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1 The Bnai Zion Medical Center Haifa, Israel The Rehabilitation Center Head: Kathelin Goldenberg, MD Head Nurse: Vered Cohen The rehabilitation center covers three major areas: 1. Neurological rehabilitation, for patients with spinal cord injuries; 2. Orthopedic Rehabilitation for skeletal and bone injuries, for patients who have undergone amputations, and for pain associated with diabetes; 3. General rehabilitation.

2 Description of the Center Rehabilitation is a medical field that aims to train the patient to achieve optimal functioning capability and return the patient to his or her previous life routine by using a coordinated array of medical, social, educational and professional means. The rehabilitation center at the hospital is unique in its ability to offer a comprehensive rehabilitation program for a wide range of disabilities. It facilitates long-term physical and emotional rehabilitation in addition to providing short-term acute care, to help patients maximize their functional integration in society. The department has 40 beds and an average of 362 annual admissions of patients who stay for long periods of time weeks, and sometimes even months. Over 1,500 patients were treated in the rehab daycare unit in Adult patients of all ages whose function has decreased as a result of disease or accident or as a result of other medical causes in whom the potential to be rehabilitated is present, are admitted. The Bnai Zion Medical Center rehabilitation department is the only one in northern Israel inside a general hospital. Patients from all of Israel s health insurance companies (NGO), from the Israeli Defense Forces and from the Ministry of Defense are treated in it, and IDF soldiers are often admitted for various kinds of treatment. Treatment is provided by a multidisciplinary, professional team that works hand-in-hand with the patient and the patient s family. The success rate is high, the department is known for its achievements, and there is a waiting list to be accepted for treatment. Physical therapy is provided twice a day, via an individual therapy session in the morning and via a group therapy session in the afternoon. Because many different facets are involved in successful rehabilitation, the multidisciplinary rehabilitation team is comprised of orthopedic and physical medicine specialists, nurses, psychologists, social workers, occupational, physical, and hydro therapists, as well as prosthetic, orthotic and orthopedic shoe manufacturers. The staff meets frequently to adjust treatment for every patient after evaluating the potential for rehabilitation as presented by all the team members. The department also provides support groups, different kinds of therapy, and guidance to the families of the patients, as they must learn how to cope with the situation as well. The rehabilitation department is recognized for full accreditation and for its fellowships in rehabilitation and physical medicine.

3 Cases treated include 1. Neurological injuries CVA (cerebrovascular accident) Amputation of the neurological central system by a tumor Head injuries Spinal cord injuries Diseases and injuries of the peripheral nervous system Multiple Sclerosis (MS) - chronic musculoskeletal pain Miopathy and muscular dystrophy, ALS and Parkinson's disease 2. Orthopedic injuries Amputations Following replacement of limbs Following fractures Osteoarthritis diseases Degenerative diseases of the vertebra Burns Complex regional pain syndrome 3. Multi-system injuries Car accidents Terror attacks Work accidents 4. General rehabilitation Oncological rehabilitation Patients suffering from chronic regional pain syndrome (RSD) Deconditioning following a long hospitalization

4 Objectives & Components of the Department Evaluating damage Functional, motor and cognitive evaluation Providing a specific treatment plan to decrease disability(ies) Treating specific medical and functional cases Adjusting orthotics and orthopedic footwear or other devices to help improve mobility and functionality. Help coordinate lifestyle components such as housing, vehicle, etc. Virtual reality muscle training Body weight support treadmill Biofeedback to improve motor skills (Biomove & Hand Tutor) New Programs The department is engaged in some exciting new programs, including Partial weight bearing A training program for patients with gait disability as a result of incomplete spinal cord injury, brain injury, stroke, and other neurological / orthopedic conditions; Virtual Reality A program that uses virtual reality techniques to improve specific areas of function such as balance and active, controlled movement; and A driving simulator. Other Services Offered by the Department include Physical therapy and hydrotherapy Occupational therapy Social support Psychological evaluation and therapy Food and nutrition counseling Features of the Rehabilitation Wing include Hospitalization Ambulatory daycare Multiple Sclerosis treatment in cooperation with the neurology department Outpatient clinics for orthopedic and neurological rehabilitation, amputation, sexual rehabilitation and post-polio treatment

5 Wish List: $40,000 (12) Rehabilitation gym with 12 treatment stations $8,000 (2) Machine to aid standing $7,500 (2) Electric bed $6,000 Renovating the kitchenette of the occupational therapy section $2,000 (1) Special lift up to 160 KG $1,500 (2) Wheelchair with right operating system $1,500 (2) Wheelchair with left operating system $1,000 (2) Wheelchair with option to lay back $850 (2) Washing chair $500 (1) Games console with Wifi Bnai Zion Foundation bnaizion.org facebook.com/bnaizionfoundation twitter.com/bnaizion