ABSTRACT

Common neurological diagnoses that require rehabilitation services include acquired brain injury, spinal cord injury and stroke. In children, all of these diagnoses exist, but in smaller numbers. Rehabilitation principles and services are also utilized in childhood-acquired disabilities such as cerebral palsy (CP), spina bifida and neuromuscular diseases. Quite frequently, these will include medical stability of the patient, patient ability to actively participate in therapy two to three hours daily, patient ability to lay down new memories and learn new information and a willingness of the individual with the disability to work with the rehabilitation team. This chapter outlines examples of general goal areas, team members involved and therapeutic interventions. Neuroradiological studies and neuropsychological evaluations help to predict probable deficits but there is a lack of precision. From a practical perspective, when neurological injury has interfered with bladder function, it is important to remove a continuous catheter as soon as clinically possible.