Evidence-Based Neurorehabilitation

Evidence-based practice is now ingrained in our clinical knowledge and discussions though there still remains a gap between knowledge and actual implementation of evidence-based interventions. Recent surveys of clinicians working in the field of neurorehabilitation report that preferred theories and strategies are still neurodevelopment treatment (NDT), Brunnstrom, and proprioceptive neuromuscular facilitation despite significant research that indicates these strategies are based on outdated understandings of motor control and recovery. The Evidence-based medicine concept is that it involves the explicit, judicious and conscientious use of the best available evidence from published scientific research, which is necessary for the diagnosis and treatment of the patient, in this case, those with neurological disorders. For example, The Stroke Rehabilitation Evidence-Based Review (SREBR) reviews techniques, therapies, devices, procedures, and medications associated with stroke rehabilitation.