Thoughts on Disability, Language and Saving AB Vega López 1* , R Ghedina 2 , M Rodríguez López 3 and MJ Soto Pérez 4 1 Medical Rehabilitation, Clínica Altollano, León. Spain 2 Physiotherapist, Speech Therapist, Linguist, Professor at the University in Vic, U.Manresa, Cantabria, Spain 3 Physiotherapist, Clínica Altollano, León, Spain 4 Speech Therapist, Clínica Altollano, León, Spain * Corresponding author: AB Vega López, Medical Rehabilitation. Clínica Altollano. León. Spain, Tel: 987286000335; E-mail: abvl239@gmail.com Received date: February 27, 2016; Accepted date: April 09, 2016; Published date: April 12, 2016 Citation: López ABV, Ghedina R, Lopez MR, Perez MJS (2016) Thoughts on Disability, Language and Saving. Int J Phys Med Rehabil 4: 328. doi: 10.4172/2329-9096.1000328 Copyright: ©2016 López ABV, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Letter to the editor Te idea that a larger investment in health resources for the rehabilitation of patients who have sustained a stroke, could reduce the expense of what this disability means for the society, made me review the literature and therefore publish the article "Efcient stroke rehabilitation with evaluation on disability saving" [1]. I continued to refect and to ask myself questions about disability: are those individuals with the most signifcant physical disabilities... people unable to move a small distance walking? or people unable to reach, grab and manipulate objects? or people with a language disorder enable to fnd the words to express something, to inform something, to ask something or to complain of something? I work in a small hospital that is not specifc to brain damage. Frequently in my patients, the rehabilitation eforts focus on achieving the frst goal, which is the easier and more realistic target to achieve, but sometimes I feel the difculty in communication is the most dramatic consequence for the patient. I miss more resources and comminatory strategies to help patients and relatives. We cannot separate the physical from the emotional or linguistic dimension, when we want to evaluate the impact of disability in stroke. From the point of view of disability saving, we consider as severe disability, if the patient is unable to perform activities of daily routine, including self-care, and the need of help from a third person. Terefore, it should be compulsory the presence of the occupational therapist in the intervention; trying to regain or compensate the function of the upper limbs and increasing participation in occupations [2]. On the other hand, when it comes to investing in rehabilitation resources, people would think that I refer only to technology investment, that´s of course very important but also very expensive. I also consider very important language therapist research. Neurocognitive therapist shows how to guide the patient in the process of recovering from a stroke, it´s necessary to understand how the patient perceives and feels his body, the space and the world around him. Perhaps it is important to recognize how the way therapist use the language when they speak to the patient, in order to guide and facilitate the activation of cognitive process and learning, is as important as the way he places his hands. Even in the case of rehabilitation using robots or virtual reality, it is necessary verbal instructions. Enough time and quality of healthcare professionals should never miss for efcient stroke rehabilitation. References 1. López ABV, Tomas PM, Lopez Palma LM, Parriego NE (2015) Rehabilitación efciente del ictus valorando ahorro en discapacidad. Efcient stroke rehabilitation with evaluation of disability savings. Rehabilitación 49: 263-264. 2. Salles L, Gironés X, La Fuente JV (2015) Organización motora del cortex cerebral y el papel del sistema de las neuronas espejo. Repercusiones clínicas para la rehabilitación. Te motor organization of cerebral cortex and the role of the mirror neuron system. Clinical impact for rehabilitation. Medicina Clínica 144: 01. International Journal of Physical Medicine & Rehabilitation López, et al, Int J Phys Med Rehabil 2016, 4:2 DOI: 10.4172/2329-9096.1000328 Letter to the Editor Open Access Int J Phys Med Rehabil ISSN:2329-9096 JPMR, an open access journal Volume 4 • Issue 2 • 1000328 I n t e r n a t i o n a l J o u r n a l o f P h y s i c a l M e d i c i n e & R e h a b i l i t a t i o n ISSN: 2329-9096