(17-06-11) Stroke rehabilitation.

Langhorne P, Bernhardt J, Kwakkel G.
Source
Academic Section of Geriatric Medicine, Institute of Cardiovascular and
Medical Sciences, University of Glasgow, Royal Infirmary, Glasgow, UK. peter.
[email protected]
Abstract
Stroke is a common, serious, and disabling global health-care problem, and
rehabilitation is a major part of patient care. There is evidence to support
rehabilitation in well coordinated multidisciplinary stroke units or through
provision of early supported provision of discharge teams. Potentially
beneficial treatment options for motor recovery of the arm include constraint-
induced movement therapy and robotics. Promising interventions that could be
beneficial to improve aspects of gait include fitness training, high-intensity
therapy, and repetitive-task training. Repetitive-task training might also
improve transfer functions. Occupational therapy can improve activities of
daily living; however, information about the clinical effect of various
strategies of cognitive rehabilitation and strategies for aphasia and
dysarthria is scarce. Several large trials of rehabilitation practice and of
novel therapies (eg, stem-cell therapy, repetitive transcranial magnetic
stimulation, virtual reality, robotic therapies, and drug augmentation) are
underway to inform future practice.

Source: Lancet. 2011 May 14;377(9778):1693-702

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