Journal of neurology, neurosurgery, and psychiatry
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J. Neurol. Neurosurg. Psychiatr. · Mar 1992
Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases.
Few detailed clinico-pathological correlations of Parkinson's disease have been published. The pathological findings in 100 patients diagnosed prospectively by a group of consultant neurologists as having idiopathic Parkinson's disease are reported. ⋯ The retrospective application of recommended diagnostic criteria improved the diagnostic accuracy to 82%. These observations call into question current concepts of Parkinson's disease as a single distinct morbid entity.
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J. Neurol. Neurosurg. Psychiatr. · Mar 1992
Neurology and rehabilitation in the United Kingdom: a view.
The relationship between neurology and rehabilitation medicine is discussed. The question "Does rehabilitation work?" is not useful. ⋯ It is argued that the management of most neurological diseases would be improved if neurologists were more familiar with the principles of rehabilitation medicine. Two possible avenues for future development would be the appointment of neurologists with a specific commitment to rehabilitation, and the establishment of academic centres for restorative neurology.
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Rehabilitation is a process of active change by which a person who is disabled acquires and uses the knowledge and skills necessary for optimal physical, psychological and social function. Rehabilitation medicine is now established in Britain as a specialty concerned primarily with three groups: 1) those with multiple disability; 2) disabled people undergoing personal or social transitions, for example, school leavers; and 3) those with disabilities requiring complex technical or medical solutions. ⋯ Both neurology and rehabilitation medicine are dwarfed by the size of the problems they are expected to overcome and there is no justification for competition between the two specialties. The training of neurologists requires fundamental changes if they are to be equipped to assist rehabilitation effectively and contribute to the scientific development of the subject.