CC BY-NC-ND 4.0 · Neurology International Open 2018; 2(02): E108-E117
DOI: 10.1055/s-0044-100228
Review
Eigentümer und Copyright ©Georg Thieme Verlag KG 2018

Physiotherapy and Occupational Therapy in Acute Neurology

Rüdiger J. Seitz
1  Department of Neurology, Center of Neurology and Neuropsychiatry, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
2  Florey Neuroscience Institutes, Melbourne, Australia
,
Aschwin Kolman
1  Department of Neurology, Center of Neurology and Neuropsychiatry, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
,
Birgit Kraft-Kornwinkel
1  Department of Neurology, Center of Neurology and Neuropsychiatry, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
,
Sabine Robbers
1  Department of Neurology, Center of Neurology and Neuropsychiatry, LVR-Klinikum Düsseldorf, Medical Faculty, Heinrich-Heine University Düsseldorf, Düsseldorf, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
04 April 2018 (online)

Abstract

Therapy of neurological patients comprises, beyond medical treatment, the treatment of functional deficits which result from a neurological disease such as stroke. Physiotherapy aims at enabling bedridden neurological patients to become mobile again using training of movement and coordination. In cooperation with occupational therapists, patients are trained to become able to perform activities of daily living again. In addition, multimodal activating/assisting exercises are mandatory to counteract the deficit-related development of joint contractures. The rationale for these exercises are neurophysiological findings about postlesional cerebral plasticity. Moreover, parametric scales have been developed to assess neurological disturbances and to monitor their resolution in an observer-independent fashion. This allows communication across institutions and to assess the efficacy of physiotherapy and occupational therapy.