{"id":12069,"date":"2025-10-17T14:43:57","date_gmt":"2025-10-17T13:43:57","guid":{"rendered":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/?p=12069"},"modified":"2025-10-23T08:47:16","modified_gmt":"2025-10-23T07:47:16","slug":"snoezelen-estimulacio-multisensorial-per-a-la-rehabilitacio-del-dany-cerebral-adquirit","status":"publish","type":"post","link":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/2025\/10\/snoezelen-estimulacio-multisensorial-per-a-la-rehabilitacio-del-dany-cerebral-adquirit\/","title":{"rendered":"Snoezelen: estimulaci\u00f3 multisensorial per a la rehabilitaci\u00f3 del dany cerebral adquirit"},"content":{"rendered":"\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"800\" src=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-18-edited.png\" alt=\"\" class=\"wp-image-12071\" srcset=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-18-edited.png 1200w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-18-edited-300x200.png 300w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-18-edited-1024x683.png 1024w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-18-edited-768x512.png 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/figure>\n\n\n\n<p><strong><span style=\"color: var(--theme-palette-color-1, #9f2b68);\" class=\"stk-highlight\">Les sales Snoezelen es perfilen com una eina terap\u00e8utica beneficiosa en la rehabilitaci\u00f3 de persones amb dany cerebral adquirit. A trav\u00e9s d\u2019est\u00edmuls visuals, t\u00e0ctils, auditius i olfactius, aquests entorns afavoreixen la connexi\u00f3 sensorial, l\u2019activaci\u00f3 neurol\u00f2gica i la recuperaci\u00f3 funcional. La intervenci\u00f3 en aquests espais dissenyats per a l\u2019estimulaci\u00f3 multisensorial controlada \u2014guiada per professionals especialitzats, com terapeutes ocupacionals o fisioterapeutes\u2014 potencia tant les capacitats motores com cognitives del pacient, i es consolida com una ter\u00e0pia innovadora i humana per a la rehabilitaci\u00f3 integral.<\/span><\/strong><\/p>\n\n\n\n<p><strong>Escrit per:<\/strong> <em>Esther Romaguera Bosch, terapeuta ocupacional del Servei de Rehabilitaci\u00f3 F\u00edsica de la Fundaci\u00f3 Hospital\u00e0ries Martorell<\/em><\/p>\n\n\n\n<p>L\u2019origen de la paraula <em>Snoezelen<\/em> prov\u00e9 de dues paraules neerlandeses: <em>snuffelen<\/em>, que significa endormiscar, i <em>doezelen<\/em>, que vol dir impregnar\/olorar. L\u2019estimulaci\u00f3 multisensorial o <em>Snoezelen<\/em> va sorgir als anys setanta als Pa\u00efsos Baixos de la m\u00e0 de Jan Hulsegge i Ad Verhul, i des d\u2019aleshores s\u2019ha aplicat a diferents col\u00b7lectius. Aquesta eina es regeix per uns principis te\u00f2rics: la integraci\u00f3 sensorial de Jan Ayres (EUA, anys seixanta) i la basal stimulation d\u2019Andreas Fr\u00f6hlich (Alemanya, anys setanta).<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Abordaje de pacientes con da\u00f1o cerebral adquirido en las salas Snoezelen I\" width=\"1290\" height=\"726\" src=\"https:\/\/www.youtube.com\/embed\/-BdbMY2cNG4?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<p>En els seus inicis, es va comen\u00e7ar a utilitzar amb persones que presentaven discapacitat intel\u00b7lectual, oferint entorns tranquils amb est\u00edmuls b\u00e0sics que permetien interactuar amb l\u2019entorn i amb un mateix. Progressivament, aquesta intervenci\u00f3 s\u2019ha est\u00e8s a altres \u00e0mbits com el desenvolupament infantil, les persones amb trastorn de l\u2019espectre autista, el camp de la geriatria, la salut mental i, actualment, el dany cerebral adquirit.<\/p>\n\n\n\n<p>Les sales sensorials, o <em>Snoezelen<\/em>, s\u00f3n espais adaptats per oferir est\u00edmuls sensorials a persones que, per diverses causes, presenten dificultats en la percepci\u00f3 o la interpretaci\u00f3 d\u2019aquests est\u00edmuls.<\/p>\n\n\n\n<p>En aquests espais, els est\u00edmuls s\u00f3n controlats pels professionals; d\u2019aquesta manera, es pot intensificar o disminuir-ne la intensitat. Tamb\u00e9 pot ser la mateixa persona usu\u00e0ria qui els controli, realitzant una acci\u00f3 activa, o b\u00e9 el professional, si la situaci\u00f3 del pacient ho requereix (en etapes de major desconnexi\u00f3 o depend\u00e8ncia). L\u2019\u00fas dels diferents dispositius emprats t\u00e9 una justificaci\u00f3 centrada en el desenvolupament neurol\u00f2gic i continuen plenament vigents despr\u00e9s de molts anys (material vibratori, fibres \u00f2ptiques de llum LED, miralls que multipliquen l\u2019espai, butaques reclinables o llits d\u2019aigua\u2026).<\/p>\n\n\n\n<p>Aquests espais s\u00f3n segurs i permeten estimular la persona de manera poc invasiva, oferint temps de resposta davant est\u00edmuls visuals, olfactius o t\u00e0ctils, entre d\u2019altres.<\/p>\n\n\n\n<p>Es treballen els cinc sentits b\u00e0sics, la propiocepci\u00f3 i el component vestibular.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-20-1024x768.png\" alt=\"\" class=\"wp-image-12073\" srcset=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-20-1024x768.png 1024w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-20-300x225.png 300w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-20-768x576.png 768w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-20-1536x1152.png 1536w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-20-2048x1536.png 2048w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-20-1320x990.png 1320w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>En les etapes agudes de la patologia, quan el pacient presenta poca connexi\u00f3 amb l\u2019entorn, aquestes sales esdevenen eines favorables per estimular els sentits: olors (amb frag\u00e0ncies penetrants per estimular l\u2019olfacte), elements amb textures i temperatures diferents per afavorir l\u2019est\u00edmul t\u00e0ctil, fibres \u00f2ptiques amb llums de colors canviants o sons i sorolls per estimular l\u2019audici\u00f3. Aquests est\u00edmuls s\u00f3n b\u00e0sics per reconnectar el cervell.<\/p>\n\n\n\n<p>El perfil de pacient amb dany cerebral adquirit \u00e9s l\u2019\u00faltim en qu\u00e8 s\u2019ha integrat aquest tipus d\u2019intervenci\u00f3, i \u00e9s important implementar-la com a mesura terap\u00e8utica. La riquesa d\u2019aquesta intervenci\u00f3 rau en el fet que no requereix cap condici\u00f3 pr\u00e8via, i nom\u00e9s se n\u2019exclouen les persones que presenten agitaci\u00f3, inquietud o inestabilitat en el seu estat de salut vital.<\/p>\n\n\n\n<p>Especialment quan es treballa amb persones afectades de dany cerebral, els professionals de la rehabilitaci\u00f3 tenen com a objectiu principal la millora motora: aconseguir la m\u00e0xima capacitat funcional i la major autonomia possible en la realitzaci\u00f3 de les activitats b\u00e0siques de la vida di\u00e0ria (ABVD), o, si no \u00e9s possible, facilitar al m\u00e0xim la tasca del personal cuidador.<\/p>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"751\" height=\"1024\" data-id=\"12076\" src=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-23-751x1024.png\" alt=\"\" class=\"wp-image-12076\" srcset=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-23-751x1024.png 751w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-23-220x300.png 220w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-23-768x1047.png 768w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-23-1126x1536.png 1126w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-23.png 1286w\" sizes=\"auto, (max-width: 751px) 100vw, 751px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" data-id=\"12075\" src=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-22-768x1024.png\" alt=\"\" class=\"wp-image-12075\" srcset=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-22-768x1024.png 768w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-22-225x300.png 225w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-22-1152x1536.png 1152w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-22-1320x1761.png 1320w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-22.png 1420w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/figure>\n<\/figure>\n\n\n\n<p>El treball en aquestes sales permet millorar en el pacient el control del tronc, la sedestaci\u00f3 i, si \u00e9s possible, la bipedestaci\u00f3. L\u2019agafada de les fibres lluminoses o el contacte amb la columna d\u2019aigua permeten entrenar la m\u00e0 del pacient, treballant la for\u00e7a, la destresa o compensant alteracions sensitives. Agafar, sostenir i mantenir objectes \u00e9s clau per iniciar el proc\u00e9s rehabilitador. Aconseguir que l\u2019usuari pugui abastar espont\u00e0niament una fibra \u00f2ptica o que el terapeuta li ofereixi per aconseguir l\u2019agarri palmar \u00e9s essencial en la fase inicial.<\/p>\n\n\n\n<p>\u00c9s important mantenir un espai amb est\u00edmuls, per\u00f2 aquests han de ser controlats, sense sobreestimular, i s\u2019han d\u2019oferir de manera progressiva, observant les respostes del pacient.<\/p>\n\n\n\n<p>Un professional entrenat, com un\/a fisioterapeuta o un\/a terapeuta ocupacional, \u00e9s clau per desenvolupar aquesta intervenci\u00f3.<\/p>\n\n\n\n<p>A trav\u00e9s d\u2019aquestes intervencions es busca que la persona respongui activament als est\u00edmuls percebuts: pot ser obrir els ulls, seguir un objecte que se li acosta o intentar agafar-lo amb la m\u00e0 (acci\u00f3 que requereix coordinaci\u00f3 \u00f2culo-manual), o b\u00e9 canviar el to postural davant un so o una vibraci\u00f3.<\/p>\n\n\n\n<p>Aquestes din\u00e0miques tamb\u00e9 es poden dur a terme a l\u2019habitaci\u00f3 del pacient, si aquest ha d\u2019estar encamat o presenta un estat de fragilitat elevada, mitjan\u00e7ant el carro sensorial, en lloc de treballar dins la sala sensorial pr\u00f2piament dita.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">El carro sensorial<\/h3>\n\n\n\n<p>Aquest element \u00e9s clau per accedir de manera r\u00e0pida i immediata. El carro incorpora diversos elements visuals (projector d\u2019imatges, fibres \u00f2ptiques, material de suport, llum negra\u2026), equip de m\u00fasica i altres dispositius. Es pot utilitzar amb m\u00fasica suau o sons ambientals, com sons de la natura, o b\u00e9 amb elements vibradors, com la columna de bombolles per estimular la palma de la m\u00e0. Seria com una mini representaci\u00f3 d\u2019una sala sensorial. Nom\u00e9s cal un endoll, i el dispositiu ja \u00e9s operatiu.<\/p>\n\n\n\n<p>L\u2019\u00fas d\u2019aquests dispositius permet treballar no nom\u00e9s l\u2019\u00e0rea motora, sin\u00f3 tamb\u00e9 les \u00e0rees cognitives. La intervenci\u00f3 a la sala <em>Snoezelen<\/em> \u00e9s individual, i els beneficis que pot aportar s\u00f3n molt significatius.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Abordaje de pacientes con da\u00f1o cerebral adquirido las salas Snoezelen II\" width=\"1290\" height=\"726\" src=\"https:\/\/www.youtube.com\/embed\/hgw41UTcAdo?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"768\" src=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-1024x768.png\" alt=\"\" class=\"wp-image-12072\" srcset=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-1024x768.png 1024w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-300x225.png 300w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-768x576.png 768w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-1536x1152.png 1536w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-1320x990.png 1320w, https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19.png 1600w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Les sales Snoezelen es perfilen com una eina terap\u00e8utica beneficiosa en la rehabilitaci\u00f3 de persones amb dany cerebral adquirit. A trav\u00e9s d\u2019est\u00edmuls visuals, t\u00e0ctils, auditius i olfactius, aquests entorns afavoreixen la connexi\u00f3 sensorial, l\u2019activaci\u00f3 neurol\u00f2gica i la recuperaci\u00f3 funcional. La intervenci\u00f3 en aquests espais dissenyats per a l\u2019estimulaci\u00f3 multisensorial controlada \u2014guiada per professionals especialitzats, com [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":12072,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[],"class_list":["post-12069","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tot-aixo-es-nostre"],"blocksy_meta":[],"featured_image_urls_v2":{"full":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19.png",1600,1200,false],"thumbnail":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-150x150.png",150,150,true],"medium":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-300x225.png",300,225,true],"medium_large":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-768x576.png",768,576,true],"large":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-1024x768.png",1024,768,true],"1536x1536":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-1536x1152.png",1536,1152,true],"2048x2048":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19.png",1600,1200,false],"mailpoet_newsletter_max":["https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-content\/uploads\/2025\/10\/image-19-1320x990.png",1320,990,true]},"post_excerpt_stackable_v2":"<p>Les sales Snoezelen es perfilen com una eina terap\u00e8utica beneficiosa en la rehabilitaci\u00f3 de persones amb dany cerebral adquirit. A trav\u00e9s d\u2019est\u00edmuls visuals, t\u00e0ctils, auditius i olfactius, aquests entorns afavoreixen la connexi\u00f3 sensorial, l\u2019activaci\u00f3 neurol\u00f2gica i la recuperaci\u00f3 funcional. La intervenci\u00f3 en aquests espais dissenyats per a l\u2019estimulaci\u00f3 multisensorial controlada \u2014guiada per professionals especialitzats, com terapeutes ocupacionals o fisioterapeutes\u2014 potencia tant les capacitats motores com cognitives del pacient, i es consolida com una ter\u00e0pia innovadora i humana per a la rehabilitaci\u00f3 integral. Escrit per: Esther Romaguera Bosch, terapeuta ocupacional del Servei de Rehabilitaci\u00f3 F\u00edsica de la Fundaci\u00f3 Hospital\u00e0ries Martorell L\u2019origen&hellip;<\/p>\n","category_list_v2":"<a href=\"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/category\/tot-aixo-es-nostre\/\" rel=\"category tag\">TOT AIX\u00d2 \u00c9S NOSTRE<\/a>","author_info_v2":{"name":"ALBA_FELIP","url":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/author\/alba_felip\/"},"comments_num_v2":"0 comments","_links":{"self":[{"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/posts\/12069","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/comments?post=12069"}],"version-history":[{"count":1,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/posts\/12069\/revisions"}],"predecessor-version":[{"id":12077,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/posts\/12069\/revisions\/12077"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/media\/12072"}],"wp:attachment":[{"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/media?parent=12069"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/categories?post=12069"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/fundaciohospitalariesmartorell.org\/entre-tots\/wp-json\/wp\/v2\/tags?post=12069"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}