„Massed practice” in der motorischen Rehabilitation: Der Schlüssel zum Erfolg?

Einleitung

In Deutschland erleiden jährlich über 200 000 Menschen einen Schlaganfall. Entsprechend den errechneten Erwartungen des Erlanger Schlaganfallregisters wird die Anzahl der Schlaganfallüberlebenden in den nächsten 2 Dekaden kontinuierlich wachsen, was einerseits der alternden Bevölkerung und andererseits der sinkenden Schlaganfallmortalitätsrate zuzuschreiben ist [1]. Trotz verbesserter Notfall- und Akutbehandlung führen Schlaganfälle zu erheblichen motorischen Einschränkungen, die sich auf die Teilhabe in der Gesellschaft auswirken. Ziel der neurologischen Rehabilitation ist die Selbstständigkeit des Patienten so weit wie möglich wiederherzustellen. In der motorischen Rehabilitation bildet die Selbstständigkeit in den Aktivitäten des täglichen Lebens (ADLs) sowie die Mobilität das Kernstück für ergotherapeutische und physiotherapeutische Übungsbehandlungen. Wichtig ist dabei, dass nicht irgendeine Behandlung angewandt wird, sondern eine mit wissenschaftlicher Evidenz.

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