Advances in Neuromotor Stroke Rehabilitation

摘要

Stroke is the second leading cause of death and the third leading cause of disability-adjusted life-years (DALYs) worldwide [1], In the past two decades, the absolute number of people who have a stroke every year and stroke survivors and the overall global burden of stroke have been increasing [2]. This was the consequence of an increase in life expectancy and reduced mortality in the acute phase in stroke care. The public health systems and the scientific communities should seriously take into account the "pandemia" of stroke survivors [3]. From the other side, a big amount of economic resources, needed for the rehabilitation of people after stroke, is related to the increasing prevalence of patients affected by stroke sequelae. It transforms this ethical duty in an utopistic mission. There is the need of increasing rehabilitation and, at the same time, reducing its costs. New technologies for neurorehabilitation can provide modern tools for increasing efficiency. Despite the extraordinary possibilities of these new approaches, there is a lot of work for integrating them into the routinary rehabilitation programs. These devices should be considered as tools in the hands of neurorehabilitation teams usable in the framework of a rehabilitative program and not only rehabilitative per se. In fact, they should be integrated in a complex model in which the aim and the , actual patients conditions concur to tailor training with multimodal conditions integrating classical and well-known conventional therapy with the new""approaches, including new technological devices [4].