Language: English
References: 0
Page: 159-160
PDF size: 70.89 Kb.

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The excellent review by Dr Agnes Roby Brami (Plasticité du comportement moteur chez les patients cérébro-lésés, Intellectica, this issue) emphasized the opportunity to obtain significant functional return in persons who have had a cerebrovascular accident (stroke). She reviews her own work, as well as other very pertinent publications, and her conclusions should help to encourage a conceptual change in the clinical neurosciences. It is a tragedy that so many people remain dysfunctional because the clinical sciences, especially Neurology and Rehabilitation Medicine, continue to use antiquated methods that are expensive and have little evidence of efficacy. I would like to add my voice to Dr Roby-Brami’s and hope that we can play a role in changing the conceptual substance of the clinical neurosciences, and thus foment the introduction of modern neurological rehabilitation. Functional rehabilitation programs that are of interest to the individual patient are designed to obtain the active, alert, motivated, and consistent participation of the patient, thus make maximum use of the patient’s resources. The patient’s interest and dedication add a dimension that may be lost in classical programs.