McLellan D L
Rehabilitation Research Unit, University of Southampton, UK.
J Neurol Neurosurg Psychiatry. 1992 Mar;55 Suppl(Suppl):47-50. doi: 10.1136/jnnp.55.suppl.47.
Rehabilitation is a process of active change by which a person who is disabled acquires and uses the knowledge and skills necessary for optimal physical, psychological and social function. Rehabilitation medicine is now established in Britain as a specialty concerned primarily with three groups: 1) those with multiple disability; 2) disabled people undergoing personal or social transitions, for example, school leavers; and 3) those with disabilities requiring complex technical or medical solutions. Rehabilitation medicine is distinguished from traditional clinical neurology by its emphasis on teamwork and on the analysis and reduction of disability rather than the diagnosis and treatment of impairment. Both neurology and rehabilitation medicine are dwarfed by the size of the problems they are expected to overcome and there is no justification for competition between the two specialties. The training of neurologists requires fundamental changes if they are to be equipped to assist rehabilitation effectively and contribute to the scientific development of the subject.
康复是一个积极的改变过程，通过这个过程，残疾人士获得并运用实现最佳身体、心理和社会功能所需的知识和技能。康复医学在英国现已确立为一个主要关注三类人群的专业领域：1）多重残疾者；2）正在经历个人或社会转变的残疾人，例如离校学生；3）需要复杂技术或医疗解决方案的残疾人。康复医学与传统临床神经学的区别在于，它强调团队合作以及对残疾的分析和减轻，而非对损伤的诊断和治疗。神经学和康复医学面对它们预期要克服的问题规模都显得微不足道，而且这两个专业之间没有竞争的理由。如果神经科医生要具备有效协助康复并为该学科的科学发展做出贡献的能力，他们的培训需要进行根本性变革。
