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Neurological rehabilitation 

Neurological rehabilitation
Chapter:
Neurological rehabilitation
Author(s):

Joseph S. K. Kwan

, Mona M. Y. Tse

, and Leonard S. W. Li

DOI:
10.1093/med/9780198701590.003.0120
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date: 20 August 2019

Neurological rehabilitation aims to help people regain functional independence from physical and cognitive disabilities caused by neurological injuries or diseases, improving their participation in the society and quality of life. Among older patients, the more common need for neurological rehabilitation arises from acute stroke, traumatic brain injury, or spinal cord damage. There has been a recent paradigm shift in the approach of neurological rehabilitation towards promoting neural reorganization, restructure and modification of brain activity patterns (neuroplasticity). Stroke patients benefit from organized interdisciplinary care within a comprehensive stroke unit, followed by early supported discharge in the community. Early intensive therapy and prevention of complications such as infections are the key components of acute neurological rehabilitation. In the post-acute period, a problem-oriented approach using evidence-based strategies can enhance neuroplasticity and patient outcome. Special attention is needed for traumatic brain injury and spinal injury, younger patients, and those with neurocognitive dysfunction.

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