Eclectic approach as the natural way of development in neurorehabilitation of adults

Emilia Mikołajewska

doi:10.1515/ijdhd-2012-0103

Article

Eclectic approach as the natural way of development in neurorehabilitation of adults

Emilia Mikołajewska

Published/Copyright: October 12, 2012

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From the journal International Journal on Disability and Human Development Volume 12 Issue 3

Abstract

The time course of recovery from neurologic disorders varies significantly depending on the severity of impairment, therapeutic measures during recovery, and patient characteristics, and no particular method can be perceived as more predominant over others. Traditional neurorehabilitation based on specific intervention techniques can be complemented by an eclectic approach that is based on the stable principles of the methods, is open to development, and can be used in conjunction with the elements of various methods. An eclectic approach in neurorehabilitation has the potential for a greater impact on the impairment because it can be tailored to the individual’s needs, can better predict the outcomes in individual patients with neurologic disorders, is better supported by experienced physiotherapists, and is expected to lead to progress in interdisciplinary therapy and care. The easy deployment of rehabilitation strategies and their applicability across a wide range of motor impairment make the eclectic approach an attractive and efficient solution. Its limitations are measurement reliability (especially inter-rater reliability) and validity, timing of rehabilitation, and the capacity to deliver high-intensity training protocols. The eclectic approach can be an important and useful strategy in neurorehabilitation, and this article discusses the advantages and limitations of current traditional and eclectic neurorehabilitation paradigms and suggest possible research directions.

Keywords: eclectic approach to intervention; neurologic physiotherapy; neurorehabilitation; patient with neurologic deficit; quality of life; specific intervention techniques

Corresponding author: Emilia Mikołajewska, PhD, Rehabilitation Clinic, The 10th Military Clinical Hospital with Polyclinic, Powstańców Warszawy 5, 85-681 Bydgoszcz, Poland

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Received: 2012-5-17

Accepted: 2012-9-2

Published Online: 2012-10-12

Published in Print: 2013-08-01

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https://doi.org/10.1515/ijdhd-2012-0103

Keywords for this article

eclectic approach to intervention; neurologic physiotherapy; neurorehabilitation; patient with neurologic deficit; quality of life; specific intervention techniques