Neurological rehabilitation (rehab) is a doctor-supervised program designed for people with diseases, injury, or disorders of the nervous system. Neurological rehab can often improve function, reduce symptoms, and improve the well-being of the patient.
Injuries, infections, degenerative diseases, structural defects, tumors, and disorders in the circulatory system can impair the nervous system. Some of the conditions that may benefit from neurological rehab may include:
Vascular disorders, such as ischemic strokes (caused by blood clots), hemorrhagic strokes (caused by bleeding in the brain), subdural hematoma, and transient ischemic attacks (TIAs)
Infections, such as meningitis, encephalitis, polio, and brain abscesses
Trauma, such as brain and spinal cord injury
Structural or neuromuscular disorders, such as Bell palsy, cervical spondylosis, carpal tunnel syndrome, brain or spinal cord tumors, peripheral neuropathy, muscular dystrophy, myasthenia gravis, and Guillain-Barré syndrome
Functional disorders, such as headache, seizure disorder, dizziness, and neuralgia
Degenerative disorders, such as Parkinson disease, multiple sclerosis, amyotrophic lateral sclerosis (ALS), Alzheimer disease, and Huntington chorea
Neurological rehab programs can be done on an inpatient or outpatient basis. Many skilled professionals are part of the neurological rehab team, including:
Neurologist/neurosurgeon
Orthopedist/orthopedic surgeon
Physiatrist
Internist
Other specialty doctors
Rehabilitation specialists
Registered dietitian
Physical therapist
Occupational therapist
Speech/language therapist
Social worker
Psychologist/psychiatrist
Recreational therapist
Case manager
Audiologist
Chaplain
Vocational counselor
A neurological rehab program is designed to meet your individual needs, depending on your specific problem or disease. Active involvement of you and your family is vital to the success of the program.
The goal of neurological rehab is to help you return to the highest level of function and independence possible, while improving your overall quality of life — physically, emotionally, and socially.
To help reach these goals, neurological rehab programs may include:
Help with activities of daily living (ADLs), such as eating, dressing, bathing, toileting, handwriting, cooking, and basic housekeeping
Speech therapy to help with speaking, reading, writing, or swallowing
Stress, anxiety, and depression management
Bladder and bowel retraining
Activities to improve mobility (movement), muscle control, gait (walking), and balance
Exercise programs to improve movement, prevent or decrease weakness caused by lack of use, manage spasticity and pain, and maintain range of motion
Social and behavioral skills retraining
Nutritional counseling
Involvement in community support groups
Activities to improve cognitive impairments, such as problems with concentration, attention, memory, and poor judgment
Help with obtaining assistive devices that promote independence
Education and counseling
Safety and independence measures and home care needs
Pain management
Stress management and emotional support
Nutritional counseling
Vocational counseling
