Rehabilitation des Schlaganfalls - Funktionelle Besserung über multimodale Therapieansätze

Stroke is the leading cause of long-term major disability in developed countries, although several improvements could be achieved in acute stroke therapy (e. g. thrombolysis, stroke-unit treatment). Therefore, an early onset of an intensive and multimodal rehabilitation workup is of particular importance to reduce stroke morbidity and stroke-related dependency. Stroke rehabilitation was enhanced due to a better understanding of the natural course of functional reorganisation after stroke and the development of techniques to modulate these processes. During the last years several therapeutic strategies for stroke rehabilitation were studied in controlled clinical trials. Therefore, there are evidence-based recommendations available for some of these therapies. This review summarizes the actual status of evidence-based stroke rehabilitation particular focussing on early rehabilitation.