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[Interest and costs of neurorehabilitation of brain injury patients].

Authors
Type
Published Article
Journal
Revue médicale suisse
Publication Date
Volume
7
Issue
293
Pages
948–951
Identifiers
PMID: 21634145
Source
Medline
License
Unknown

Abstract

The severity of the initial deficit and the improvement in the first weeks are the strongest indicators for a favorable outcome after stroke. Meta-analyses attempt to evaluate the efficacy of neurorehabilitation, but the results are unconclusive due to the heterogeinity of the groups of patients and therapies. However, there is sufficient data to conclude that repetitive, high intensity, task orientated training is efficacious. New approaches (mental imagery, robotics, virtual therapies...) are also useful but are not better than physiotherapy. It is as important to individualize the approach in a multidisciplinary well organised and communicative setting and to treat early complications. Cerebral plasticity is an individualized process and limited in time, so therapy should be regularly adapted and stopped if the deficit remains stable.

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