Clinical neurophysiology and early post stroke neurorehabilitation

Ryszard Kinalski, Jan Talar

Ryszard Kinalski, Jan Talar – Clinical neurophysiology and early post stroke neurorehabilitation. Fizjoterapia Polska 2001; 1(1); 47-50

Abstract
The interest of the neurorehabilitation of the stroke survivors have increased in the Brain Decade. The Helsinborg Declaration and the National Program of the Stroke Prevention and Treatment recommends to organize the stroke units and to start with the physiotherapy since the first day of hospitalization. The authors justifies the usefulness of the verification of the early post stroke rehabilitation effects on the basis of the instrumented tests, that image and quantify the neuromechanisms underlying the behaviour of the movement disorders, more accurately than the stroke scales. The heuristic possibility of the repetitive electrostimulation applicability in the early post stroke neurorehabilitation was discussed.

Key words:
clinical neurophysiology, neurorehabilitation, acute stroke

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Clinical neuropsychological evaluation of the spinal neuromechanisms of stance or stride after damage to the brain or spinal cord

Ryszard Kinalski

Ryszard Kinalski – Clinical neuropsychological evaluation of the spinal neuromechanisms of stance or stride after damage to the brain or spinal cord. Fizjoterapia Polska 2001; 1(2); 183-186

Abstract
Background. The object of discussion is the suitability of certain neuropsychological methods of clinical testing to objectivize and quantify disturbances of spinal neuromechanisms subsequent to stroke or spinal cord damage. Method. The author, on the basis of the author’s own observations and a survey of the literature, discusses the usefulness of anticipatory postural adjustment and Hoffmann’s reflex modulation testing for patients of brain damage, and evoked potentials and polyelectromyography in cases of spinal damage. Conclusion. The results of clinical neuropsychological testing of patients following stroke or spinal cord damage can be used to quantify the status and evolution of the spinal neuromechanisms involved in stance and stride.

Key words:
clinical neurophysiology, brain damage, spinal cord damage, stance, stride

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