Two distinct paradigm shifts in the treatment of neuro rehabilitation, particularly stroke.

The first paradigm shift: Neurotherapeutic approaches

The principle of neurotherapeutic approaches although each neurotherapeutic approach is different from each other; all approaches share some common element. In this study NDT approach is selected because this approach is historically has been the most widely used in stroke rehabilitation.

 The second paradigm shift: functional task oriented training

The second paradigm shift in the treatment of neurological disorders began in 1990s. Therapists have begun to regard neurotherapeutic approaches with less optimism. The dissatisfaction with neurotherapeutic approach is due, in parts, to the fact that retraining normal movement patterns often did not carry over into the performance of functional daily living skills, which was the ultimate goal of rehabilitation. In addition, demand on therapist has been greater to use interventions that have demonstrated effectiveness. The lack of evidence of effectiveness of Bobath approach, has led to the development of novel training regimens based on what has been termed as the task oriented approach.

Note: These notes are taken from Stroke Rehab book.