Engelsk titel: Neuroplasticity in action post-stroke: Challenges for physiotherapists
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Författare:
Frykberg, Gunilla E.
;
Vasa, Rajul
Email: gunilla.elmgren.frykberg@neuro.uu.se
Språk: Eng
Antal referenser: 90
Dokumenttyp:
Översikt
UI-nummer: 15095224
Sammanfattning
Knowledge regarding neuroplasticity post-stroke is increasingly expanding. In spite of this, only a few physiotherapy
interventions have been able to demonstrate effectiveness in achieving recovery of lost sensorimotor control. The aims of
this review article are to highlight and discuss challenges for physiotherapists working with patients post-stroke, to question
some current assessment methods and treatment approaches, and to pose critical questions indicating a possible new direction
for physiotherapists in stroke rehabilitation. Differentiation between recovery and compensation post-stroke is increasingly
being emphasized. Implementation of this goal in the clinic is insuffi cient, with a lack of assessment tools with
potential to discriminate between the concepts. Large-scale reviews are performed without considering whether functional
gains are achieved through "more effective" compensatory strategies or through recovery. Cortical plasticity in neurorehabilitation
research and voluntary control in contemporary treatment methods are in focus. Challenges for physiotherapists
in stroke rehabilitation consist of rethinking, including looking upon the body under the infl uence of gravity, focusing on
implicit factors that impact movement control and developing new assessment tools. The introduction of a new assessment
and treatment concept aiming at expanding the boundaries of center of mass movements towards the paretic side is proposed.
In conclusion, we need to assume our responsibilities and step forward as the experts in movement science that we
have the potential to be.