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Clinical Application of Physical Therapy in Neurorehabilitation: 3rd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Rehabilitation".

Deadline for manuscript submissions: 31 July 2026 | Viewed by 3173

Special Issue Editors


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Guest Editor
1. Department of Neuroscience and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy
2. Unit of Rehabilitation Medicine, University Hospital of Ferrara, 44124 Ferrara, Italy
Interests: neurorehabilitation; technology rehabilitation; ICF model; patient-reported outcome measures; motion analysis; neurophysiology
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Guest Editor
Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Faculty of Health Sciences, Universidad Rey Juan Carlos, 28922 Madrid, Spain
Interests: neurorehabilitation; physical therapy; neurological disorders; technology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We are pleased to launch the 3rd edition of the Special Issue “Clinical Application of Physical Therapy in Neurorehabilitation”, following the great editorial achievements of its first two editions.

The field of physical therapy has gained new perspectives for the treatment of motor disorders after central nervous system lesions (i.e., stroke, multiple sclerosis, traumatic brain injury, spinal cord injury). Both conventional and technology-aided interventions (e.g., robotics, virtual reality, non-invasive brain stimulation, and telerehabilitation) have been proposed to restore motor functions, activities, and quality of life, with promising effects primarily tested in stroke patients so far. The aim of this Special Issue is to address a wide range of possible interventions in neurorehabilitation, both traditional and technologically supported, with a particular focus on the influence of relevant ingredients (dose, intensity, engagement, feedback used, and quality of movement) on functional and global outcomes. Moreover, the relevance of the rehabilitation setting (rehabilitation hospital, skilled nursing facility, clinic, or home) will be covered, with the aim of exploring all the potential contributors along the lifespan, including the long-term management of motor disabilities and the promotion of self-management and empowerment of patients and caregivers in the recovery process.

Dr. Sofia Straudi
Prof. Dr. Roberto Cano de la Cuerda
Guest Editors

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Keywords

  • physical therapy
  • technology-aided rehabilitation
  • exercise
  • neurorehabilitation
  • neuroplasticity
  • engagement
  • self-management

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Published Papers (2 papers)

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Research

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18 pages, 2180 KB  
Article
“Demanding, but Worth It”: The Parental Experience of Home-Based Vojta Therapy for Children Presenting Global Developmental Delay—A Qualitative Study Using Photo-Elicitation
by Ana San-Martín-Gómez, Roberto Cano-de-la-Cuerda, Carmen Jiménez-Antona, Livia Gomes Viana-Meireles, María Salcedo-Perez-Juana, Jorge Pérez-Corrales and Domingo Palacios-Ceña
J. Clin. Med. 2026, 15(1), 45; https://doi.org/10.3390/jcm15010045 - 21 Dec 2025
Viewed by 1192
Abstract
Background/Objectives: Introducing a demanding home-based program (HBP) of Vojta therapy (VT) into their daily activities is a life-altering event for parents of children with global developmental delay (GDD). This study aims to document the experiences of parents of children with GDD administering a [...] Read more.
Background/Objectives: Introducing a demanding home-based program (HBP) of Vojta therapy (VT) into their daily activities is a life-altering event for parents of children with global developmental delay (GDD). This study aims to document the experiences of parents of children with GDD administering a HBP of VT. Methods: A multicentre study with a qualitative case design based on an interpretative approach is presented. Interviews were conducted with 10 parents using photo-elicitation (PE). Inductive and thematic analyses were used. Results: Four common experiential themes were identified. Firstly, crying was identified as the most significant barrier to administering therapy (despite parents accepting that crying was not pain-related). Secondly, parents described the intense and variable emotional impact of being responsible for the therapy and its effects on their child. Thirdly, parents unanimously felt that their involvement was worthwhile, with the developmental results they perceived outweighing the emotional, physical and time demands of administering the VT. Finally, parents developed a narrative of hope stemming from the therapy and its observed effects. Conclusions: The physical, emotional and time demands on parents when administering a HBP of VT are very significant. The main barriers to adherence to the program are identified as the child’s crying during therapy and time management. Intense emotional experiences, both positive and negative, arise while administering a HBP of VT. Parents are not only able to overcome all emotional and logistical challenges when they recognize improvements in their child, but they also begin to hope for further improvement. Implications for the professional design of HBPs of VT include the following: advanced warning that crying is normal, part of the therapy and not pain-related; training and ongoing support from a qualified therapist; training in recognising developmental improvement; and psychological support to deal with the emotional journey. Full article
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11 pages, 1038 KB  
Case Report
Home Physiotherapy Using the Proprioceptive Neuromuscular Facilitation Concept in a Patient with Chronic Hemiplegia in a Rural Area: A Case Report
by Tomasz Zwoliński, Kamila Gworys, Michał Licznerski and Katarzyna Zorena
J. Clin. Med. 2025, 14(24), 8913; https://doi.org/10.3390/jcm14248913 - 17 Dec 2025
Viewed by 1666
Abstract
Background/Objectives: The growing population of stroke survivors living in rural communities, who require ongoing rehabilitation, highlights the need for effective, home-based rehabilitation methods. The aim of this study was to evaluate the potential benefits of Proprioceptive Neuromuscular Facilitation (PNF) on segmental and global [...] Read more.
Background/Objectives: The growing population of stroke survivors living in rural communities, who require ongoing rehabilitation, highlights the need for effective, home-based rehabilitation methods. The aim of this study was to evaluate the potential benefits of Proprioceptive Neuromuscular Facilitation (PNF) on segmental and global motor function, gait performance, Activities of Daily Living (ADLs), and quality of life in a patient with chronic hemiplegia living at home. Methods: A 71-year-old woman, five years after an ischemic stroke of the left cerebral hemisphere, presented with severe right-sided hemiplegia and participated in a two-month home-based PNF rehabilitation programme consisting of 20 one-hour sessions delivered 2–3 times per week. To evaluate the effectiveness of the intervention, the following standardised outcome measures were used in given order: Fugl-Meyer Assessment of Lower Extremity (FMA-LE), Trunk Impairment Scale (TIS), Timed Up and Go Test (TUG), Rivermead Motor Assessment Scale (RMA), Barthel Scale (BS), and the Short Form Health Survey (SF-36). Results: Improvements were observed in lower limb motor function (FMA-LE), gait performance (TUG), and overall quality of life (SF-36). Conclusions: PNF-based physiotherapy delivered at home environment may provide meaningful benefits for patients living in rural areas, even years after stroke. Full article
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