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Stroke Rehabilitation: Insights from Neuroscience and Imaging informs and challenges neurologists, rehabilitation therapists, imagers, and stroke specialists to adopt more restorative and scientific approaches to stroke rehabilitation based on new evidence from neuroscience and neuroimaging literatures. The fields of cognitive neuroscience and neuroimaging are advancing rapidly and providing new insights into human behavior and learning. Similarly, improved knowledge of how the brain processes information after injury and recovers over time is providing new perspectives on what can be achieved through rehabilitation.
Stroke Rehabilitation explores the potential to shape and maximize neural plastic changes in the brain after stroke from a multimodal perspective. Active skill based learning is identified as a central element of a restorative approach to rehabilitation. The evidence behind core learning principles as well as specific learning strategies that have been applied to retrain lost functions of movement, sensation, cognition and language are also discussed. Current interventions are evaluated relative to this knowledge base and examples are given of how active learning principles have been successfully applied in specific interventions. The benefits and evidence behind enriched environments is reviewed with examples of potential application in stroke rehabilitation. The capacity of adjunctive therapies, such as transcranial magnetic stimulation, to modulate receptivity of the damaged brain to benefit from behavioral interventions is also discussed in the context of this multimodal approach. Focusing on new insights from neuroscience and imaging, the book explores the potential to tailor interventions to the individual based on viable brain networks.
This book is intended for clinicians, rehabilitation specialists and neurologists who are interested in using these new discoveries to achieve more optimal outcomes. Equally as important, it is intended for neuroscientists, clinical researchers, and imaging specialists to help frame important clinical questions and to better understand the context in which their discoveries may be used.
- Sales Rank: #2765632 in eBooks
- Published on: 2012-12-01
- Released on: 2012-12-01
- Format: Kindle eBook
Review
"At last a book that succinctly covers the opportunities for restorative recovery following stroke. Written in accessible language this book provides a comprehensive overview of the neuroscience literature. It is an essential addition to the bookshelf of any stroke clinician who strives to provide the best care to their patients." -- Professor Marion Walker, Professor of Stroke Rehabilitation, Associate Director UK Stroke Research Network, Division of Rehabilitation and Ageing, University of Nottingham Medical School, UK
"Rehabilitation needs a sound theoretical basis. This book provides an exciting and up-to-date review of evidence to develop a sound platform for a rational rehabilitation. Although based on stroke, which is probably the disorder with the best evidence base, the principles developed in this book will apply to other neurological problems and they will indeed be relevant across all rehabilitation. Finally this book will arouse and maintain the reader's interest in the clinical phenomena seen in patients after stroke because it will explain the how and why of the patient's experience." -- Prof Derick Wade, MA, MB, BChir, FRCP, MD, Professor of Neurological Rehabilitation, Department of Clinical Neurology, University of Oxford and Consultant in Neurological Rehabilitation, Oxford Centre for Enablement, Oxford UK
"The role of neuroplasticity in recovery of function in stroke rehabilitation has faced uncertainty with evolving evidence of the influence of varying therapy approaches. Leanne Carey's book provides a thorough review of the literature concerning neuronal recovery and provides compelling evidence for a more restorative paradigm of therapy delivery. This well written book will be valuable asset to challenge the thinking and influence service provision of clinicians involved in neurorehabilitation." -- John Olver MBBS, MD (Melb), FAFRM (RACP), Medical Director, Rehabilitation, Epworth HealthCare and Victor Smorgon Chair of Rehabilitation, Monash University - Epworth HealthCare, Melbourne, Australia
About the Author
Leeanne M. Carey, PhD, Head, Neurorehabilitation and Recovery, National Stroke Research Institute, Florey Neuroscience Institutes, Melbourne Brain Centre, and Professor, Department of Occupational Therapy, School of Allied Health, Faculty of Health Sciences, La Trobe University, Victoria, AUSTRALIA.
Most helpful customer reviews
2 of 2 people found the following review helpful.
Lost in translation
By PGL
Disclaimer: this book includes references to several articles on which I am a co-author, one of which is referenced, below.*
The back cover of this book describes it as "Written in accessible language..." The dedication of the book includes this: "This book offers hope, discovery, and translation. It is hoped that the partnership between the stroke survivor and informed therapist will ensure that this journey does not end, but rather keeps open the "window of opportunity".
Are there any therapists or survivors interested in the methodological distinction concerning source modeling between magnetoencephalography and electroencephalography?
The word accessible shouldn't be anywhere near this book. These authors should heed the words of the great Kurt Vonnegut, "Simplicity of language is not only reputable, but perhaps even sacred."
Scientists of the world: accessibility is quantifiable. You can predict the level of education needed to read prose. This is known as "readability."
I randomly picked out one sentence by literally leafing through pages and letting my finger drop. It landed in the middle of page 79, on this sentence: "Apparently, the residual flow associated with an intracranial occlusion before systemic thrombolysis predicts the likelihood of complete recanalization and long-term neurological outcome."
Here is the readability of that sentence:
Approximate U.S. grade level needed to comprehend the text :
Coleman Liau index : 24.64
Flesch Kincaid Grade level : 22.62
ARI (Automated Readability Index) : 23.45
There are 31 contributors to this book. Three are MD/ PhD's. The rest are PhD's. Ironically, the education level of most of the contributors (assuming 10 years of graduate work) would not allow them to comprehend that sentence (on the first try, anyway)!
Here's my attempt at a rewrite:
The residual flow of blood after stroke, but before systemic thrombolysis is predictive of two things: restoration of arterial blood flow and physical recovery.
Approximate representation of the U.S. grade level needed to comprehend the text :
Coleman Liau index : 15.84
Flesch Kincaid Grade level : 15.90
ARI (Automated Readability Index) : 16.87
There, now anyone with a bachelors degree (more than half of OTs are working with a bachelor's degree) can get it the first time.
Accessibility requires work. It's the work where you sit down and obsess over sentences until all fat is cut. Accessibility means something. Complexity is easy. Simple requires work. E=MC2.
In stroke recovery, translation means everything (there's not nearly enough, partly because scientists write like scientists to impress other scientists). The primary author when using the term "translation" means moving information from "benchside to bedside." This is noble and important work. But it is work.
Another problem: This book presents a perspective about tools for rehabilitation after stroke that is negative, unproven and ultimately, inaccurate. Let's say you were clinician, working with stroke survivors, and you wanted to see what would help stroke survivors get better. What's the most widely used treatment options for stroke recovery in this country, and probably worldwide? Neurodevelopmental treatment. Weirdly, the authors never even mention this highly unproven, widely used option. Instead everything else is trashed. And they do it using "Insights from neuroscience and imaging."
-Repetitive task specific training: very few studies have examined the central nervous system effects, and what has been studied is limited by small sample sizes.
-Constraint induced movement therapy: few studies, small sample sizes
-Mental practice: few studies, small sample sizes
sensory recovery after stroke: relatively few studies...
-Robot assisted training: few studies, no evidence of neural effects
-VR, the same.
Ooph.
If it is to be believed that there is a paucity of evidence for neural substrates needed to prove efficacy, maybe the contributors should work on that rather than writing a book about how the work hasn't been done. The problem seems obvious: the rehabilitation research has been done to show kinematics and functional changes, but the neuroimaging has not yet caught up. This is a pretty large frustration among rehabilitation researchers. Most notably, Edward Taub has pointed this out. When he showed functional changes, nobody cared. It was only when brain scanning showed central changes that everyone went "A-ha!" It is not particularly fair to condemn treatment options that has proven kinematic benefit because central changes have not yet been proven.
Perhaps this book should have been written 10 years from now, once the neuroscience and imaging had done its due diligence.
The reason I'm giving it four stars is because this book does provide a concentrated source of information about neuroimaging and stroke.
*Szaflarski JP, Page SJ, Kissela BM, Lee JH, Levine P, Strakowski SM. Cortical reorganization following modified constraint-induced movement therapy: a study of 4 patients with chronic stroke. Arch Phys Med Rehabil. 2006
0 of 1 people found the following review helpful.
important book on stroke treatment
By Walter Luis Bastos Doege
Stroke is a commom clinical event. 85% are ischemic. This book offers good basis for understanding new treatment strategies especially antiinflammatoty drugs and transcranial magnetic stimulation toghether with recognized physical rehabilitation.
Walter Doege, MD
0 of 1 people found the following review helpful.
Five Stars
By Amazon Customer
Excellent condition!
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