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DOI: 10.1055/s-0028-1109598
© Georg Thieme Verlag KG Stuttgart · New York
Aktuelle Aspekte in der Neurorehabilitation nach Schlaganfall
Current Aspects of Neurorehabilitation After StrokePublication History
Publication Date:
14 August 2009 (online)

Zusammenfassung
Der Schlaganfall ist die häufigste Ursache dauerhafter Behinderung. Die Neurorehabilitation nach Schlaganfall bedient sich der spezifischen läsions- und trainingsinduzierten Plastizität des ZNS. Hier wird eine Übersicht über konventionelle Rehabilitationsmethoden und über neuere innovative Behandlungsansätze mit Hinweisen zur aktuellen Empfehlungsstärke gemäß den Kriterien der evidenzbasierten Medizin gegeben.
Abstract
Stroke is the main cause of long-term disability. Neurorehabilitation uses the specific lesion- induced and training-induced plasticity of the central nervous system. The present article gives an overview of conventional rehabilitation methods and of innovative therapeutic approaches together with their grade of recommendation according to the current level of evidence.
Schlüsselwörter
Schlaganfall - Rehabilitation - Plastizität - Übersicht
Key words
stroke - rehabilitation - plasticity - review
Literatur
- 1
Sterr A.
Training-based interventions in motor rehabilitation after stroke: theoretical and
clinical considerations.
Behav Neurol.
2004;
15
55-63
MissingFormLabel
- 2
Platz T, Eickhof C, Kaick van S. et al .
Impairment-oriented training or Bobath therapy for severe arm paresis after stroke:
a single-blind, multicentre randomized controlled trial.
Clin Rehab.
2005;
19
714-724
MissingFormLabel
- 3
Bolten D A, Cauraugh J H, Hausenblas H A. et al .
Elektromyogram-triggered neuromuscular stimulation and stroke motor recovery of arm/hand
functions: a meta-analysis.
J Neurol Sci.
2004;
223
121-127
MissingFormLabel
- 4
Macko R F, Ivey F M, Forrester L W. et al .
Treadmill exercise rehabilitation improves ambulatory function and cardiovascular
fitness in patients with chronic stroke: a randomised controlled trial.
Stroke.
2005;
36
2206-2211
MissingFormLabel
- 5
Kim Y H, You S H, Ko M H. et al .
Repetitive transcranial magnetic stimulation-induced corticomotor excitability and
associated motor skill aquisition in chronic stroke.
Stroke.
2006;
37
1471-1476
MissingFormLabel
- 6
Scheidtmann K, Freis W, Muller F. et al .
Effect of levodopa in combination with physiotherapy on functional motor recovery
after stroke: a prospective, randomised, double-blind study.
Lancet.
2001;
358
787-790
MissingFormLabel
- 7
Robey R R.
A meta-analysis of clinical outcomes in the treatment of aphasia.
J Speech Lang Hear Res.
1998;
41
172-187
MissingFormLabel
- 8
Bhogal S K, Teasell R, Speechley M.
Intensity of aphasia therapy, impact on recovery.
Stroke.
2003;
34
987-993
MissingFormLabel
- 9
Meinzer M, Elbert T, Wienbruch C. et al .
Intensive language training enhanced brain plasticity in chronic aphasia.
BMC Biol.
2004;
2
20
MissingFormLabel
- 10
Martin P L, Naeser M A, Theoret H. et al .
Transcranial magnetic stimulation as a complementary treatment for aphasia.
Sem Speech Lang.
2004;
25
181-191
MissingFormLabel
- 11
Huber W, Willmes K, Poeck K. et al .
Piracetam as an adjuvant to language therapy for aphasia: a randomised double-blind
placebo-controlled pilot study.
Arch Phys Med Rehab.
1997;
78
245-250
MissingFormLabel
- 12
Walker-Batson D, Curtis S, Natarajan R. et al .
A double-blind, placebo-controlled study of the use of amphetamine in the treatment
of aphasia.
Stroke.
2001;
32
2093-2098
MissingFormLabel
- 13
Dennis M S, Lewis S C, Warlow C. et al .
Effect of timing and method of enteral tube feeding for dysphasic stroke patients
(FOOD): a multicentre randomised controlled trial.
Lancet.
2005;
365
764-772
MissingFormLabel
- 14
Hamdy S, Aziz Q, Rothwell J C. et al .
Recovery of swallowing after dysphagic stroke relates to functional reorganizationin
the intact motor cortex.
Gastroenterology.
1998;
115
1104-1112
MissingFormLabel
- 15
Carnaby G, Hankey G J, Pizzi J.
Behavioural intervention for dysphagia in acute stroke: a randomised controlled trial.
Lancet Neurol.
2006;
5
31-37
MissingFormLabel
- 16
Nakagawa T, Wada H, Sekizawa K. et al .
Amantadine and pneumonia.
Lancet.
1999;
353
1157
MissingFormLabel
- 17
Sturm W, Longoni F, Weis S. et al .
Functional reorganisation in patients with right hemisphere stroke after training
of alertness: a longitudinal PET and fMRI study in eight cases.
Neuropsychologia.
2004;
42
434-450
MissingFormLabel
- 18
Schindler I, Kerkhoff G, Karnath H O. et al .
Neck muscle vibration induced lasting recovery in spatial neglect.
J Neurol Neurosurg Psychiatry.
2002;
73
412-419
MissingFormLabel
- 19
Johannsen L, Ackermann H, Karnath H O.
Lasting amelioration of spatial neglect by treatment with neck muscle vibration even
without concurrent training.
J Rehab Med.
2003;
35
249-253
MissingFormLabel
- 20
Dam M, Tonin P, De Boni A. et al .
Effects of fluoxetine and maprotiline on functional recovery in poststroke hemiplegic
patients undergoing rehabilitation therapy.
Stroke.
1996;
27
1211-1214
MissingFormLabel
Dr. med. Antje Kloth
Therapiezentrum für Geriatrie und Schlaganfall
K.-Marx-Str. 16
18195 Tessin
Email: a.kloth@tessinum.de