Article

Behavioral aspects of motor learning such as definition and
assessment of patient-centered goals, specific motivation, training in the
patients' environment, autonomous training and generalization of newly learned
skills to daily life are not an explicit part of physiotherapy in
neurorehabilitation.
Specific goals are defined and
applied in a step by step manner. Exercises and application in daily life were
trained and anticipated as
a "self control cue" for the following week.
Motivation was sustained via supervision, feedback after successful trials and
reward. Exercises have to occure at a daily basis and have to be implemented in everyday life. CASE DESCRIPTION: A 54 year old man who suffered cerebral bleeding
with left hemiparesis 25 years ago. We report goal attainment, change of symptoms
and walking capacities over a period of 18 months.
RESULTS: Back pain and knee
pain reduced to zero, rhythmic walking, walking speed increased, left leg less resistance, running possible. DISCUSSION: The here described principles of
behavioral physiotherapy are crucial for successful outcome in extremely stable
and persistent consequences of stroke. Studies with more patients are needed to
strengthen our hypothesis.

Langue : ANGLAIS