Lecture notes
Rehabilitation lecture notes
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- University Of Lincoln (UoL)
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RehabilitationCognitive Rehabilitation
an intervention in which patients and their families work with health professionals
to restore or compensate for cognitive deficits, thereby improving the patients’
everyday functioning (Anderson et al., 2003)
team effort
restoration or compensation
meaning and measurable improvements
WHO (1999) Classification
Impairments - structure or function
Disability - deficits in capacity to carry out day to day behaviours
Restrictions - changes to involvement in life arenas (e.g. work or social
engagement
Case Study: Tom
23 years, traffic accident, bilateral frontal lobe damage.
impairments - structure: functional lobe damage; function: executive dysfunction,
planning, organisation
Disability - problems getting started, easily distracted, multitasking,
perseveration
Restrictions - in situations with no structure, many options available, thinking on
feet
Mechanisms of Recovery
restoration - structures known to subserve an impaired function are activated
Rehabilitation 1
, compensation - function is subserved by distinct mechanisms to those found in
controls
Cortical Plasticity
Hebb (1949) strengthening of synaptic connections when pre-post-synaptic
neurons are coactive
Neurons divided by lesion can reconnect if activated simultaneously
“cells that fire together, wire together”
Recovery Patterns
Triage of Recovery Patterns:
autonomous recovery
no recovery
assisted recovery
Autonomous Recovery
Dendritic sprouting of cells in caudate nucleus in PD
Rehabilitation 2
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