So many variables…so little time

In his 1970 book, Future¬†Shock, author Alvin Toffler coined the term “overchoice”. At times, neurologic rehabilitation may seem to be filled with the burden of overchoice, referring to the overwhelming burden of making a decision when options are both plentiful and seemingly similar/equal. Give feedback or not? What form of feedback? Increase the intensity or allow for more success. Disallow failures (error-free) or induce error and force alternative strategies (constraint, overtraining, forced principles). So many variables…so little time. The clear pathway…? The one that is right for the PERSON in front of you. Consider motivation and personality, while offering autonomy and vicarious expectations of success. Build a rehabilitation program from your examination metrics AND your interview + feel not only free to but EXPECT to change your treatment as you observe response from a performance and tolerance basis (physical and psychological). There will always be choices, techniques, pathways and guidelines…In the end, the beauty of rehabilitation is science with personalization through intelligence and, well, something that cannot be replaced by artificial intelligence.