Spectrum, Trends and Approaches in Contemporary Neurorehabilitation

Authors: J. Opavský
Authors‘ workplace: Katedra fyzioterapie, Fakulta tělesné kultury UP v Olomouci
Published in: Rehabil. fyz. Lék., 23, 2016, No. 2, pp. 59-63.
Category: Original Papers


Progress in knowledge of mechanisms of human motoric activities is reflected in broadening of the fields of interest of contemporary neurorehabilitation. Methods for the assessment of health state of patients in neurorehabilitation, and for the evaluation of their specific problems on their functional state, are increasingly employed. Neurophysiological knowledge is applied in new methods and therapeutic approaches, which are based on neuroplasticity of the nervous system. There is a gradual broadening of application of the sophisticated technical devices and systems which are using principles of neuromodulation and specific stimulation of neural structures. Apart from these, a robotic therapy represents an additional approach to classic methods of neurorehabilitation. This article provides a short outline of its current trends which have been presented at the 9th World ISPRM Congress and at the 3rd ECNR Congress in the year 2015.

neurorehabilitation, trends, assessment, tests, scales, outline


1 Baricich, A., Grana, E., Invernizzi, M., Parisi, F., Ferrari, G., Cisari, C., Mauro, A.: A single-sensor wearable system for gait analysis in stroke patients: a pilot study. Neurologie und Rehabilitation, 21 (Suppl 1), 2015, s. S40. (Abstracts supplement of the 3rd European Congress of NeuroRehabilitation (ECNR 2015), Vienna, Austria, December 2015).

2. Barnes, M., Good, D. C. (eds.): Clinical Neurorehabilitation: Handbook of Clinical Neurology, sv. 110. Edinburgh-London, Elsevier, 2013.

3. Bartholome, G.: Neurorehabilitation des Schluckens. V: Platz (ed.). Update Neurorehabilitation 2014. Bad Honnef, Hippocampus Verlag, 2014, s. 99-119.

4 Berg, K.O., Wood-Dauphinee, S. L., Williams, J. I., Maki, B.: Measuring balance in the elderly: validation of an instrument. Can. J. Public. Health, 83 (Suppl 2), 1992, s. S7-S11.

5. Buccino, G.: Action observation treatment: a novel tool in neurorehabilitation. Philos. Trans. R. Soc. Lond. B Biol. Sci., 369 (1644), 2014, 20130185.

6 Butler, P. B., Saavedra, S., Sofranac, M., Jarvis, S. E., Woollacott, M. H.: Refinement, reliability and validity of the segmental assessment of trunk control. Pediatr. Phys. Ther., 22, 2010, 3, s. 246-257.

7. Collin, C., Wade, D.: Assessing motor impairment after stroke: a pilot reliability study. J. Neurol. Neurosurg. Psychiatry, 53, 1990, 7, s. 576-579.

8. Demeurisse, G, Demol, O., Robaye, E.: Motor evaluation in motor hemiplegia. Eur. Neurol., 19, 1980, 6, s. 382-389.

9. Dietz, V., Ward, N. S. (eds.): Oxford Textbook of Neurorehabilitation. Oxford, Oxford University Press, 2015.

10. Gäverth, J., Sandgren, M., Lindberg, P. G., Forssberg, H., Eliasson, A. C.: Test-retest and inter-rater reliability of a method to measure wrist and finger spasticity. J. Rehab. Med., 45, 2013, 7, s. 630-636.

11. Gerdes, N., Funke, U. N., Schüwer, U., Themann, P., Pfeiffer, G., Meffert, C.: „Selbständigkeits-Index für die Neurologische und Geriatrische Rehabilitation (SINGER)“ – Entwicklung und Validierung eines neuen Assessment-Instruments. Rehabilitation, 51, 2012, 5, s. 289-299.

12. Golaszewski, S. M., Bergmann, J., Christova, M., Nardone, R., Kronbichler, M., Rafolt, D., Gallasch, E., Staffen, W., Ladurner, G., Beisteiner, R.: Increased motor excitability after whole-hand electrical stimulation: a TMS study. Clin. Neurophysiol., 121, 2010, 2, s. 248-254.

13. Holden, M. K., Gill, K. M., Magliozzi, M. R., Nathan, J., Piehl-Baker, L.: Clinical gait assessment in the neurologically impaired: reliability and meaningfulness. Phys. Ther., 64, 1984, 1, s. 35-40.

14. Johnston, T. E., Betz, R. R., Smith, B. T., Mulcahey, M. J.: Implanted functional electric stimulation: an alternative efor standing and walking in pediatric spinal cord injury. Spinal Cord, 41, 2003, 3, s. 144-152.

15. Leblong, E., Leplaideur, S., Cordillet, S., Bonan, I., Cretual, A.: Effects of vibrations on gait assymetry: a prospective randomised controlled study on chronic stroke patients. Neurologie & Rehabilitation, 21 (Suppl), 2015, s. S12.

16. Lum, P. S., Godfrey, S. B., Brokaw, E. B., Holley, R. J., Nichols, D.: Robotic approaches for rehabilitation of hand function after stroke. Am. J. Phys. Med. Rehab., 91, 2012, 11 (Suppl 3), s. S42-S54.

17. Malandraki, G., Robbins, J.: Dysphagia. V: Barnes MP, Good DC (eds.): Clinical Neurorehabilitation: Handbook of Clinical Neurology, sv. 110. Edinburgh-London, Elsevier, 2013, s. 255-271.

18. Marchetti, G., Whitney, S.: Construction and validations of the 4-item dynamic gait index. Phys. Ther., 86, 2006, 12, s. 1651-1660.

19. Mathiowetz, V., Volland, G., Kashman, N., Weber, K.: Adult norms for the Box and Block Test of manual dexterity. Am. J. Occup. Ther., 39, 1985a, 6, s. 386-391.

20. Mathiowetz, V., Weber, K., Kashman, N., Volland, G.: Adult norms for the Nine Hole Peg Test of finger dexterity. The Occupational Therapy Journal of Research, 5, 1985b, 1, s. 24-33.

21 Mehrholz, J., Elsner, B., Werner, C., Kugler, J, Pohl, M.: Electromechanical-assisted training for walking after stroke. Cochrane Database Syst. Rev., 7, 2013, CD006185.

22. Mehrholz, J., Pohl, M., Platz, T., Kugler, J., Elsner, B.: Electromechanical and robot-assisted arm training for improving activities of daily living, arm function, and arm muscle strength after stroke. Cochrane Database Syst. Rev., 11, 2015, CD006876.

23. Murillo, N., Valls-Sole, J., Vidal, J., Opisso, E., Medina, J., Kumru, H.: Focal vibration in neurorehabilitation. Eur. J. Phys. Rehabil. Med., 50, 2014, 2, s. 231-242.

24. Nardone, R., Höller, Y., Taylor, A., Thomszewski, A., Orioli, A., Frey, V., Trinka, E., Brigo, F.: Noninvasive spinal cord stimulation: technical aspects and therapeutical applications. Neuromodulation, 18, 2015, 7, s. 580-591.

25. Platz, T. (ed.): Update Neurorehabilitation 2014. Bad Honnef, Hippocampus Verlag, 2014.

26. Podsiadlo, D., Richardson, S.: The timed ‘Up & Go’: a test of basic functional mobility for frail elderly persons. J. Am. Geriatr. Soc., 39, 1991, 2, s. 142-148.

27. Schaadt, A. K., Bur, A. K., Kerkhoff, G.: Neurovisuelle Neurorehabilitation. V: Platz (ed.). Update Neurorehabilitation 2014. Bad Honnef, Hippocampus Verlag, 2014, s. 134-156.

28. Sung, W., Abraham, M., Plastaras, C., Silfies, S. P.: Trunk motor control deficits in acute and subacute low back pain are not associated with pain or fear of movement. Spine J., 15, 2015, 8, s. 1772-1782.

29. Swayne, O., Rothwell, J.: Enhancement of neuroplasticity by cortical stimulation. V: Dietz V, Ward NS (eds.). Oxford Textbook of Neurorehabilitation. Oxford, Oxford University Press, 2015, s. 174-192.

30. Tardieu, G., Shentoub, S., Delarue, R.: A la recherché d´une technique de measure de la spasticite. Rev. Neurol. (Paris), 91, 1954, 2, s. 143-144.

31. Tinetti, M. E.: Performance-oriented assessment of mobility problems in elderly patients. J. Am. Geriatr. Soc., 34, 1986, 2, s. 119-126.

32. van Swieten, J. C., Koudstaal, P. J., Visser, M C., Schouten, H. J., van Gijn, J.: Interobserver agreement for the assessment of handicap in stroke patients. Stroke, 19, 1988, 5, s. 604-607.

33. Verheyden, G., Nieuwboer, A., Mertin, J., Preger, R., Kiekens, C., De Weerdt, W.: The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke. Clin. Rehabil., 18, 2004, 3, s. 326-334.

34. Wolf, S. L., Catlin, P. A., Ellis, M., Archer, A. L., Morgan, B., Piacentino, A.: Assessing Wolf motor function test as outcome measure for research in patients after stroke. Stroke, 32, 2001, 7, s. 1635-1639.

Physiotherapist, university degree Rehabilitation Sports medicine
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