Neuroprotection and Stroke Rehabilitation: Modulation and Enhancement of Recovery

Recent advances in research are modifying our view of recovery after nervous system damage. New findings are changing previously held concepts and providing promising avenues for treatment of patients after stroke. This review discusses mechanisms of neuronal injury after brain ischemia and the atte...

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Main Authors: José Rafael Romero, Viken L. Babikian, Douglas I. Katz, Seth P. Finklestein
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:Behavioural Neurology
Online Access:http://dx.doi.org/10.1155/2006/137532
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author José Rafael Romero
Viken L. Babikian
Douglas I. Katz
Seth P. Finklestein
author_facet José Rafael Romero
Viken L. Babikian
Douglas I. Katz
Seth P. Finklestein
author_sort José Rafael Romero
collection DOAJ
description Recent advances in research are modifying our view of recovery after nervous system damage. New findings are changing previously held concepts and providing promising avenues for treatment of patients after stroke. This review discusses mechanisms of neuronal injury after brain ischemia and the attempts to study neuroprotection options based on such mechanisms. It also considers measures available at present to improve outcome after stroke and presents new areas of research, particularly stimulation techniques, neurogenesis and trophic factors to enhance recovery. In order to improve outcomes, medications that may be detrimental to recovery should be avoided, while symptomatic therapy of problems such as depression, pain syndromes and spasticity may contribute to better results. Continued surveillance and early treatment of complications associated with acute stroke, along with supportive care remain the mainstay of treatment for stroke patients in the recovery phase. Present research on limiting brain damage and improving recovery and plasticity enhance the prospects for better clinical treatments to improve recovery after stroke.
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spelling doaj-art-7632e0e410594eb09fe88db4e4522b6d2025-02-03T05:51:47ZengWileyBehavioural Neurology0953-41801875-85842006-01-01171172410.1155/2006/137532Neuroprotection and Stroke Rehabilitation: Modulation and Enhancement of RecoveryJosé Rafael Romero0Viken L. Babikian1Douglas I. Katz2Seth P. Finklestein3Department of Neurology, Boston University Medical Center, Boston University, Boston, MA, USADepartment of Neurology, Boston University Medical Center, Boston University, Boston, MA, USADepartment of Neurology, Boston University Medical Center, Boston University, Boston, MA, USABiotrofix, Inc., Needham, MA, USARecent advances in research are modifying our view of recovery after nervous system damage. New findings are changing previously held concepts and providing promising avenues for treatment of patients after stroke. This review discusses mechanisms of neuronal injury after brain ischemia and the attempts to study neuroprotection options based on such mechanisms. It also considers measures available at present to improve outcome after stroke and presents new areas of research, particularly stimulation techniques, neurogenesis and trophic factors to enhance recovery. In order to improve outcomes, medications that may be detrimental to recovery should be avoided, while symptomatic therapy of problems such as depression, pain syndromes and spasticity may contribute to better results. Continued surveillance and early treatment of complications associated with acute stroke, along with supportive care remain the mainstay of treatment for stroke patients in the recovery phase. Present research on limiting brain damage and improving recovery and plasticity enhance the prospects for better clinical treatments to improve recovery after stroke.http://dx.doi.org/10.1155/2006/137532
spellingShingle José Rafael Romero
Viken L. Babikian
Douglas I. Katz
Seth P. Finklestein
Neuroprotection and Stroke Rehabilitation: Modulation and Enhancement of Recovery
Behavioural Neurology
title Neuroprotection and Stroke Rehabilitation: Modulation and Enhancement of Recovery
title_full Neuroprotection and Stroke Rehabilitation: Modulation and Enhancement of Recovery
title_fullStr Neuroprotection and Stroke Rehabilitation: Modulation and Enhancement of Recovery
title_full_unstemmed Neuroprotection and Stroke Rehabilitation: Modulation and Enhancement of Recovery
title_short Neuroprotection and Stroke Rehabilitation: Modulation and Enhancement of Recovery
title_sort neuroprotection and stroke rehabilitation modulation and enhancement of recovery
url http://dx.doi.org/10.1155/2006/137532
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