Towards Effective Neurorehabilitation for Stroke Patients

You can read this all you want but just generalized crapola.  I would fire the mentors and senior researchers that allowed this pablum.  

If your doctor isn't already using citicoline you have a doctor 8 years out of date. Or is your doctor WAITING FOR SOMEONE ELSE TO SOLVE THE PROBLEM?   And write a protocol on this? And what are you paying your doctor for?  Doing nothing?

• citicoline (12 posts to October 2011)

Towards Effective Neurorehabilitation for Stroke Patients

Jerzy Krupinski1,2, Julio J Secades3* and Rena K Shiraliyeva41Hospital Universitari Mutua Terrassa, Neurology Department, Barcelona, SpainManchester Metropolitan University, Healthcare Sciences, Manchester, UK 3Grupo Ferrer, Barcelona, Spain4 Department of Neurology, Republican Clinical *Corresponding author: Julio J. Secades, Scientific Department, Grupo Ferrer, 08029, Barcelona, Spain, Tel: +34936003837; Fax: +34934907078; E-mail:  jsecades@ferrergrupo.comRec date: 03 Feb 2014;
Acc date: 20 March 2014; Pub date: 23 March 2014 © 2014 Krupinski J, et al.
This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract 

Despite global and regional health crises, global life expectancy has increased continuously and substantially over the past 40 years. This is associated with an increase in incidence of age-related diseases, such as ischemicstroke and has an important socio-economic impact. There is a growing demand to have more effective treatments(Where are these located? Survivors need to know) to reduce disability and improve the outcome of stroke patients. We reviewed the latest advances on neurorehabilitation and the new trends in this field. We provide practicing neurology and rehabilitation clinicians with a review of concepts(We don't need concepts, we need protocols you fucking lazy bums.) of neuroplasticity, engagement, enriched environments, smart robotics, neuroelectronic devices and explain how they could be linked and applied in daily practise. Also, we review pharmacological interventions with a direct effect in neurorehabilitation. We conclude that there is some degree of evidence suggesting a possible positive co-adjuvant effect of citicoline in the rehabilitation phase of patients after stroke.Keywords: Stroke; Rehabilitation; Neuroplasticity; Robotics;Pharmacological therapy; Citicoline
Introduction Each year during the world stroke awareness day we recall that 1 in 6(Wrong, now 1 in 4 per WHO) people worldwide will have a stroke in their lifetime. This makes stroke the first cause of disability worldwide with 30% survivors having long-term sequelae and in 50% residual disability requires assistance for basic activities of daily living (ADL) [1]. It has an important socio-economic impact with estimated costs of 27.314 euro per person/year [2,3], exceeds any pharmacological interventions and call for better, and more effective recovery approaches. XXI century neurorehabilitation is a very young field with an evolving concepts and important literature supporting its impact on outcomes. This article provides an overview of the field and summarises the most recent and continuosly evolving paradigms of current and modern neurorehabilitation. We examine concept of teacher, or neurotherapist crucial for successfull neurorehabilitation [4]. We provide practicing neurology and rehabilitation clinicians with a review of concepts of neuroplasticity, engagement, enriched environments, smart robotics and neuroelectronic devices and explain how they could be linked and applied in daily practise. For the purpose of the following review, we selected literature based on the most recent publications in the fieldand international guidelines.
More at link.