This article presents and discusses a long-term repeated-immersion research process that explores meaning allocated to an episode of 50 seconds of music improvisation in early neurosurgical rehabilitation by a teenage boy with severe traumatic brain injury and his music therapist. The process began with the original therapy session in August 1994 and extends to the current time of writing in 20...

This paper emphasizes the importance of developing kinematic and neurophysiological methods for evaluating motor and functional recovery in the field of neurorehabilitation. From a review of the literature, it is concluded that optoelectronic motion analysis and neurophysiological techniques, such as the study of nociceptive withdrawal reflex, might constitute useful applications for future res...

Ninety seven patients with stroke who had participated in a randomised trial of conventional physical therapy nu an enhanced therapy for arm function were followed up at one year. Despite the emphasis of the enhanced therapy approach on continued use of the arm in everyday life, the advantage seen for some patients with enhanced therapy at six months after stroke had diminished to a non-signifi...

New interventional approaches have been proposed in the last few years to treat the motor deficits resulting from brain lesions. Training protocols represent the gold-standard of these approaches. However, the degree of motor recovery experienced by most patients remains incomplete. It would be important to improve our understanding of the mechanisms underlying functional recovery. This chapter...

OBJECTIVE To explore the way in which standardized measurement tools are used in day-to-day clinical practice. DESIGN Non-participant observation and semi-structured interviews. SETTING Hospital-based adult neurorehabilition unit. PARTICIPANTS The multidisciplinary team delivering rehabilitation in the unit. RESULTS The multidisciplinary team used the measurement tools internally to est...

Finding, testing and demonstrating efficacy of new treatments for stroke recovery is a multifaceted challenge. We believe that to advance the field, neurorehabilitation trials need a conceptually rigorous starting framework. An essential first step is to agree on definitions of sensorimotor recovery and on measures consistent with these definitions. Such standardization would allow pooling of p...

PURPOSE This study aimed to understand our shared conflicting response and discomfort to person-centred rehabilitation within the context of our physiotherapy rehabilitation culture by reflecting on our own experiences as research physiotherapists and clinicians. METHOD This study used autoethnographical methods to explore the personal and professional experiences of two physiotherapists in n...

The soft neurological signs (SNS) and minor physical anomalies (MPA) were studied in 107 adult schizophrenics. The sample consisted chronic (N=60) and acute (N=47) schizophrenic subtypes. The SNS were found more in chronic patients (p< .01). The most prevalent abnormalities in SNS were related to the sensory integration and motor co-ordination. The release reflexes were rare though they were en...