Looking deeper: does a connection exist between fatigue and attentional deficits in Parkinson's disease? A conceptual framework
Paola OrtelliViviana VersaceLeopold SaltuariAnna M. RandiJakob StolzSabrina DeziRoberto MaestriSusanne BuechnerNir GiladiAntonio OlivieroLuca SebastianelliDavide Ferrazzoli
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OPINION article Front. Neurol., 11 August 2023Sec. Neurorehabilitation Volume 14 - 2023 | https://doi.org/10.3389/fneur.2023.1212876Keywords:
Neurorehabilitation
This paper aims at presenting basic research of software solutions used not only in neurorehabilitation. The application of diagnostic computer procedures has recently received great attention not only in the experimental and research area, but in regular clinical practice. The authors of this paper develop a new neurorehabilitation system targeting at a selected group of patients, namely patients in the early stages of treatment as medical practice reveals that it is important to begin the process of controlled rehabilitation as soon as possible. The second indisputable fact is that the application of information technology has a significant influence on the effectivity increase of neurorehabilitation.
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The huge complexity and variety of deficits in children, their continuous development, and co-operation simultaneously with children and their parents make clinical practice in pediatric neurorehabilitation particularly challenging. Thus scientists and clinicians still look for newer, more efficient diagnostic and therapeutic tools. One of them is robot-mediated pediatric neurorehabilitation. However, the amount of research in the area of robot-mediated pediatric neurorehabilitation is still limited, and its impact on clinical practice seems to be underscored. The aim of this study was threefold: to establish the current state of robot-mediated pediatric neurorehabilitation, investigate the extent to which the available opportunities in robot-mediated pediatric neurorehabilitation are being exploited, and discuss clinical perspectives and directions for further research.
Neurorehabilitation
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Neurorehabilitation
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Abstract Introduction : Transcranial magnetic stimulation (TMS) is a neuromodulation technology capable of targeted stimulation and inhibition of cortical areas. Repetitive TMS (rTMS) has demonstrated efficacy in the treatment of several neuropsychiatric disorders, and novel uses of rTMS for neurorehabilitation in patients with acute and chronic neurologic deficits are being investigated. However, studies to date have primarily focused on neurorehabilitation in stroke patients, with little data supporting its use for neurorehabilitation in brain tumor patients. Methods : We performed a review of the current available literature regarding uses of rTMS for neurorehabilitation in post-operative neuro-oncologic patients. Results : Data have demonstrated that rTMS is safe in the post-operative neuro-oncologic patient population, with minimal adverse effects and no documented seizures. The current evidence also demonstrates potential effectiveness in terms of neurorehabilitation of motor and language deficits. Conclusions : Although data are overall limited, both safety and effectiveness have been demonstrated for the use of rTMS for neurorehabilitation in the neuro-oncologic population. More randomized controlled trials and specific comparisons of contralateral versus ipsilateral rTMS protocols should be explored. Further work may also focus on individualized, patient-specific TMS treatment protocols for optimal functional recovery.
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The origins of neurological dysfunction resulting from neural injury and disease are complex, as are the processes involved in neural repair, reorganization, and recovery of function. Neurorehabilitation and neural repair involve a set of molecular, cellular, network, and systemic responses that are becoming better characterized with advances in rehabilitation neuroscience. Application of this knowledge has been increasingly beneficial in shaping more effective clinical rehabilitation. Utilization of new technologies, such as advanced neuroimaging techniques, robotics, brain–computer interfaces, and smart prostheses, will transform neurorehabilitation going forward.
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Several clinical and government reviews have recommended specialised rehabilitation services for those recovering from neurological insult or neurosurgical intervention. Despite this, provision of 'rapid access'/acute neurorehabilitation units is extremely limited in the UK. In some areas, millions of people have no access to such facilities. Numerous articles have indicated that delayed access to neurorehabilitation in the acute recovery stage may worsen clinical outcomes and increase length of stay for patients. However, there has been a lack of studies directly comparing clinical outcomes between matched samples of patients in acute neurorehabilitation units versus patients receiving treatment-as-usual. In a study believed to be the first of its kind, this paper: (A) Describes the rationale and evidence base for acute neurorehabilitation. (B) Provides a comparison of clinical outcome scores Functional Independence Measure/Functional Assessment Measure (FIM-FAM) and also length of stay times for both of the aforementioned groups. The results show that all outcome areas except the 'communication' domain saw clinically and statistically significant improvements in the acute neurorehabilitation group. Length of stay was significantly reduced in the acute neurorehabilitation group. The case for reviewing the provision of acute neurorehabilitation units is now even more urgent and difficult to ignore.
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Neurorehabilitation
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Stroke
Brain stimulation
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Neurorehabilitation (neuroscience-based rehabilitation) is a medical approach that utilizes the brain's plasticity to help patients recover from nervous system injury. Remarkable progress has been made in this field, thus attracting increased attention from the scientific community. The concept of neurorehabilitation is widely accepted in physical therapy, and evaluation and treatment based on this concept are currently being practiced. This book provides a comprehensive overview of neurorehabilitation with chapters on motor imagery, repetitive peripheral magnetic stimulation, virtual reality, neurofunctional interventional approaches, and much more.
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Neurorehabilitation is a discipline that specializes in the prevention, assessment and rehabilitation of dysfunction caused by nervous system diseases. Since the 20 th century,under the development of the neuroscience and clinical rehabilitation, neurorehabilitation has gradually developed to the important branch of the clinical rehabilitation and made a great progress in this field. This paper reviews the research progress in the mechanism, evaluation, emerging treatment, integrated traditional Chinese and Western medicine in field of Neurorehabilitation.
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Abstract This paper describes the process of goal planning and discusses its usefulness as a simple, time sparing, client centred tool which provides basic data on outcome and audit information on the process of rehabilitation. Data on a sample of 100 cases admitted for neurorehabilitation are presented. Significant correlations between achievement of long-term goals and changes in standard measures of outcome such as the Barthel Disability Index and 10 metre walk time were found across admission. It is argued that goal planning can be the core procedure for neurorehabilitation, which in addition provides audit information and a simple, if unsophisticated measure of change.
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Neurological Rehabilitation
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