

El diagn\u00f2stic per si sol no determina el programa. Dues persones que han patit un ictus o una lesi\u00f3 medul\u00b7lar similar poden tenir s\u00edmptomes, limitacions funcionals i prioritats de rehabilitaci\u00f3 molt diferents.<\/p>\n\n

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Despr\u00e9s d'un ictus<\/p>\n

La rehabilitaci\u00f3 es pot centrar en la mobilitat, l'equilibri, la comunicaci\u00f3, la degluci\u00f3, la cognici\u00f3 i la independ\u00e8ncia despr\u00e9s d'un esdeveniment cerebrovascular.<\/p>\n <\/div>\n\n

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Despr\u00e9s d'una lesi\u00f3 cerebral<\/p>\n

El tractament pot abordar els canvis f\u00edsics, cognitius, conductuals i emocionals causats per danys cerebrals traum\u00e0tics o adquirits.<\/p>\n <\/div>\n\n

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Despr\u00e9s d'una lesi\u00f3 de la medul\u00b7la espinal<\/p>\n

Els programes poden tenir com a objectiu millorar la mobilitat, l'autonomia, la funci\u00f3 respirat\u00f2ria, el maneig del dolor i l'adaptaci\u00f3 a la vida quotidiana.<\/p>\n <\/div>\n\n<\/div>\n\n

Rehabilitaci\u00f3 d'ictus a Barcelona<\/h2>\n\n

Un ictus es produeix quan s'interromp el subministrament de sang a una part del cervell o quan una hemorr\u00e0gia danya el teixit cerebral. Les seves conseq\u00fc\u00e8ncies depenen de la zona del cervell afectada i de l'extensi\u00f3 de la lesi\u00f3.<\/p>\n\n

Els pacients poden experimentar debilitat o par\u00e0lisi en un costat del cos, p\u00e8rdua d'equilibri, canvis visuals, dificultat per empassar o problemes per parlar i comprendre el llenguatge. L'ictus tamb\u00e9 pot afectar l'atenci\u00f3, la mem\u00f2ria, la regulaci\u00f3 emocional i la capacitat d'organitzar les tasques quotidianes.<\/p>\n\n

Un personalitzat programa de rehabilitaci\u00f3 d'ictus a Barcelona<\/strong> pot combinar entrenament de la marxa i l'equilibri, rehabilitaci\u00f3 de les extremitats superiors, ter\u00e0pia de la parla i el llenguatge, avaluaci\u00f3 de la degluci\u00f3, exercicis cognitius i reentrenament en activitats de la vida di\u00e0ria.<\/p>\n\n

L'equip cl\u00ednic estableix objectius realistes i mesurables segons l'estat neurol\u00f2gic del pacient, l'estabilitat m\u00e8dica, el nivell d'independ\u00e8ncia previ i les prioritats.<\/p>\n\n

Rehabilitaci\u00f3 despr\u00e9s d'una lesi\u00f3 cerebral traum\u00e0tica o adquirida<\/h2>\n\n

Una lesi\u00f3 cerebral adquirida pot ser el resultat d'un trauma, un ictus, la manca d'oxigen, una infecci\u00f3, un tumor cerebral o un altre esdeveniment neurol\u00f2gic. Les conseq\u00fc\u00e8ncies poden ser f\u00edsiques, cognitives, conductuals o emocionals.<\/p>\n\n

Algunes dificultats s\u00f3n immediatament visibles, com ara la mobilitat redu\u00efda o la dificultat per parlar. D'altres s\u00f3n menys evidents. Una persona pot recuperar la capacitat de caminar, per\u00f2 continua experimentant fatiga severa, problemes d'atenci\u00f3, p\u00e8rdua de mem\u00f2ria, impulsivitat o dificultat per prendre decisions.<\/p>\n\n

Avan\u00e7at rehabilitaci\u00f3 de lesions cerebrals a Barcelona<\/strong> per tant, s'est\u00e9n m\u00e9s enll\u00e0 de la fisioter\u00e0pia. El tractament pot abordar la comunicaci\u00f3, el rendiment cognitiu, el comportament, l'adaptaci\u00f3 emocional, la interacci\u00f3 social i la capacitat de gestionar situacions reals amb seguretat.<\/p>\n\n

La participaci\u00f3 familiar tamb\u00e9 pot formar part del proc\u00e9s, sobretot quan els familiars necessiten entendre els canvis en la comunicaci\u00f3, el comportament o la presa de decisions abans que el pacient torni a casa.<\/p>\n\n

Rehabilitaci\u00f3 de lesions medul\u00b7lars a Espanya<\/h2>\n\n

Una lesi\u00f3 de la medul\u00b7la espinal altera la comunicaci\u00f3 entre el cervell i el cos. El seu impacte dep\u00e8n del nivell neurol\u00f2gic de la lesi\u00f3 i de si es classifica com a completa o incompleta.<\/p>\n\n

A m\u00e9s de debilitat o par\u00e0lisi, els pacients poden experimentar alteraci\u00f3 de la sensibilitat, espasticitat, dolor neurop\u00e0tic, dificultats respirat\u00f2ries, disfunci\u00f3 de la bufeta o dels intestins i un major risc de complicacions cut\u00e0nies.<\/p>\n\n

Especialitzat Rehabilitaci\u00f3 de lesions medul\u00b7lars a Espanya<\/strong> pot incloure formaci\u00f3 en transfer\u00e8ncies i mobilitat, habilitats en cadira de rodes, atenci\u00f3 respirat\u00f2ria, maneig del dolor i l'espasticitat, prevenci\u00f3 de lesions per pressi\u00f3 i educaci\u00f3 sobre la funci\u00f3 de la bufeta i l'intest\u00ed.<\/p>\n\n

L'objectiu no es limita a recuperar la for\u00e7a. La rehabilitaci\u00f3 tamb\u00e9 pret\u00e9n maximitzar l'autonomia, prevenir complicacions evitables i donar suport a la participaci\u00f3 en la vida familiar, social, educativa i professional.<\/p>\n\n

Qu\u00e8 pot abordar un programa de neurorehabilitaci\u00f3?<\/h2>\n\n

Els efectes d'una lesi\u00f3 neurol\u00f2gica difereixen d'un pacient a un altre. Per tant, una avaluaci\u00f3 exhaustiva hauria de tenir en compte m\u00e9s que la capacitat de caminar o la for\u00e7a muscular.<\/p>\n\n

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Mobilitat i equilibri<\/p>\n

Seure, estar dret, caminar, transfer\u00e8ncies, coordinaci\u00f3 i prevenci\u00f3 de caigudes.<\/p>\n <\/div>\n\n

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Funci\u00f3 de les extremitats superiors<\/p>\n

Control de bra\u00e7os, mans i motricitat fina per a les activitats quotidianes.<\/p>\n <\/div>\n\n

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Comunicaci\u00f3<\/p>\n

Parla, llenguatge, comprensi\u00f3 i estrat\u00e8gies de comunicaci\u00f3 alternatives.<\/p>\n <\/div>\n\n

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Empassar<\/p>\n

Avaluaci\u00f3 i tractament de les dificultats per menjar o beure de manera segura.<\/p>\n <\/div>\n\n

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funci\u00f3 cognitiva<\/p>\n

Atenci\u00f3, mem\u00f2ria, planificaci\u00f3, raonament i resoluci\u00f3 de problemes.<\/p>\n <\/div>\n\n

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Dolor i espasticitat<\/p>\n

Maneig del dolor neurop\u00e0tic, la rigidesa i l'activitat muscular involunt\u00e0ria.<\/p>\n <\/div>\n\n

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Independ\u00e8ncia di\u00e0ria<\/p>\n

Vestir-se, higiene personal, menjar, mobilitat i activitats dom\u00e8stiques.<\/p>\n <\/div>\n\n

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Benestar emocional<\/p>\n

Adaptaci\u00f3 psicol\u00f2gica, canvis de comportament i suport familiar.<\/p>\n <\/div>\n\n<\/div>\n\n

Per qu\u00e8 \u00e9s important un enfocament multidisciplinari<\/h2>\n\n

Les lesions neurol\u00f2giques rarament afecten nom\u00e9s una \u00e0rea de la vida. Un problema de mobilitat pot coexistir amb dolor, fatiga, dificultats per empassar o p\u00e8rdua de mem\u00f2ria. Els canvis cognitius poden influir en la seguretat, la comunicaci\u00f3 i la participaci\u00f3 en la ter\u00e0pia.<\/p>\n\n

Un equip multidisciplinari reuneix aquestes necessitats en un pla de tractament coordinat. Segons el cas, l'atenci\u00f3 pot incloure metges de rehabilitaci\u00f3, neur\u00f2legs, fisioterapeutes, terapeutes ocupacionals, logopedes, neuropsic\u00f2legs, infermeres especialitzades i professionals de tecnologia assistiva.<\/p>\n\n

L'equip estableix objectius compartits, avalua el progr\u00e9s i adapta el programa a mesura que canvien les necessitats del pacient. Aquesta coordinaci\u00f3 \u00e9s particularment important en casos complexos i quan un pacient internacional continuar\u00e0 el tractament despr\u00e9s de tornar a casa.<\/p>\n\n

Institut Guttmann: neurorehabilitaci\u00f3 especialitzada a Barcelona<\/h2>\n\n

Dins de Xarxa d'Hospitals Internacionals de Barcelona<\/a>, Institut Guttmann<\/a> est\u00e0 espec\u00edficament dedicada al tractament m\u00e8dic i quir\u00fargic i a la rehabilitaci\u00f3 integral de persones amb lesions medul\u00b7lars, lesions cerebrals adquirides i altres discapacitats neurol\u00f2giques.<\/p>\n\n

Els seus programes s'organitzen al voltant de l'estat del pacient, l'etapa de recuperaci\u00f3 i els objectius a llarg termini. El pla terap\u00e8utic pot abordar la funci\u00f3 f\u00edsica, la cognici\u00f3, la comunicaci\u00f3, l'autonomia i la reintegraci\u00f3 a la vida quotidiana.<\/p>\n\n

L'Institut Guttmann tamb\u00e9 combina l'atenci\u00f3 cl\u00ednica amb la recerca i la formaci\u00f3 professional. Aquesta connexi\u00f3 permet estudiar els desenvolupaments en neuroci\u00e8ncia, enginyeria de rehabilitaci\u00f3 i an\u00e0lisi de dades en relaci\u00f3 amb les necessitats cl\u00edniques reals.<\/p>\n\n

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Innovaci\u00f3 en el tractament personalitzat del dolor neurop\u00e0tic<\/p>\n\n

Un exemple recent d'aquest enfocament a la innovaci\u00f3 \u00e9s el projecte \u00cdtaca, presentat per l'investigador de l'Institut Guttmann \u00c0lex L\u00f3pez i reconegut a la tercera edici\u00f3 dels Premis Innomed.<\/p>\n\n

El projecte explora l'\u00fas de l'estimulaci\u00f3 cerebral no invasiva per al dolor neurop\u00e0tic. Proposa combinar l'estimulaci\u00f3 transcranial per corrent continu, o tDCS, amb l'electroencefalografia, coneguda com a EEG, per registrar l'activitat cerebral.<\/p>\n\n

Els algoritmes d'aprenentatge autom\u00e0tic analitzarien aquests registres per investigar possibles biomarcadors i predictors de la resposta al tractament. L'objectiu \u00e9s explorar si l'estimulaci\u00f3 cerebral es podria adaptar amb m\u00e9s precisi\u00f3 a les caracter\u00edstiques de cada pacient.<\/p>\n\n

\n \n M\u00e9s informaci\u00f3 sobre el projecte \u00cdtaca i el Premi Innomed\n <\/a>\n <\/p>\n\n<\/div>\n\n

Tecnologia en rehabilitaci\u00f3 neurol\u00f2gica<\/h2>\n\n

La tecnologia no substitueix els terapeutes ni el judici cl\u00ednic. El seu prop\u00f2sit \u00e9s donar suport a un entrenament controlat, repetitiu i mesurable vinculat a un objectiu de rehabilitaci\u00f3 definit.<\/p>\n\n

Depenent del pacient, la neurorehabilitaci\u00f3 moderna pot incorporar dispositius rob\u00f2tics, estimulaci\u00f3 el\u00e8ctrica funcional, entorns virtuals, sistemes d'entrenament de la marxa, an\u00e0lisi del moviment, exercicis cognitius assistits per ordinador i tecnologia assistiva.<\/p>\n\n

Aquestes eines poden ajudar una persona a repetir un moviment, rebre comentaris o practicar dins d'un entorn controlat. Tanmateix, nom\u00e9s s'han d'utilitzar quan sigui cl\u00ednicament apropiat. M\u00e9s tecnologia no necess\u00e0riament significa un millor programa.<\/p>\n\n

Del tractament agut a la rehabilitaci\u00f3<\/h2>\n\n

La neurorehabilitaci\u00f3 sovint \u00e9s una etapa d'un proc\u00e9s m\u00e8dic m\u00e9s ampli. Abans de comen\u00e7ar la rehabilitaci\u00f3, un pacient pot necessitar tractament d'emerg\u00e8ncia, cures intensives, neurologia, neurocirurgia o tractament per a altres complicacions m\u00e8diques.<\/p>\n\n

El BIH reuneix hospitals amb \u00e0rees d'expertesa complement\u00e0ries. Els pacients que requereixen tractament quir\u00fargic complex poden obtenir m\u00e9s informaci\u00f3 sobre neurocirurgia d'alta complexitat a Barcelona<\/a>, mentre que l'Institut Guttmann proporciona la via especialitzada de la xarxa per a la rehabilitaci\u00f3 neurol\u00f2gica.<\/p>\n\n

La combinaci\u00f3 adequada d'hospitals dep\u00e8n del diagn\u00f2stic, l'edat, el tractament previ i l'estabilitat cl\u00ednica. No tots els pacients necessiten atenci\u00f3 en diversos centres, per\u00f2 l'acc\u00e9s a una xarxa especialitzada pot ajudar a identificar l'expertesa m\u00e9s adequada per a cada etapa.<\/p>\n\n

Planificaci\u00f3 de la neurorehabilitaci\u00f3 com a pacient internacional<\/h2>\n\n

Abans de proposar un programa, l'equip m\u00e8dic normalment revisa el diagn\u00f2stic del pacient, els informes m\u00e8dics recents, les proves d'imatge, l'historial quir\u00fargic, la medicaci\u00f3 i les avaluacions de rehabilitaci\u00f3 pr\u00e8vies.<\/p>\n\n

Les fam\u00edlies tamb\u00e9 han de proporcionar informaci\u00f3 sobre la mobilitat actual del pacient, la comunicaci\u00f3, l'estat cognitiu, les necessitats d'infermeria i els principals objectius de rehabilitaci\u00f3. Aix\u00f2 ajuda l'equip a determinar si un programa hospitalari, ambulatori o basat en l'avaluaci\u00f3 pot ser apropiat.<\/p>\n\n

Els pacients internacionals tamb\u00e9 haurien de tenir en compte l'allotjament accessible, el transport, el suport als cuidadors i la continu\u00eftat del tractament despr\u00e9s de tornar a casa. Els Hospitals Internacionals de Barcelona poden ajudar a connectar els pacients amb el centre i el departament internacional adequats dins de la xarxa. M\u00e9s informaci\u00f3 disponible a per qu\u00e8 els pacients trien els Hospitals Internacionals de Barcelona<\/a>.<\/p>\n\n\n\n\n\n

Preguntes freq\u00fcents sobre neurorehabilitaci\u00f3 a Barcelona<\/h2>\n\n\n\n

Quin \u00e9s el principal hospital de neurorehabilitaci\u00f3 del BIH?<\/h4><\/div>
L'Institut Guttmann \u00e9s el centre del BIH dedicat espec\u00edficament a la rehabilitaci\u00f3 altament especialitzada despr\u00e9s de lesions medul\u00b7lars, lesions cerebrals adquirides, ictus i altres afeccions neurol\u00f2giques.<\/div><\/div>\n\n\n\n

Els pacients internacionals poden rebre rehabilitaci\u00f3 d'un ictus a Barcelona?<\/h4><\/div>
S\u00ed. Els pacients internacionals poden sol\u00b7licitar una avaluaci\u00f3 m\u00e8dica presentant informes recents, imatges i informaci\u00f3 sobre el seu estat funcional actual. L'equip cl\u00ednic determinar\u00e0 quin tipus de programa pot ser apropiat.<\/div><\/div>\n\n\n\n

Quant de temps dura un programa de neurorehabilitaci\u00f3?<\/h4><\/div>
No hi ha una durada est\u00e0ndard. Dep\u00e8n del tipus i la gravetat de la lesi\u00f3, l'estat m\u00e8dic del pacient, els objectius de rehabilitaci\u00f3 i la resposta al tractament.<\/div><\/div>\n\n\n\n

Pot ajudar la rehabilitaci\u00f3 diversos anys despr\u00e9s d'una lesi\u00f3 neurol\u00f2gica?<\/h4><\/div>
Els pacients en una fase cr\u00f2nica encara es poden beneficiar d'una avaluaci\u00f3 espec\u00edfica per millorar o mantenir funcions espec\u00edfiques, gestionar complicacions, revisar dispositius d'assist\u00e8ncia o desenvolupar noves estrat\u00e8gies per a la independ\u00e8ncia.<\/div><\/div>\n\n\n\n

La rehabilitaci\u00f3 rob\u00f2tica garanteix millors resultats?<\/h4><\/div>
No. La rob\u00f2tica i altres tecnologies s\u00f3n eines terap\u00e8utiques m\u00e9s que solucions garantides. La seva utilitat dep\u00e8n de l'estat del pacient, de l'objectiu cl\u00ednic i de com s'integren en el programa m\u00e9s ampli.<\/div><\/div>\n\n\n\n

Els familiars poden participar en el proc\u00e9s de rehabilitaci\u00f3?<\/h4><\/div>
La participaci\u00f3 familiar sovint \u00e9s important, sobretot quan el pacient necessitar\u00e0 suport despr\u00e9s de l'alta. Els familiars poden rebre informaci\u00f3 i orientaci\u00f3 pr\u00e0ctica com a part de la transici\u00f3 a casa.<\/div><\/div>\n\n\n\n\n\n

Recuperaci\u00f3 neurol\u00f2gica avan\u00e7ada a Barcelona<\/h2>\n\n

La recuperaci\u00f3 despr\u00e9s d'un ictus, una lesi\u00f3 cerebral o una lesi\u00f3 de la medul\u00b7la espinal rarament \u00e9s senzilla o lineal. Requereix una avaluaci\u00f3 individual, objectius realistes i un tractament coordinat que tingui en compte les necessitats f\u00edsiques, cognitives, emocionals i socials.<\/p>\n\n

Barcelona ofereix als pacients internacionals acc\u00e9s a hospitals especialitzats, experi\u00e8ncia multidisciplin\u00e0ria, recerca cl\u00ednica i tecnologia de rehabilitaci\u00f3 avan\u00e7ada. Dins d'aquest ecosistema, l'Institut Guttmann aporta una experi\u00e8ncia dedicada en rehabilitaci\u00f3 neurol\u00f2gica complexa i recuperaci\u00f3 a llarg termini.<\/p>\n\n

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Sol\u00b7licita una avaluaci\u00f3 de neurorehabilitaci\u00f3 a Barcelona<\/p>\n\n

Si esteu considerant una rehabilitaci\u00f3 especialitzada despr\u00e9s d'un ictus, una lesi\u00f3 cerebral traum\u00e0tica o una lesi\u00f3 medul\u00b7lar, envieu la informaci\u00f3 m\u00e8dica disponible a Barcelona International Hospitals. L'equip us pot ajudar a identificar l'hospital i la via d'atenci\u00f3 m\u00e9s adequats dins de la xarxa.<\/p>\n\n

\n \n Contacta amb els Hospitals Internacionals de Barcelona\n <\/a>\n <\/p>\n\n<\/div>\n\n\n\n

<\/p>\n\n\n\n

<\/p>","protected":false},"excerpt":{"rendered":"

Descobreix la neurorehabilitaci\u00f3 especialitzada a Barcelona despr\u00e9s d'un ictus, una lesi\u00f3 cerebral traum\u00e0tica o una lesi\u00f3 medul\u00b7lar. Apr\u00e8n com l'atenci\u00f3 multidisciplin\u00e0ria, la tecnologia avan\u00e7ada i els programes personalitzats poden donar suport a la recuperaci\u00f3 neurol\u00f2gica i a una major independ\u00e8ncia.<\/p>","protected":false},"author":1,"featured_media":12503,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ai_generated_summary":"","footnotes":""},"categories":[1],"tags":[98,49,81,99,97],"class_list":["post-12497","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-hospitals-and-clinics","tag-brain-injury-rehabilitation","tag-international-patients","tag-neurorehabilitation","tag-spinal-cord-injury","tag-stroke-rehabilitation"],"yoast_head":"\nNeurorehabilitation in Barcelona After Stroke or Brain Injury - BIH<\/title>\n<meta name=\"description\" content=\"Discover specialised neurorehabilitation in Barcelona after stroke, brain injury or spinal cord injury, with personalised 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