Stroke Care 2 Stroke rehabilitation

I have seen nothing that supports that multidisciplinary units are doing anything other than taking credit for spontaneous recovery and

the Hawthorne effect.

Other than that this is all generalities, so useless. 

Stroke Care 2 Stroke rehabilitation

Series
www.thelancet.com

Vol 377 May 14, 2011
1693
Lancet
 2011; 377: 1693–702
See
Editorial
page 1625See
World Report
 page 1639This is the second in a
Series
 of two papers about stroke care
Academic Section of Geriatric Medicine, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Royal Infirmary, Glasgow, UK
 (Prof P Langhorne PhD)
; Stroke Division, Florey Neuroscience Institutes, Melbourne, VIC, Australia
(Prof J Bernhardt PhD)
; La Trobe University, Bundoora, VIC, Australia
 (J Bernhardt)
; Department of Rehabilitation Medicine, Research Institute MOVE, VU University Medical Centre, Amsterdam, Netherlands
(G Kwakkel PhD)
; and Rudolf Magnus Institute, University Medical Centre Utrecht, Utrecht, Netherlands
(G Kwakkel)Correspondence to:Prof Peter Langhorne, Academic Section of Geriatric Medicine, Institute of Cardiovascular and Medical Sciences, Level 4, Walton Building, Royal Infirmary, Glasgow G4 0SF, UK
peter.langhorne@glasgow.ac.uk
Stroke Care 2Stroke rehabilitation
Peter Langhorne, Julie Bernhardt, Gert Kwakkel
Stroke is a common, serious, and disabling global health-care problem, and rehabilitation is a major part of patient care. There is evidence to support rehabilitation in well coordinated multidisciplinary stroke units or through provision of early supported provision of discharge teams. Potentially beneficial treatment options for motor recovery of the arm include constraint-induced movement therapy and robotics. Promising interventions that could be beneficial to improve aspects of gait include fitness training, high-intensity therapy, and repetitive-task training. Repetitive-task training might also improve transfer functions. Occupational therapy can improve activities of daily living; however, information about the clinical effect of various strategies of cognitive rehabilitation and strategies for aphasia and dysarthria is scarce. Several large trials of rehabilitation practice and of novel therapies (eg, stem-cell therapy, repetitive transcranial magnetic stimulation, virtual reality, robotic therapies, and drug augmentation) are underway to inform future practice.