HIV-related neurological disability and prospects for rehabilitation.

Overview

The worldwide epidemic of acquired immunodeficiency syndrome (AIDS) continues to expand. Modest progress in prolonging survival has focused attention on the issue of quality of life among persons living with AIDS. Physical functional status (disability) is one of the most important determinants of quality of life. This paper outlines a conceptual approach to AIDS disability and provides new data examining the epidemiology of physical functional deficits in the population. In addition, the common neuromuscular and central neurological impairments encountered in AIDS are discussed with suggestions for potential rehabilitation interventions. The paper concludes with the author's view of the future of rehabilitation in persons with AIDS and human immunodeficiency virus infection.