Relevanz des Schulter-Arm-Syndroms in der neurologischen Rehabilitation

Zusammenfassung

Immer wieder kommt es zu Diskussionen, ob man den hemiparetischen Arm erst proximal behandeln soll und ob Rumpf und Schulter ausreichend stabilisiert sein müssen, um distale Funktionen abrufen zu können. Besteht dadurch aber nicht die Gefahr, die Erholung der für den Alltag wichtigen Greif- und Manipulationsfunktion der Hand zu verzögern und wie kann die Entwicklung eines Complex Regional Pain Syndromes (CRPS) vermieden oder, wenn es denn aufgetreten ist, behandelt werden? Dieser Artikel gibt einen Überblick über verschiedene Behandlungsmöglichkeiten und deren Empfehlung durch die S2e-Leitlinien der DGNR. Und im letzten Teil ihres Artikels diskutieren die Autoren über neue Therapieansätze wie die repetitive transkranielle Magnetstimulation und die transkranielle Gleichstromstimulation.

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