Viruega Hélène, Gaviria Manuel
Institut Equiphoria, Combo Besso-Rouges Parets, 48500 La Canourgue, France.
Alliance Equiphoria, 4, Résidence Le Sabot, 48500 La Canourgue, France.
Brain Sci. 2022 Jul 26;12(8):982. doi: 10.3390/brainsci12080982.
Neurological disorders often cause severe long-term disabilities with substantial activity limitations and participation restrictions such as community integration, family functioning, employment, social interaction and participation. Increasing understanding of brain functioning has opened new perspectives for more integrative interventions, boosting the intrinsic central nervous system neuroplastic capabilities in order to achieve efficient behavioral restitution. Neurorehabilitation must take into account the many aspects of the individual through a comprehensive analysis of actual and potential cognitive, behavioral, emotional and physical skills, while increasing awareness and understanding of the new self of the person being dealt with. The exclusive adoption by the rehabilitator of objective functional measures often overlooks the values and goals of the disabled person. Indeed, each individual has their own rhythm, unique life history and personality construct. In this challenging context, it is essential to deepen the assessment through subjective measures, which more adequately reflect the patient's perspective in order to shape genuinely tailored instead of standardized neurorehabilitation approaches. In this overly complex panorama, where confounding and prognostic factors also strongly influence potential functional recovery, the healthcare community needs to rethink neurorehabilitation formats.
神经系统疾病常常导致严重的长期残疾，伴有大量的活动受限和参与限制，如融入社区、家庭功能、就业、社交互动和参与等方面。对大脑功能的深入了解为更综合的干预措施开辟了新的视角，增强中枢神经系统的内在神经可塑性，以实现有效的行为恢复。神经康复必须通过对实际和潜在的认知、行为情感及身体技能进行全面分析，考虑个体的诸多方面，同时提高对所治疗患者新自我的认识和理解。康复治疗师单纯采用客观功能测量方法往往会忽视残疾人的价值观和目标。事实上，每个人都有自己的节奏、独特的生活经历和个性结构。在这种具有挑战性的背景下，通过主观测量方法深化评估至关重要，这些方法能更充分地反映患者的观点，从而制定真正量身定制而非标准化的神经康复方法。在这个过于复杂的全景中，混杂因素和预后因素也强烈影响潜在的功能恢复，医疗界需要重新思考神经康复模式。
