November 27, 2013
Kessler Stroke Researchers Explore Five New Avenues For Rehabilitation Research
Treatments based on behavioral or non-invasive physiological stimulation show greatest potential
Because the concept of permanent neurological injury has given way to recognition of the brain’s potential for long-term regeneration ad reorganization, rehabilitations strategies are undergoing radical changes. The potential for five new translational interventions was examined in an article published ahead of print on November 13 by Neurology Clinical Practice: Barrett AM, Oh-Park M, Chen P, Ifejika NL: Five New Things in Neurorehabilitation. doi: 10.1212/01.CPJ.0000437088.98407.fa. Drs. Barrett, Oh-Park and Chen are affiliated with Kessler Foundation. Dr. Ifejika is with the University of Texas Medical School at Houston.
Constraint-induced movement therapy, and other intensive, experience-dependent learning, may improve rehabilitation outcomes in people with hemiparesis from stroke and other brain disorders.
2. Constraint-induced language therapy, and other methods to stimulate speech and motor output, may improve rehabilitation outcomes in aphasia.
Prism adaptation therapy, and therapies using virtual feedback and implicitly integrating 3-D motor and perceptual function, may improve function in spatial neglect.
Transcranial magnetic stimulation may induce a permissive brain state therapeutic for depression and promoting better motor and cognitive recovery.
Transcranial direct current stimulation might promote better mood, motor and cognitive rehabilitation outcomes, and has an appealing risk/cost profile for feasible future implementation.
Funding: Supported by Kessler Foundation (AMB, MO-P, PC), the National Institutes of Health (R01NS 055808 and K24HD062647: PI Barrett) and the Department of Education (NIDRR grant H133G120203).
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