Abstract
Construction of Efficacious Gait and Upper Limb Functional Interventions Based on Brain Plasticity Evidence and Model-Based Measures For Stroke Patients
Highlights
For neurorehabilitation to advance from art to science, it must become evidence based
Brain plasticity after stroke refers to the regeneration of brain neuronal structures and/or reorganization of the function of neurons
With combination body weight supported treadmill training (BWSTT) + functional electrical stimulation (FES), we have the capability of practice of the greatest number of gait components for which we can satisfy two motor learning principles associated with central nervous system (CNS) plasticity: practice of close-to-normal movement and repetition of that practice
Summary
For neurorehabilitation to advance from art to science, it must become evidence based. Possible reasons for the lack of results in some gait training studies could be that brain plasticity and associated motor learning principles were not sufficiently considered in construction of the intervention. Considering the evidence of CNS plasticity and associated principles of motor learning, we developed gait training methods that induced movement as close to normal as possible, and repeated practice of that movement. Requirements for an effective rehabilitation intervention include targeting the weakness and/or dyscoordination produced by a stroke, and, importantly, effective rehabilitation must provide practice of functional movement components that are as close to normal as possible. With combination BWSTT + FES, we have the capability of practice of the greatest number of gait components for which we can satisfy two motor learning principles associated with CNS plasticity: practice of close-to-normal movement and repetition of that practice
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