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Neurologische Rehabilitation

Neurological rehabilitation

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Zusammenfassung

Der vorliegende Beitrag stellt den Stand und die Konzepte der neurologischen Rehabilitation in Deutschland dar. Parallel zum sonstigen Wissenszuwachs in den Neurowissenschaften verfügt auch die neurologische Rehabilitation vermehrt über evidenzbasierte Konzepte, die sich an neurobiologischen Grundlagen orientieren. Eingebettet in eine geschlossene Rehabilitationskette bieten sich so gute Chancen für die Restitution von Fähigkeiten und Funktionen bei Patienten nach neurologischen Erkrankungen. Die Rehabilitation sollte nahtlos zur Akutbehandlung einsetzen und mit einem multidisziplinären Rehabilitationsteam an klar definierten Zielen orientiert erfolgen. Die eingesetzten Therapieverfahren sollten an aus der Neurobiologie abgeleiteten Regeln erarbeitet und wenn möglich evidenzbasiert und in jedem Fall maßgeschneidert auf die individuellen Bedürfnisse der Patienten sein. Neuromodulatorische Stimulationstechniken und spezielle pharmakologische Interventionen helfen darüber hinaus, die rehabilitativen Ergebnisse zu verbessern.

Abstract

This article describes state of the art concepts of neurological rehabilitation in Germany. In parallel to enormous growth of knowledge in the neurosciences also neurological rehabilitation has made significant progress. The increasing use of concepts of evidence based medicine and an early translation of knowledge from the neurosciences into clinical rehabilitation practice contribute to therapeutic advances. It is now widely accepted, that rehabilitation should start early and should be organized in a multidisciplinary professional team. Therapeutic procedures selected should be evidence based and have to be modified to find custom tailored solutions for individual patients. General rules derived from neuroscientific knowledge have been shown to be useful to design new therapeutic techniques. Neuromodulatory stimulation and special pharmacological treatments provide further options for enhancing results of rehabilitation.

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  1. St. Mauritius Therapieklinik, Strümper Straße 111, 40670, Meerbusch, Deutschland

    V. Hömberg

  2. Heinrich-Heine-Universität, Düsseldorf, Deutschland

    V. Hömberg

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  1. V. Hömberg
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Correspondence to V. Hömberg.

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Hömberg, V. Neurologische Rehabilitation. Internist 51, 1246–1253 (2010). https://doi.org/10.1007/s00108-010-2624-3

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