The Past, Present, and Future of Neurorehabilitation: From NUSTEP Through IV STEP and Beyond

被引：4
作者：
Harris, Susan R. [1 ]
Winstein, Carolee J. [2 ,3 ,4 ]
机构：
[1] Univ British Columbia, Fac Med, Dept Phys Therapy, 212-2177 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada
[2] Univ Southern Calif, Keck Sch Med, Div Biokinesiol & Phys Therapy, Los Angeles, CA USA
[3] Univ Southern Calif, Keck Sch Med, Dept Neurol, Los Angeles, CA USA
[4] Univ Southern Calif, Ostrow Sch Dent, Motor Behav & Neurorehabil Lab, Los Angeles, CA USA
来源：
PEDIATRIC PHYSICAL THERAPY | 2017年 / 29卷 / 03期
关键词：
neuroplasticity; neurorehabilitation; participation; prediction; prevention; SPINAL-CORD-INJURY; FUNCTIONAL ELECTRICAL-STIMULATION; INDUCED MOVEMENT THERAPY; EARLY PARKINSONS-DISEASE; GROSS MOTOR FUNCTION; CEREBRAL-PALSY; PHYSICAL-ACTIVITY; RANDOMIZED-TRIAL; DECISION-MAKING; STROKE PATIENTS;
D O I：
10.1097/PEP.0000000000000376
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Purposes: To present the history and aims of the STEP conferences; describe the interdependence of prevention, prediction, plasticity, and participation; reflect on where we stand today regarding those 4 Ps; and discuss how future neurorehabilitation should look for individuals with movement disorders. Key Points: Physical therapists have focused primarily on tertiary prevention, emphasizing primary/secondary prevention far less. Predicting optimal response to intervention is essential for primary prevention. Research examining neurorehabilitation effects mediated by brain plasticity is evolving from an emphasis on impairment outcomes toward examination of participation outcomes. Clinical Practice Recommendations: (1) Capitalize on primary and secondary prevention. (2) Administer simple, environmentally relevant predictive measures. (3) Partner with researchers to examine exercise-induced brain plasticity effects via neuroimaging. (4) Encourage physical activity to promote secondary prevention of lifestyle-related diseases and enhance participation. (5) Integrate psychological/social sciences with physiological sciences to move forward with advances in mindful health and patient-centered practices.
引用
收藏
页码：S2 / S9
页数：8
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