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Locomotor Training

Principles and Practice

By: Susan J. Harkema,Andrea L. Behrman,Hugues Barbeau

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Locomotor Training

Principles and Practice

By: Susan J. Harkema,Andrea L. Behrman,Hugues Barbeau

Physical rehabilitation for walking recovery after spinal cord injury is undergoing a paradigm shift. Therapy historically has focused on compensation for sensorimotor deficits after SCI using wheelchairs and bracing to achieve mobility. With locomotor training, the aim is to promote recovery via activation of the neuromuscular system below the level of the lesion. What basic scientists have shown us as the potential of the nervous system for plasticity, to learn, even after injury is being translated into a rehabilitation strategy by taking advantage of the intrinsic biology of the central nervous system. While spinal cord injury from basic and clinical perspectives was the gateway for developing locomotor training, its application has been extended to other populations with neurologic dysfunction resulting in loss of walking or walking disability.

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Page Count

200

Published Date

ISBN 10

0195342089

ISBN 13

9780195342086

Neurological Rehabilitation

Chapter 5. Clinical trials in neurorehabilitation

By: Andrea L. Behrman,Mark G. Bowden,Dorian K. Rose

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Neurological Rehabilitation

Chapter 5. Clinical trials in neurorehabilitation

By: Andrea L. Behrman,Mark G. Bowden,Dorian K. Rose

The clinical trial is essential to testing efficacy and effectiveness of therapeutic interventions. Neurorehabilitation presents unique challenges in the execution of clinical trials due to the complexity of both human interface with complex interventions and clinical/research staff interaction. Attention to key elements, recruitment, retention, treatment fidelity, and control intervention selection, contributes to successful conduct of a trial. Alternatives to the randomized controlled trial and outcome measure selection are important considerations contributing to the merit of the trial. While clinical trial outcomes contribute to the scientific evidence, their true value and impact comes in the next step, translation to clinical practice and the improvement of patient outcomes and qualify of life. Translation of evidence into practice may best be achieved via partnerships of scientists, clinicians, and administrators resulting in a dynamic interface between science and practice, the laboratory, and the clinic.

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Page Count

18

Publisher

Elsevier Inc. Chapters

Published Date

ISBN 10

0128077948

ISBN 13

9780128077948