From learned helplessness to motor recovery: integrating intensive neurorehabilitation in poststroke spastic paresis—clinical insights from over 10 years of practice

Key Points

• Motor recovery improves with a combination of neuroplasticity and muscle-targeted therapies, supporting effective rehabilitation efforts.
• This approach shows effectiveness in both high-tech European centers and resource-limited African hospitals, improving accessibility.
• Assessment using evidence-based protocols indicates a shift in rehabilitation strategies for poststroke patients.
• Further validation across various healthcare environments strengthens the understanding of effective rehabilitation practices for spastic paresis.