Janet Carr and Roberta Shepherd head up a new team of eminent
authors for the second edition of this definitive text on
neurological physiotherapy. In the first edition, the authors
described a model of neurological rehabilitation for individuals
with motor dysfunction based on scientific research in the areas of
neuromuscular control, biomechanics, motor skill learning, and the
link between cognition and action, together with developments in
pathology and adaptation.
The new edition continues to advance this model while
identifying and incorporating the many advances that have occurred
in the last decade in the understanding and treatment of adults
with neurological conditions, whether caused by accident or
disease. Among these advances is the knowledge that the brain
retains a plastic potential to reorganize, even in old and/or
lesioned brains, and that neural plasticity can be influenced by
task-related mental and physical practice in a stimulating
environment. There is also an increasing body of knowledge related
to the musculoskeletal system's adaptability and the need to
prevent length and stiffness- related changes in muscle
contractility, together with loss of aerobic fitness and endurance.
There is an expanding body of clinical research that appears to
support the model provided here. The training guidelines outlined
in "Neurological Rehabilitation" are based on biomechanical
constructs and motor relearning research, applied to enhance brain
reorganization and muscle contractility, and encourage functional
recovery of the patient. It connects science and clinical practice
enabling students and practitioners to develop their knowledge and
use new clinical methods based on modern scientific
understanding.
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