Many factors influence the management of patients suffering from neurological disorders . There are many views on appropriate action and treatment, some of which are complementary while others may conflict to some extent. The greatest conflict occurs when the need for urgent independent function is taken as top priority when perhaps a little delay in independence could lead to more adequate adjustment of the patient. There are arguments for both sides.
It must be remembered that, while early functional independence may de-congest hospital wards and outpatient departments, this approach inevitably encourages the development of undesirable abnormalities of movement. These are substitutes for those normal activities which have now been temporarily or may be permanently made unavailable. If a patient’s potential is really quite good, given adequate time to redevelop along more normal lines,…
