The Past, Present, and Future of Neurorehabilitation: From NUSTEP Through IV STEP and Beyond. (July 2017)

• Record Type: Journal Article
• Authors: Harris, Susan R.; Winstein, Carolee J.
• Is Part Of: Journal of neurologic physical therapy. Volume 41(2017)Supplement 3
• Publication Date: 2017-07
• Subjects: neuroplasticity -- neurorehabilitation -- participation -- prediction -- prevention; Nervous system -- Diseases -- Physical therapy -- Periodicals; Nervous system -- Diseases -- Treatment -- Periodicals; 616.80462
• DOI: 10.1097/NPT.0000000000000193
• Languages: English
• ISSNs: 1557-0576

Abstract

Abstract : Purposes: To present the history and aims of the STEP conferences; describe the interdependence of prevention, prediction, plasticity, and participation; reflect on where we stand today regarding those 4 Ps; and discuss how future neurorehabilitation should look for individuals with movement disorders. Key Points: Physical therapists have focused primarily on tertiary prevention, emphasizing primary/secondary prevention far less. Predicting optimal response to intervention is essential for primary prevention . Research examining neurorehabilitation effects mediated by brain plasticity is evolving from an emphasis on impairment outcomes toward examination of participation outcomes. Clinical Practice Recommendations: (1) Capitalize on primary and secondary prevention . (2) Administer simple, environmentally relevant predictive measures . (3) Partner with researchers to examine exercise-induced brain plasticity effects via neuroimaging. (4) Encourage physical activity to promote secondary prevention of lifestyle-related diseases and enhance participation . (5) Integrate psychological/social sciences with physiological sciences to move forward with advances in mindful health and patient-centered practices.