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• W2004221419 abstract "Summary In physiotherapy in general, and in neurological therapy in particular, there is growing awareness that the importance of theory and its use in treatment programmes must be made explicit. The often implicit and poor scientific state of theories underlying their programmes impedes therapists in making informed choices in their clinical and scientific work. Efforts have been made to uncover theories that implicitly guide programmes in common use. Some theorists propose to replace approaches based on out-dated principles in favour of new ones supported by up-to-date scientific material. Others are less radical and suggest revising them by adding the latest scientific knowledge. This raises the question as to which strategy is the most appropriate for developing optimal programme configurations. For the purpose of this article we have explored the different ways in which scientific principles find a place in, and give shape to, the content of two approaches in common use for the rehabilitation of stroke patients: neuro developmental treatment (NDT) and a motor relearning programme (MRP). This analysis shows that both approaches incorporate principles of neural plasticity to support the assumption that it makes sense to train integration of the hemiplegic side in functional tasks. This clinical assumption is further specified into different critical treatable factors and accompanying techniques with the help of patho-neurophysiological principles in NDT and muscle physiological and biomechanical principles in MRP. Both tangles of principles and practices are, in turn, entwined with diverging learning theories and related strategies. Our analysis illustrates that the relationship between scientific principles and therapy practices is complex. Therefore the question of whether programme development should be achieved through the process of substitution or addition of ‘new’ principles reflects an overly simplistic evaluation of the influence of theory on practice." @default.
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• W2004221419 date "1999-09-01" @default.
• W2004221419 modified "2023-09-26" @default.
• W2004221419 title "Entwinement of Theory and Practice in Physiotherapy" @default.
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• W2004221419 doi "https://doi.org/10.1016/s0031-9406(05)65473-9" @default.
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