自費リハビリの可能性

脳梗塞特化型リハビリセンター「はな」では、脳梗塞や脳出血によって生じた後遺症に対する専門的なリハビリを提供する施設です。

医療保険によるリハビリは医師の診断（発症日）から180日という制限があり、それ以降は介護保険への移行が原則となります。介護保険でのリハビリも週120分までという制限があり、実は満足にリハビリを受けられていない、いわゆる「リハビリ難民」と言われる方々が一定数いらっしゃいます。

はなでは、そういった方々へ保険を使わない自費のリハビリを提供しています。

これまでのリハビリ

• 病気や障害で入院通院が必要な人

• 高齢で介護が必要な人

• 訪問など医療的ケアが必要な人　等

{"items":["0744e0_674d64e62a8545bf9da9863a286f1cc6~mv2.png"],"styles":{"groupSize":1,"showArrows":false,"cubeImages":false,"cubeType":"fill","cubeRatio":1,"isVertical":false,"gallerySize":"300","collageDensity":0.8,"groupTypes":"1","oneRow":false,"imageMargin":10,"galleryMargin":0,"floatingImages":0,"chooseBestGroup":true,"smartCrop":false,"hasThumbnails":false,"enableScroll":true,"isGrid":false,"isSlider":false,"isColumns":false,"isSlideshow":false,"cropOnlyFill":false,"fixedColumns":0,"enableInfiniteScroll":true,"isRTL":false,"minItemSize":120,"rotatingGroupTypes":"","rotatingCubeRatio":"","gallerySliderImageRatio":1.7777777777777777,"numberOfImagesPerRow":0,"numberOfImagesPerCol":1,"groupsPerStrip":0,"borderRadius":0,"boxShadow":0,"gridStyle":0,"mobilePanorama":false,"placeGroupsLtr":false,"viewMode":"preview","thumbnailSpacings":0,"galleryThumbnailsAlignment":"none","isMasonry":true,"isAutoSlideshow":false,"slideshowLoop":false,"autoSlideshowInterval":4,"useCustomButton":false,"bottomInfoHeight":0,"titlePlacement":"SHOW_ON_HOVER","galleryHorizontalAlign":"center","galleryTextAlign":"center","galleryVerticalAlign":"center","scrollSnap":false,"itemClick":"link","fullscreen":false,"allowSocial":false,"allowDownload":false,"allowTitle":true,"allowDescription":false,"loveButton":false,"loveCounter":false,"videoPlay":"onClick","scrollAnimation":"NO_EFFECT","scrollDirection":0,"overlayAnimation":"NO_EFFECT","arrowsPosition":0,"arrowsSize":23,"watermarkOpacity":40,"watermarkSize":40,"useWatermark":true,"watermarkDock":{"top":"auto","left":"auto","right":0,"bottom":0,"transform":"translate3d(0,0,0)"},"loadMoreAmount":"all","defaultShowInfoExpand":1,"allowTitleExpand":true,"allowDescriptionExpand":true,"allowLinkExpand":true,"expandInfoPosition":0,"allowFullscreenExpand":true,"fullscreenLoop":false,"galleryAlignExpand":"left","addToCartBorderWidth":1,"addToCartButtonText":"","slideshowInfoSize":200,"playButtonForAutoSlideShow":false,"allowSlideshowCounter":false,"hoveringBehaviour":"APPEARS","thumbnailSize":120,"magicLayoutSeed":1,"imageHoverAnimation":"NO_EFFECT","calculateTextBoxHeightMode":"AUTOMATIC","calculateTextBoxWidthMode":"PERCENT","textBoxHeight":0,"textBoxWidth":200,"textBoxWidthPercent":50,"textImageSpace":10,"textBoxBorderRadius":0,"textBoxBorderWidth":0,"textsVerticalPadding":0,"textsHorizontalPadding":0,"titleDescriptionSpace":6,"customButtonText":"","customButtonBorderWidth":1,"customButtonBorderRadius":0,"loadMoreButtonText":"","loadMoreButtonBorderWidth":1,"loadMoreButtonBorderRadius":0,"imageInfoType":"NO_BACKGROUND","itemBorderWidth":0,"itemBorderRadius":0,"itemEnableShadow":false,"itemShadowBlur":20,"itemShadowDirection":135,"itemShadowSize":10,"imageLoadingMode":"BLUR","expandAnimation":"NO_EFFECT","imageQuality":90,"usmToggle":false,"usm_a":0,"usm_r":0,"usm_t":0,"videoSound":false,"videoSpeed":"1","videoLoop":true,"galleryLayout":1,"gallerySizeType":"px","gallerySizePx":"300","allowHover":true,"mobileSwipeAnimation":"NO_EFFECT","gotStyleParams":true,"showVideoPlayButton":true,"selectedLayout":"1|none|1|fill|false|0|true","layoutsVersion":2,"selectedLayoutV2":1,"isSlideshowFont":false,"externalInfoHeight":0,"externalInfoWidth":0},"container":{"galleryWidth":2580,"galleryHeight":1440,"scrollBase":0,"height":null,"width":null}}

「受けるリハビリ」

これからのリハビリ

上記に加えて

• 健康寿命を伸ばしたい人（予防）

• 病気後の生活レベルを高めたい人

• 介護保険のリハビリでは時間的に満足出来ない人

{"items":["0744e0_534771aab0c64fb9b9fa17b4e00fbf02~mv2.png"],"styles":{"groupSize":1,"showArrows":false,"cubeImages":false,"cubeType":"fill","cubeRatio":1,"isVertical":false,"gallerySize":"300","collageDensity":0.8,"groupTypes":"1","oneRow":false,"imageMargin":10,"galleryMargin":0,"floatingImages":0,"chooseBestGroup":true,"smartCrop":false,"hasThumbnails":false,"enableScroll":true,"isGrid":false,"isSlider":false,"isColumns":false,"isSlideshow":false,"cropOnlyFill":false,"fixedColumns":0,"enableInfiniteScroll":true,"isRTL":false,"minItemSize":120,"rotatingGroupTypes":"","rotatingCubeRatio":"","gallerySliderImageRatio":1.7777777777777777,"numberOfImagesPerRow":0,"numberOfImagesPerCol":1,"groupsPerStrip":0,"borderRadius":0,"boxShadow":0,"gridStyle":0,"mobilePanorama":false,"placeGroupsLtr":false,"viewMode":"preview","thumbnailSpacings":0,"galleryThumbnailsAlignment":"none","isMasonry":true,"isAutoSlideshow":false,"slideshowLoop":false,"autoSlideshowInterval":4,"useCustomButton":false,"bottomInfoHeight":0,"titlePlacement":"SHOW_ON_HOVER","galleryHorizontalAlign":"center","galleryTextAlign":"center","galleryVerticalAlign":"center","scrollSnap":false,"itemClick":"link","fullscreen":false,"allowSocial":false,"allowDownload":false,"allowTitle":true,"allowDescription":false,"loveButton":false,"loveCounter":false,"videoPlay":"onClick","scrollAnimation":"NO_EFFECT","scrollDirection":0,"overlayAnimation":"NO_EFFECT","arrowsPosition":0,"arrowsSize":23,"watermarkOpacity":40,"watermarkSize":40,"useWatermark":true,"watermarkDock":{"top":"auto","left":"auto","right":0,"bottom":0,"transform":"translate3d(0,0,0)"},"loadMoreAmount":"all","defaultShowInfoExpand":1,"allowTitleExpand":true,"allowDescriptionExpand":true,"allowLinkExpand":true,"expandInfoPosition":0,"allowFullscreenExpand":true,"fullscreenLoop":false,"galleryAlignExpand":"left","addToCartBorderWidth":1,"addToCartButtonText":"","slideshowInfoSize":200,"playButtonForAutoSlideShow":false,"allowSlideshowCounter":false,"hoveringBehaviour":"APPEARS","thumbnailSize":120,"magicLayoutSeed":1,"imageHoverAnimation":"NO_EFFECT","calculateTextBoxHeightMode":"AUTOMATIC","calculateTextBoxWidthMode":"PERCENT","textBoxHeight":0,"textBoxWidth":200,"textBoxWidthPercent":50,"textImageSpace":10,"textBoxBorderRadius":0,"textBoxBorderWidth":0,"textsVerticalPadding":0,"textsHorizontalPadding":0,"titleDescriptionSpace":6,"customButtonText":"","customButtonBorderWidth":1,"customButtonBorderRadius":0,"loadMoreButtonText":"","loadMoreButtonBorderWidth":1,"loadMoreButtonBorderRadius":0,"imageInfoType":"NO_BACKGROUND","itemBorderWidth":0,"itemBorderRadius":0,"itemEnableShadow":false,"itemShadowBlur":20,"itemShadowDirection":135,"itemShadowSize":10,"imageLoadingMode":"BLUR","expandAnimation":"NO_EFFECT","imageQuality":90,"usmToggle":false,"usm_a":0,"usm_r":0,"usm_t":0,"videoSound":false,"videoSpeed":"1","videoLoop":true,"galleryLayout":1,"gallerySizeType":"px","gallerySizePx":"300","allowHover":true,"mobileSwipeAnimation":"NO_EFFECT","gotStyleParams":true,"showVideoPlayButton":true,"selectedLayout":"1|none|1|fill|false|0|true","layoutsVersion":2,"selectedLayoutV2":1,"isSlideshowFont":false,"externalInfoHeight":0,"externalInfoWidth":0},"container":{"galleryWidth":2580,"galleryHeight":1440,"scrollBase":0,"height":null,"width":null}}

「攻めのリハビリ」

「保険を使わないサービスを必要としている活発な層が増えている！」

リハビリ時間

自費で行うリハビリには期間的、時間的な制限はありません。本人が「到達したい目標まで」続けることが出来ます。

{"items":["0744e0_33ff3787bebc43a3a1f9c62a74a3368a~mv2.png"],"styles":{"groupSize":1,"showArrows":false,"cubeImages":false,"cubeType":"fill","cubeRatio":1,"isVertical":false,"gallerySize":"300","collageDensity":0.8,"groupTypes":"1","oneRow":false,"imageMargin":10,"galleryMargin":0,"floatingImages":0,"chooseBestGroup":true,"smartCrop":false,"hasThumbnails":false,"enableScroll":true,"isGrid":false,"isSlider":false,"isColumns":false,"isSlideshow":false,"cropOnlyFill":false,"fixedColumns":0,"enableInfiniteScroll":true,"isRTL":false,"minItemSize":120,"rotatingGroupTypes":"","rotatingCubeRatio":"","gallerySliderImageRatio":1.7777777777777777,"numberOfImagesPerRow":0,"numberOfImagesPerCol":1,"groupsPerStrip":0,"borderRadius":0,"boxShadow":0,"gridStyle":0,"mobilePanorama":false,"placeGroupsLtr":false,"viewMode":"preview","thumbnailSpacings":0,"galleryThumbnailsAlignment":"none","isMasonry":true,"isAutoSlideshow":false,"slideshowLoop":false,"autoSlideshowInterval":4,"useCustomButton":false,"bottomInfoHeight":0,"titlePlacement":"SHOW_ON_HOVER","galleryHorizontalAlign":"center","galleryTextAlign":"center","galleryVerticalAlign":"center","scrollSnap":false,"itemClick":"link","fullscreen":false,"allowSocial":false,"allowDownload":false,"allowTitle":true,"allowDescription":false,"loveButton":false,"loveCounter":false,"videoPlay":"onClick","scrollAnimation":"NO_EFFECT","scrollDirection":0,"overlayAnimation":"NO_EFFECT","arrowsPosition":0,"arrowsSize":23,"watermarkOpacity":40,"watermarkSize":40,"useWatermark":true,"watermarkDock":{"top":"auto","left":"auto","right":0,"bottom":0,"transform":"translate3d(0,0,0)"},"loadMoreAmount":"all","defaultShowInfoExpand":1,"allowTitleExpand":true,"allowDescriptionExpand":true,"allowLinkExpand":true,"expandInfoPosition":0,"allowFullscreenExpand":true,"fullscreenLoop":false,"galleryAlignExpand":"left","addToCartBorderWidth":1,"addToCartButtonText":"","slideshowInfoSize":200,"playButtonForAutoSlideShow":false,"allowSlideshowCounter":false,"hoveringBehaviour":"APPEARS","thumbnailSize":120,"magicLayoutSeed":1,"imageHoverAnimation":"NO_EFFECT","calculateTextBoxHeightMode":"AUTOMATIC","calculateTextBoxWidthMode":"PERCENT","textBoxHeight":0,"textBoxWidth":200,"textBoxWidthPercent":50,"textImageSpace":10,"textBoxBorderRadius":0,"textBoxBorderWidth":0,"textsVerticalPadding":0,"textsHorizontalPadding":0,"titleDescriptionSpace":6,"customButtonText":"","customButtonBorderWidth":1,"customButtonBorderRadius":0,"loadMoreButtonText":"","loadMoreButtonBorderWidth":1,"loadMoreButtonBorderRadius":0,"imageInfoType":"NO_BACKGROUND","itemBorderWidth":0,"itemBorderRadius":0,"itemEnableShadow":false,"itemShadowBlur":20,"itemShadowDirection":135,"itemShadowSize":10,"imageLoadingMode":"BLUR","expandAnimation":"NO_EFFECT","imageQuality":90,"usmToggle":false,"usm_a":0,"usm_r":0,"usm_t":0,"videoSound":false,"videoSpeed":"1","videoLoop":true,"galleryLayout":1,"gallerySizeType":"px","gallerySizePx":"300","allowHover":true,"mobileSwipeAnimation":"NO_EFFECT","gotStyleParams":true,"showVideoPlayButton":true,"selectedLayout":"1|none|1|fill|false|0|true","layoutsVersion":2,"selectedLayoutV2":1,"isSlideshowFont":false,"externalInfoHeight":0,"externalInfoWidth":0},"container":{"galleryWidth":2580,"galleryHeight":1440,"scrollBase":0,"height":null,"width":null}}

介護保険で受けられるリハビリは、その他のサービス（送迎、食事、入浴など）も付帯しているので、ご本人が納得するまでリハビリすることは出来ないことが多いのです。

今後益々高齢化は進み、健康的な心身であることが更に求められています。病気や障害、そして未病（病気ではないけど不調がある状態）によって健康的な生活を送れない人が少なくなるよう社会全体で「予防（再発予防）」を進めていかなければいけません。

{"items":["0744e0_9ef29a4f34f649c7bc922aaa8bf9272b~mv2.png"],"styles":{"groupSize":1,"showArrows":false,"cubeImages":false,"cubeType":"fill","cubeRatio":1,"isVertical":false,"gallerySize":"300","collageDensity":0.8,"groupTypes":"1","oneRow":false,"imageMargin":10,"galleryMargin":0,"floatingImages":0,"chooseBestGroup":true,"smartCrop":false,"hasThumbnails":false,"enableScroll":true,"isGrid":false,"isSlider":false,"isColumns":false,"isSlideshow":false,"cropOnlyFill":false,"fixedColumns":0,"enableInfiniteScroll":true,"isRTL":false,"minItemSize":120,"rotatingGroupTypes":"","rotatingCubeRatio":"","gallerySliderImageRatio":1.7777777777777777,"numberOfImagesPerRow":0,"numberOfImagesPerCol":1,"groupsPerStrip":0,"borderRadius":0,"boxShadow":0,"gridStyle":0,"mobilePanorama":false,"placeGroupsLtr":false,"viewMode":"preview","thumbnailSpacings":0,"galleryThumbnailsAlignment":"none","isMasonry":true,"isAutoSlideshow":false,"slideshowLoop":false,"autoSlideshowInterval":4,"useCustomButton":false,"bottomInfoHeight":0,"titlePlacement":"SHOW_ON_HOVER","galleryHorizontalAlign":"center","galleryTextAlign":"center","galleryVerticalAlign":"center","scrollSnap":false,"itemClick":"link","fullscreen":false,"allowSocial":false,"allowDownload":false,"allowTitle":true,"allowDescription":false,"loveButton":false,"loveCounter":false,"videoPlay":"onClick","scrollAnimation":"NO_EFFECT","scrollDirection":0,"overlayAnimation":"NO_EFFECT","arrowsPosition":0,"arrowsSize":23,"watermarkOpacity":40,"watermarkSize":40,"useWatermark":true,"watermarkDock":{"top":"auto","left":"auto","right":0,"bottom":0,"transform":"translate3d(0,0,0)"},"loadMoreAmount":"all","defaultShowInfoExpand":1,"allowTitleExpand":true,"allowDescriptionExpand":true,"allowLinkExpand":true,"expandInfoPosition":0,"allowFullscreenExpand":true,"fullscreenLoop":false,"galleryAlignExpand":"left","addToCartBorderWidth":1,"addToCartButtonText":"","slideshowInfoSize":200,"playButtonForAutoSlideShow":false,"allowSlideshowCounter":false,"hoveringBehaviour":"APPEARS","thumbnailSize":120,"magicLayoutSeed":1,"imageHoverAnimation":"NO_EFFECT","calculateTextBoxHeightMode":"AUTOMATIC","calculateTextBoxWidthMode":"PERCENT","textBoxHeight":0,"textBoxWidth":200,"textBoxWidthPercent":50,"textImageSpace":10,"textBoxBorderRadius":0,"textBoxBorderWidth":0,"textsVerticalPadding":0,"textsHorizontalPadding":0,"titleDescriptionSpace":6,"customButtonText":"","customButtonBorderWidth":1,"customButtonBorderRadius":0,"loadMoreButtonText":"","loadMoreButtonBorderWidth":1,"loadMoreButtonBorderRadius":0,"imageInfoType":"NO_BACKGROUND","itemBorderWidth":0,"itemBorderRadius":0,"itemEnableShadow":false,"itemShadowBlur":20,"itemShadowDirection":135,"itemShadowSize":10,"imageLoadingMode":"BLUR","expandAnimation":"NO_EFFECT","imageQuality":90,"usmToggle":false,"usm_a":0,"usm_r":0,"usm_t":0,"videoSound":false,"videoSpeed":"1","videoLoop":true,"galleryLayout":1,"gallerySizeType":"px","gallerySizePx":"300","allowHover":true,"mobileSwipeAnimation":"NO_EFFECT","gotStyleParams":true,"showVideoPlayButton":true,"selectedLayout":"1|none|1|fill|false|0|true","layoutsVersion":2,"selectedLayoutV2":1,"isSlideshowFont":false,"externalInfoHeight":0,"externalInfoWidth":0},"container":{"galleryWidth":2580,"galleryHeight":1440,"scrollBase":0,"height":null,"width":null}}

参考：厚生労働省「保険医療2035」より

はなのリハビリは、脳梗塞によって後遺症を持った人だけでなく、その予防のためにも理学療法士、作業療法士、言語聴覚士が力を合わせてサポートしています。

これからどうぞよろしくお願いいたします。

脳梗塞特化型リハビリセンターはな

責任者　理学療法士　福留良尚