Department of Rehabilitation


Units of the Department of Rehabilitation:

The Physical Medicine and Rehabilitation Unit applies preformed physical factors and hydrotherapy for patient treatment. We perform over 160,000 procedures annually, i.e. provide treatment to over 15,000 patients. Our unit is part of the University Hospital, which has enabled us to become the first in Lithuania to deploy the most advanced treatment methods, including shockwave therapy, high-intensity laser therapy, magnetic therapy, ultrasound therapy, restorative functional electrical stimulation of muscle and nervous system, and the progress evaluation by the diagnostic procedures such as electromyography and myotonometry. For severe patients, electrical stimulation treatments are also available. Currently, electrical stimulation of muscles is mainly used in post-operative patients for the prevention of thromboembolic complications, bedsores, incontinence, for diaphragm pacing, in cases of peripheral neuropathy, and in children for the correction of torticollis and flat feet. Pain relief electrical stimulation is often used at the Department of Orthopaedics and Traumatology for patients after knee and hip surgery.

The Neurorehabilitation Unit was established on 3 April 1997. At present, it has 20 inpatient beds. The Unit treats patients with severe impairment of biosocial functions after head and spinal cord injuries or surgeries, circulatory disorders, and multiple bone fractures. It also provides early inpatient rehabilitation of adults (“Rehabilitation III”) for neurological and musculoskeletal patients, who have received the first stage of rehabilitation services at the Kaunas Clinics (Kauno Klinikos) Hospital of the Lithuanian University of Health Sciences (LSMU) We perform over 35,000 procedures annually, i.e. provide treatment to over 130 patients. The Unit operates as a team of rehabilitation specialists, applying individualised integrated rehabilitation: medication-assisted treatment, physiotherapy, occupational therapy, speech therapy, physiotherapy, counselling by a psychologist, and social worker services. Research-based, innovative rehabilitation methods are applied: an interactive system and virtual reality equipment are used to test and develop cognitive functions during occupational therapy and speech therapy procedures. Art therapy is applied by art therapy students at the Faculty of Nursing. The Neurorehabilitation Unit is listed as the mandatory training facilities for the Physical Medicine and Rehabilitation Residency Programme and the Neurology Residency Programme. During the third year of residency, resident doctors work at the Unit for 1 to 2 months, supervising 7 to 10 patients.

The Physiotherapy Unit specialises in movement-based treatment. Around 17,000 patients receive physiotherapy in inpatient and outpatient settings, with over 78 000 treatments performed annually at the Unit. The physiotherapists working at the Unit perform the assessment of the patient’s functional status and help the patients perform physical exercises using modern physiotherapy methods and techniques.

The Outpatient Rehabilitation Unit was established in 1999 and has the capacity to simultaneously treat up to 30 neurology, arthritis, trauma, cardiac, and pulmonary patients according to the diagnosed indications. The work of the Unit is organised on the basis of a specialist team that includes a doctor, nurse, physiotherapist, social worker, psychologist, and an occupational therapist who work together with the patient as needed. Patients are referred to the Outpatient Rehabilitation Unit by specialists (rheumatologists, neurologists, cardiologists) or by family doctors after completing all the documents (extract from the medical record or outpatient referral form f.027-a, and f.070-a, which is submitted to the National Health Insurance Fund for a certificate of payment for treatment). Outpatients with the referral for a physical medicine and rehabilitation doctor’s consultation as well as patients of the LSMU Department of Family Medicine are eligible for rehabilitation services, while paid services may be available in addition at the patient’s additional request.

Speech therapy in the Speech Therapy room is used for patients with central nervous system disorders. Speech correction exercises are used in neurological, neurosurgical, oncological, neurorehabilitation, and paediatric wards.

Every year, 6-7 young doctors graduate from the Physical Medicine and Rehabilitation Residency.

The Department’s staff deliver refresher (CPD) courses for doctors and nurses, students at the Faculties of Medicine, Odontology, Nursing, and Public Health of the LSMU Medical Academy, and students at the Faculty of Animal Sciences of the LSMU Veterinary Academy.
The Department of Rehabilitation supervises 10 postgraduate study programmes in the relevant areas of physiotherapy, assessment of functional condition as part of expert assessment of working capacity and disability, military functional condition assessment and correction thereof using non-drug techniques, speech correction foundations, general topics in rehabilitation, modern rehabilitation of neurology patients, introductory course of reflexotherapy, relevant topics in physical medicine, research-based application of physical factors in rehabilitation.

The Department has 3 student scientific clubs: Rehabilitation, Occupational Therapy, and Physiotherapy.

The Department’s staff develop teaching aids for students.

Teaching publications published in 2008: textbooks “Reabilitacija” (Rehabilitation), “Kineziterapija” (Physiotherapy), “Ergoterapija” (Occupational Therapy), course books “Šviesos taikymas pacientų ir neįgaliųjų reabilitacijai” (Light therapy in the rehabilitation of patients and persons with disability), “Kineziterapija vandenyje, sergant stuburo ligomis” (Physiotherapy in water for patients with spinal disorders), “Plaštakos sužalojimų gydymo ir reabilitacijos pagrindai” (Hand injury treatment and rehabilitation foundations), lecture proceedings “Ergoterapija, esant sensorinės integracijos sutrikimams” (Occupational therapy in sensory integration disorders), “Ultragarso taikymas fizinėje medicinoje” (Application of ultrasound in physical medicine); 2009: two teaching aids (developed together with the teaching staff at other divisions of the Faculty of Nursing); 2011: “Pragulos ir jų profilaktika” (Bedsores and bedsore prevention), “Širdies ligų gydymas (algoritmai ir schemos)” (Heart disease treatment (algorithms and schemes); “Vaikų cerebrinis paralyžius” (Paediatric cerebral palsy); 2012: “Reabilitacija po ortopedinių – traumatologinių operacijų” (Rehabilitation after trauma and orthopaedic surgery); 2014: “Reabilitacijos pagrindai” (Rehabilitation foundations), 2015: “Asmenų, patyrusių trauminį galvos smegenų sužalojimą” (Persons with traumatic brain injury); 2017: “Atraminio-judamojo aparato ligos: ortopedija traumatologija, plastinė rekonstrukcinė chirurgija, reabilitacija” (Musculoskeletal diseases: trauma and orthopaedics, plastic and reconstructive surgery, rehabilitation), compilation of scientific articles: “Menas.Terapija.Sveikata” (Art. Therapy. Health), “Biomechanikos praktikos darbai” (Practice of Biomechanics).

Research work ” Evaluation of patients’ biopsychosocial disorders and their correction in rehabilitation”, carried out by scientists of the Rehabilitation Clinic. The research activities on this topic are pursued by 5 doctoral students and staff members at the Department.

The Department of Rehabilitation, together with Kulautuva Hospital of Rehabilitation, Clinical Cardiology Laboratory of the Institute of Cardiology under the LSMU Medical Academy, Department of Cardiac, Thoracic and Vascular Surgery, conducts research “The influence of regular exercise after aortic valve surgery on the heart and breathing function, left ventricle (LV) remodeling, change in the physical tolerance capacity, and quality of life“. Research activities involving intensive collaboration of the KTU research centres are conducted.

Research projects

ADVANTAGE (Managing Frailty. A comprehensive approach to promote a disability-free advanced age in Europe: the ADVANTAGE initiative) was a joint action programme for addressing frailty prevention in the elderly, funded under the European Union’s Third Health Programme (2014–2020, Horizon 2020). The project involved 40 different organisations from 22 EU countries. The ADVANTAGE project developed a common approach to the frailty prevention in health and social care services, promoting consensus among European Member States, and provided a common framework for the treatment of the elderly diagnosed with or at risk of developing frailty. For more details click here

Participation in the projects funded by the Research Council of Lithuania:

  • project of the research teams of the Research Council of Lithuania “Automatic algorithms for atrial fibrillation risk prediction after acute myocardial infarction” together with the KTU researchers (No. MIP-15391, duratioṅ: 2015–2017);
  • research work “High-Power Laser Impact Assessment in Clinically Deferred Chronic Constipation of Plantar Pancreas, Achilles Tendon” in 2015–2019. Our medical doctors at Kauno Klinikos were the first in Lithuania to use high-intensity laser therapy with a penetration of 12 cm into the tissues. High-intensity laser light stimulates tissue healing and biological processes of tissue regeneration.
  • Our Clinical Department cooperates with the Bergen University College (Norway); Olsztyn University (Poland), University of Wisconsin-Madison (U.S.); PXL University of Applied Sciences and Arts (Belgium); Ulm University (Germany). Contract was signed with Jan Kochanowski University of Kielce (Poland).
  • Erasmus+ agreements have been signed with universities in Spain, Austria, Croatia, Estonia, Oslo University College (Norway) and PXL University of Applied Sciences and Arts (Belgium).
  • Relations with Kazakhstan are being developed, with the teachers representing our Department giving lectures on rehabilitation as visiting lecturers to healthcare professionals.

Membership in international organisations:

  • European Network of Physiotherapy in Higher Education (ENPHE)
  • European Network of Occupational Therapy in Higher Education (ENOTHE)
  • European Consortium for Arts Therapies Education (ECARTE)


LSMU Faculty of Nursing Department of Rehabilitation
Prof. Raimondas Kubilius
Head of Department of Rehabilitation
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