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Document Type

Commentary

Abstract

The authors have narrated their perspective on rehabilitation of neurological disabilities based upon their experiences in three different regions of the globe, hence the word "three dimensional". It also reflects the need of holistic approach in neurorehabilitation. The article emphasizes the significance of impact of socio-cultural factors on disability and the way different challenges can change outcomes of the same neurological impairment in different health care systems. The understanding, perception and management of disability secondary to any neurological impairment varies greatly from one region to another across the world. Hence treatment guidelines applicable in one socioeconomic setup may not be applicable in another setting, making neurorehabilitation a very unique specialty of medicine. Conventionally, in the field of medicine, popular treatment guidelines usually originate in high income countries, which are considered standards of practice even by developing health systems regardless of the feasibility of their application. Neurorehabilitation guidelines need to be unique to health systems having socio-economic and cultural similarities. The general perception of disability and cultural needs should be given high consideration while dealing with neurological impairments; rendering the need of tailored guidelines specific to each population. This idea is new to medical education and disability care. It deserves more attention among health care providers dealing with functional limitations secondary to neurological impairments.

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