title: [Evidence-based methods in motor rehabilitation after stroke].
abstract: In this review, treatments for motor rehabilitation after stroke will be presented. In particular, randomised, controlled trials, meta-analyses and systematic reviews, mainly from the years 2009 - 2011, were taken into consideration. In summary, evidence is best for constraint-induced movement therapy and Botulinum toxin type A in patients with focal spasticity. Superiority has been demonstrated for the administration of drugs (serotonin re-uptake inhibitors and L-dopa), mirror therapy, the use of virtual reality, electromechanical devices to restore independent walking, and fitness and circuit training. Other therapies (bilateral arm training, treadmill therapy, robot-assisted arm therapy) did not show superiority. For sensory training and repetitive transcranial magnetic stimulation large clinical studies still need to be done.
authors: Neurorehabilitation, Kliniken Schmieder, Allensbach. j.liepert@kliniken-schmieder.de
authors: J
authors: J
authors: Liepert
mesh_terms: D019274:Botulinum Toxins, Type A / Q000627:therapeutic use; D019317:Evidence-Based Medicine; D006801:Humans; D009069:Movement Disorders / Q000188:drug therapy / Q000209:etiology / Q000534:rehabilitation*; D009465:Neuromuscular Agents / Q000627:therapeutic use; D010809:Physical Fitness; D026741:Physical Therapy Modalities; D020127:Recovery of Function / Q000502:physiology; D012371:Robotics; D020521:Stroke / Q000150:complications; D000071939:Stroke Rehabilitation; D050781:Transcranial Magnetic Stimulation; D014584:User-Computer Interface; D016138:Walking / Q000502:physiology
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A