Another look at neurological rehabilitation

Advances in neurophysiological research over the past 20 years have led to dramatic changes in the understanding of the neural control of movement. These newer concepts have directed attention towards possibilities for motor recovery previously discounted. They also imply that changes in health care delivery may be necessary in order to take advantage of the recovery process and achieve maximum potential. If the neurologically disabled are to benefit from the advances of science, and if physical therapy practitioners are to reach and maintain scientific credibility, some fundamental changes in clinical thinking and practice seem indicated. This article discusses some implications for the practice of physical therapy in neurology.