Neurorehabilitation is an expanding field with an increasing clinical impact because of an ageing population. During the last 20 years neurorehabilitation has developed from a discipline with little scientific background, separated from other medical centers, to a medical entity largely based on the principles of 'evidenced based medicine' with strong ties to basic research and clinical neurology. Today neurorehabilitation is still a 'work in progress' and treatment standards are not yet established for all aspects of neurorehabilitation. There are very few books that address contemporary neurorehabilitation from this perspective. This volume moves the reader from theory to practice. It provides the reader with an understanding of the theoretical underpinnings of neurorehabilitation, as well as a clear idea about how (and why) to approach treatment decisions in individual patients. These clinical recommendations are based on a mix of established evidence and clinical experience that the authors bring to bear on their topics.
SECTION I: GENERAL ASPECTS OF NEUROREHABILITATION ; 1. The international classification of functioning, disability and health ; 2. An interdisciplinary approach to neurological rehabilitation ; 3. The economic benefits of rehabilitation for neurological conditions ; 4. Predicting activities after stroke ; 5. Designing a clinical trial for rehabilitation ; 6. The influence of age on neurorehabilitation ; 7. The relationship of motor learning to neurorehabilitation ; SECTION II: PHYSIOLOGICAL CONSEQUENCES OF CNS DAMAGE ; 8. Spinal neuronal dysfunction after deprivation of supraspinal input ; 9. Secondary changes after damage of the central nervous system: Significance of spastic muscle tone in rehabilitation ; 10. Autonomic nervous system dysfunction ; 11. Functional recovery in CNS disease: Impact of animal models ; SECTION III: NEUROPLASTICITY AND REPAIR ; 12. Animal models of damage, repair and plasticity in the brain ; 13. Animal models of damage, repair, and plasticity in the spinal cord ; 14. Stem cell application in neurorehabilitation ; 15. The role of neuroimaging in understanding the impact of neuroplasticity after CNS damage ; 16. Enhancement of neuroplasticity by cortical stimulation ; 17. Enhancement of neuroplasticity by drug therapy ; SECTION IV: CLINICAL CONCEPTS ; 18. Rehabilitation of gait and balance after CNS damage ; 19. Neurorehabilitation approaches for disorders of the peripheral nervous system ; 20. Treatment of arm and hand dysfunction after CNS damage ; 21. Acquired disorders of language and their treatment ; 22. Neuropsychological rehabilitation of higher cortical functions after brain damage ; 23. The clinical neurology of problems with oral feeding ; 24. Management of bladder, bowel, and sexual dysfunction ; 25. The assessment and treatment of pain syndromes in neurorehabilitation ; 26. The impact of fatigue on neurorehabilitation ; 27. Neuropalliative rehabilitation - managing neurological disability in the context of a deteriorating illness ; 28. Recognition and management of functional (non-organic) symptoms after CNS damage ; SECTION V: TECHNICAL CONCEPTS ; 29. Promises and challenges of neurorehabilitation technology ; 30. Application of orthoses and neurostimulation in neurorehabilitation ; 31. Technology to enhance arm and hand function ; 32. Technology to enhance locomotor function ; 33. Enhancing independent community access and participation: Services, technologies and policies ; 34. Virtual reality for neurorehabilitation