Neurological rehabilitation: a science struggling to come of age.
Over the last few decades, there have been considerable improvements in the outcome of stroke patients both as regards mortality and disability. At least some of these improvements can be attributed to better organization of services and improved rehabilitation. Many patients, however, remain severe...
| Publicado en: | Physiotherapy Research International Vol. 7; no. 2; pp. 76 - 90 |
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| Autores principales: | , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106966119&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106966119 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13582267 GPG jtl: Physiotherapy Research International issn: 13582267 maglogo: Y pubinfo: dt: Jun2002 vid: 7 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 106966119 2002132427 10.1002/pri.244 NLM12109237 106966119 ppf: 76 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Neurological rehabilitation: a science struggling to come of age. aug: au: Pomeroy V Tallis R affil: Stroke Association Therapy Research Unit, Manchester, UK sug: subj: Stroke Rehabilitation Physical Therapy Nervous System Physiology Neurosciences Neurophysiology Electric Stimulation Therapeutic Exercise ab: Over the last few decades, there have been considerable improvements in the outcome of stroke patients both as regards mortality and disability. At least some of these improvements can be attributed to better organization of services and improved rehabilitation. Many patients, however, remain severely disabled and we will need to develop new strategies in which the focus will be on reversing impairments rather than simply helping patients to adapt to unaltered impairments. For this to happen, neurological rehabilitation research will have to develop therapies that have a clearly defined rationale and are rooted in neurosciences, are clinically described, are addressed to a well-characterized target population and are evaluated using appropriate outcome measures. Few studies at present meet all these criteria. The recent revolution in our understanding of the nervous system as being soft-wired, of the potential for recovery through reorganization and of the central role of afferent information associated with normal activity is ground for optimism and indicates the direction in which future therapies should be sought. The paper considers some approaches to providing appropriate afferent information, including inputs such as that from electrotherapy, novel approaches to assisted activity and constraint-induced therapy. We are on the verge of a revolution in neurological rehabilitation. If we exploit the new understanding of the nervous system arising from basic neurosciences in developing and evaluating therapies we should be able to build on the achievements of the last few decades so that fewer of our patients have to carry the burden of severe disability. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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