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  4. Concomitant Use of Neuroprotective Drugs in Neuro Rehabilitation of Multiple Sclerosis

Concomitant Use of Neuroprotective Drugs in Neuro Rehabilitation of Multiple Sclerosis

Int J Phys Med Rehabil, 2016 · DOI: 10.4172/2329-9096.1000348 · Published: August 1, 2016

NeurologyNeurorehabilitation

Simple Explanation

Neurorehabilitation helps patients to reach and maintain their optimal physical, psychological and intellectual, levels but it does not reverse long-term disabilities that arise from neurological disorders. This calls for the need of better neuroregenerative and neuroprotective treatment strategies in addition to neurorehabilitation. Inclusion of these drugs as a multifaceted approach may further enhance the efficacy of neurorehabilitation in neuroinflammatory and neurodegenerative disorders.

Study Duration
Not specified
Participants
Not specified
Evidence Level
Review

Key Findings

  • 1
    Inpatient rehabilitation is more likely prone to have short term effects on the activities and participation of MS patients but not on impairment.
  • 2
    The early steps of neuronal plasticity are not likely to limit compensatory changes in MS and therefore there is a need for rehabilitation efforts on mechanisms supporting the late stages of motor learning
  • 3
    After 5 weeks of cognitive training, patients demonstrated a significant clinical improvement of neuropsychological performance, and this corresponded with increased brain fMRI activity in cerebellar areas of the brain

Research Summary

We provide an overview of rehabilitation in neurological diseases. Neurorehabilitation helps patients to reach and maintain their optimal physical, psychological and intellectual, levels but it does not reverse long-term disabilities that arise from neurological disorders. Prospective treatment strategies for MS can be enhanced by including agents targeting the nervous system like Nabs that stimulate remyleination or other neuroprotective drugs.

Practical Implications

Enhanced Neurorehabilitation Efficacy

Combining neuroprotective drugs with neurorehabilitation may improve outcomes for patients with neuroinflammatory and neurodegenerative disorders.

Targeted Treatment Strategies

Future MS treatments should focus on stimulating brain lesion repair and rehabilitation to bridge the gap between pathology and symptomatic improvement.

Remyelination Therapies

Remyelination therapies using natural antibodies (Nabs) show promise due to their potential to stimulate remyelination and the relatively open blood-brain barrier during acute disease phases.

Study Limitations

  • 1
    The effect of neurorehabilitation might not be long lasting.
  • 2
    Treatment targeting the immune system does not prevent or reverse long-term disabilities.
  • 3
    Many neuroprotective drugs are yet to show efficacy in phase 3 trials, making it difficult to know how they can be integrated in MS therapy and neurorehabilitation.

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