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Rehabilitation in stroke patients – focusing on the future
Stroke is a common disease worldwide, with an estimated incidence of 150 per 100000 in developed countries. Moreover, stroke is a leading cause of disability and rehabilitation is a major part of patient care. Most research into stroke rehabilitation has focused on the effect of interventions on recovery in different forms of impairment and disability. The substantial increase in the number of clinical trials investigating rehabilitation in the past 20 years shows the rising interest of rehabilitation clinicians in evidence-based care. The most promising options for motor recovery of the arm include constraint-induced movement therapy (CIMT) and robotic-assisted strategies. Beneficial interventions to improve postural stability and gait include fitness training, high-intensity therapy and repetitive task training. However, information about the clinical effect of various strategies of cognitive rehabilitation and strategies for aphasia and dysarthria is scarce. Nevertheless, we believe that neuroplasticity enhanced due to neuromodulation of different neuronal systems will play a major role in the field of neurorehabilitation in the future.
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