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Updated: Jun 6, 2025

Structured Motor Rehabilitation After Selective Nerve Transfers
Published on: August 15, 2019
[Neurorehabilitation]
Christian Dohle1,2, Mareike Schrader3,4
1P.A.N. Zentrum für Post-Akute Neurorehabilitation, Fürst Donnersmarck-Stiftung zu Berlin, Wildkanzelweg 28, 13465, Berlin, Deutschland. C.Dohle@panzentrum.de.
Abstract:
Neurorehabilitation is characterized by a structured, interdisciplinary collaboration among various professional fields, focused on achieving individualized participation goals for patients. This process considers the different levels of the International Classification of Functioning, Disability, and Health (ICF), specifically function, activity and participation. Multiple evidence-based treatment procedures targeting specific mechanisms of action are available for the rehabilitation of disorders associated with various diseases. Treatment must be administered with sufficient intensity to be effective. The neurological phase model encompasses several stages of care ranging from acute treatment in phase A to phase D for patients who are largely independent. Early rehabilitation phase B and rehabilitation phase C combine acute and rehabilitation-specific tasks. Phase E supports long-term occupational and social participation, while phase F is dedicated to long-term care for severely affected patients. In the outpatient setting, the long-term care of neurologically affected patients remains insufficient due to a lack of interdisciplinary collaboration possibilities, highlighting an urgent need for expansion and improved integration between care providers.
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