Rehabilitation goes beyond simple training or treatment at a rehabilitation hospital and is a long-term, gradual support. It serves as a bridge between medical care, daily life, and participation in society, and is provided in three stages: recovery stage, maintenance stage, and lifestyle stage, depending on the recipient's condition and living environment. Each stage has different goals and support content, and the system of provision, such as medical institutions, day care services, and visiting rehabilitation, also changes.
First, convalescent rehabilitation is the stage where treatment for an illness or injury is completed and physical functions are restored. It provides early support for independence for patients who have just suffered a major restriction in their daily lives, such as after a stroke, fracture, or surgery. It is characterized by the intensive provision of physical therapy and occupational therapy, focusing on relearning the basic movements of sitting, standing, and walking after a life of being confined to bed. In Iwate Prefecture in particular, the establishment of comprehensive community care wards and convalescent rehabilitation wards has progressed, and a system has been established in which intensive support can be received within the scope of medical insurance.
On the other hand, the purpose of maintenance rehabilitation is to maintain the state of physical function even after it has recovered to a certain extent, and to prevent it from worsening. At this stage, outpatient rehabilitation and home rehabilitation are the main focus, and support is provided to maintain function, prevent falls, and prevent recurrence so that users who have returned to their daily lives can live stable lives at home. Day care facilities scattered throughout Iwate Prefecture are characterized by the provision of training that is more closely related to everyday life, such as balance training, walking on steps, and shopping practice.
Additionally, the types of professions involved and the support provided will change depending on the rehabilitation stage. The table below summarizes the main characteristics of each rehabilitation stage.
Stages of rehabilitation |
Condition of the main subjects |
Purpose of support |
Provided location |
Main services |
Recovery period |
Immediately after the acute phase of a stroke, fracture, or surgery |
Support for independence and functional recovery |
Hospital (recuperation ward) |
Intensive training in physical, occupational and speech therapy |
maintenance period |
Elderly people who have recovered some basic movements |
Stabilizing the condition and preventing deterioration |
Day rehabilitation, home visit rehabilitation |
Maintenance of activities of daily living and fall prevention training |
life period |
Elderly and disabled people who continue to live at home |
Improving quality of life and supporting social participation |
Home, local facilities |
Support for practicing daily activities and returning to hobbies |
In this way, rehabilitation is not a one-off treatment, but a long-term process that is changed in stages according to the condition. In areas with an aging population such as Iwate Prefecture, in particular, the rehabilitation provision system in each area is directly linked to the quality of life of the residents, so a flexible support system that can respond to each stage is required.
It is important for patients to understand these categories so that they can choose the rehabilitation that best suits their condition. Also, it is key to improving the quality of support for family members, supporters, and medical and nursing professionals to understand the rehabilitation phases in a common language. There will be an increasing need in the future to create a system that allows for appropriate assessments every time the rehabilitation stage changes and for a smooth transition to the necessary support.