The aim of our single-group pre–post design pilot study was to evaluate the short-term effect of kinesio taping (KT) application on pain and motor ability of hemiplegic shoulder pain (HSP) patients. Eleven poststroke patients with HSP hospitalized in the Department of Neurology C, Loewenstein Rehabilitation Hospital, Raanana, Israel, received a KT application in addition to their usual rehabilitation protocol. KT, consisting of one to three strips according to a predefined algorithm, was applied to the painful shoulder region. A 10 cm Visual Analog Scale of shoulder pain at rest and at arm movement, active and passive pain-free abduction range of motion, Box & Blocks, and Fugl-Meyer upper extremity motor assessment were performed before treatment and 24 h after wearing the KT. After applying the KT, there was no significant change in any variables. Short-term KT application, used in our study, produced no change in shoulder pain, range of motion, or ability of upper limb in HSP patients. Additional studies should evaluate the effect of long-term application and different types of KT applications on HSP.

Functional Neurological Disorders (FNDs) are one of the most common and disabling neurological disorders, affecting approximately 10–30% of patients in neurology clinics. FNDs manifest as a range of motor, sensory, and cognitive symptoms that are not explained by organic disease. This narrative review aims to assess the current state of knowledge in physical-based rehabilitation for motor/movement FNDs in the adult population, with the goal of improving research and medical care for this patient population. To ensure optimal outcomes for patients, it is critical to consider several domains pertaining to FNDs, including which field of discipline they should belong to, how to investigate and test, methods for rating outcome measures, and optimal courses of treatment. In the past, FNDs were primarily treated with psychiatric and psychological interventions. However, recent literature supports the inclusion of physical rehabilitation in the treatment of FNDs. Specifically, physical-based approaches tailored to FNDs have shown promising results. This review utilized a comprehensive search of multiple databases and inclusion criteria to identify relevant studies.

The advances of modern medicine, prolonging the average life-span, and especially the recognition of medical rehabilitation as a vital part of the medical process, have created rapid development in the field among most of the countries worldwide. The dynamic process of the development in the fields of medical rehabilitation in Russian healthcare, has brought up questions about different outlooks, principles and processes of quality assessment in medical rehabilitation. Taking into consideration the differences in the organizational structures and professional tendencies — applying the indicators of quality into rehabilitation practice can prove to be challenging. In the last years the Israeli health system has gained much experience working with different rehabilitation structures. The Obligatory State Insurance of the Israeli health system forced Health Funds to developed optimal indicators for the evaluation of the professional quality in rehabilitation. The accumulated knowledge can help in creating a system for the quality assessment in Russian Federation. Rehabilitation is characterized by a long list of professional performance aspects which are exposed to quality control. That is why it is common to define indicators separately for the structures, processes, and results. In different countries dissimilar aspect of quality are defined as indicators, but all of them are built on similar principles — which focus on the simplicity and objectiveness of information gathering, minimal dependency on the character of the auditor, combining different forms of internal and external examination, and including systems of quality control by gathering questionnaires from the patients and their family members. The chosen quality indicators of the rehabilitation process need to reflect on the different sides of the professional treatment, stimulating a constant increase in quality on account of organizational activities in the industry in general and in separate departments in particular. The International Classification of Functioning (ICF) is widespread over many countries and constitutes the accepted paradigm in the field of medical rehabilitation, and with time may become the optimal platform for developing a system of quality control worldwide.

Persons with chronic stroke (PwCS) have a decreased ability to ambulate and walk independently. We aimed to investigate the differences between the motor adaptation process for two different perturbation methods: split-belt treadmill walking and unilaterally applied resistance to the swing leg during walking. Twenty-two PwCS undergo split-belt treadmill walking and unilaterally applied resistance to the swing leg during walking, each one week apart. The test included three phases: the baseline period, the early-adaptation period and the late-adaptation period, as well as the early-de-adaptation period and the late-de-adaptation period. The average step length, swing duration, double-limb support duration, and coefficient of variance (CV) of these parameters were measured. During the split-belt treadmill walking, PwCS showed an adaptation of double-limb support duration symmetry (p = 0.004), specifically a trend between baseline versus early-adaptation (p = 0.07) and an after-effect (late-adaptation compare to early-de-adaptation, p = 0.09). In unilaterally applied resistance to the swing leg during walking, PwCS showed lower swing phase duration CV, in the adaptation period (baseline compare to adaptation, p = 0.006), and a trend toward increased variability of gait in the de-adaptation period compare to the adaptation periods (p = 0.099). The rate of adaptation and de-adaptation were alike between the two perturbation methods. Our findings show that the learning process happening in the central nervous system of PwCS may be dependent on the nature of the perturbation (mechanical resistance vs. split-belt) and that PwCS are able to adapt to two types of errors.

A definition as stated by the American Academy of Physical Medicine and Rehabilitation in 1975 is: "Medical rehabilitation services can be defined as a coordinated multi - disciplinary approach to disability under a qualified physician who directs a plan of management for one or more of the categories of chronic disabling diseases or injuries, specifying realistic goals for maximal recovery". The Main rehabilitation principles include patient and family centeredness, a multidisciplinary approach and holistic attitude towards physical and mental health. From early in its development and until today, rehabilitation is represented as the third phase of medical care - after diagnosis and treatment. Physical and Rehabilitation Medicine (PRM) is a growing and a developing discipline. Gutenbrunner et al wrote: "Various societal and medical trends, including the ageing of populations, the increasing number of people with functional limitations due to improving survival rates in different disease entities (e.g. stroke, spinal cord injury, multiple trauma) and the need of elderly workers to remain integrated in the workforce despite the presence of chronic illnesses, call for an increasing importance of rehabilitation in the future".