ABSTRACT
Stroke represents a major cause of death and disability. In just the last two decades, science has begun to appreciate the central nervous system's attempts to repair itself through a process termed neuroplasticity. The remodeling is a dynamic process subject to endogenous and exogenous forces. Rehabilitation has started to implement approaches based on objective measures such as diffusion tensor imaging and functional magnetic resonance. Newer modalities such as constraint-induced movement therapy and robotic interventions are being used for both short- and long-term functional gains. This review describes the various studies on neuroplasticity and the variety of interventions now available.
Subject(s)
Neuronal Plasticity/physiology , Stroke Rehabilitation , Brain/pathology , Diffusion Tensor Imaging , Humans , Magnetic Resonance Imaging , Magnetoencephalography , Physical Therapy Modalities , Recovery of Function , Stroke/diagnosis , Stroke/pathology , Stroke/therapy , Transcranial Magnetic StimulationABSTRACT
Cerebrovascular accidents remain the third leading cause of death in the United States, with many left with life-long disabilities. The causes and contributing factors of stroke are beginning to be well defined, but what is not appreciated are the various techniques for assisting recovery. Understanding what parts of the neurological and musculoskeletal exams predict short-term and long-term disabilities helps guide patients and families. Newer and effective rehabilitative approaches are available as are home, outpatient, and hospital-based sites for recovery. Improvements after stroke are now recognized to continue for months to years after the event. Available therapeutic techniques and evaluative studies are presented in this review.
