http://nho.sagepub.com/content/5/2/77?etoc
- Edward S. Claflin, MD1⇑
- Chandramouli Krishnan, PhD, PT1
- Sandeep P. Khot, MD2
- 1Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, MI, USA
- 2Department of Neurology, University of Washington, Seattle, WA, USA
- Edward S. Claflin, Department of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, 325 E Eisenhower Pkwy, Ann Arbor, MI 48108, USA. Email: clafline@med.umich.edu
Abstract
Although numerous treatments are available
to improve cerebral perfusion after acute stroke and prevent recurrent
stroke,
few rehabilitation treatments have been
conclusively shown to improve neurologic recovery. The majority of
stroke survivors
with motor impairment do not recover to their
functional baseline, and there remains a need for novel
neurorehabilitation
treatments to minimize long-term disability,
maximize quality of life, and optimize psychosocial outcomes. In recent
years,
several novel therapies have emerged to restore
motor function after stroke, and additional investigational treatments
have
also shown promise. Here, we familiarize the
neurohospitalist with emerging treatments for poststroke motor
rehabilitation.
The rehabilitation treatments covered in this
review will include selective serotonin reuptake inhibitor medications,
constraint-induced
movement therapy, noninvasive brain stimulation,
mirror therapy, and motor imagery or mental practice.
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