Moving Forward

Scheets, Patricia L.; Hornby, T. George; Perry, Susan B.; Sparto, Patrick J.; Riley, Nora; Romney, Wendy; Fell, Dennis W.; Kugler, Katherine; Nordahl, Timothy

doi:10.1097/npt.0000000000000337

Cited by 20 publications

(12 citation statements)

References 59 publications

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“…Over the last 60 years, the predominant approach to treating patients with neurological damage or disease has shifted from mainly a neurophysiology-based approach to a more pragmatic and eclectic approach that emphasizes motor learning principles along with exercise science and biomechanics. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

Updates in Motor Learning: Implications for Physical Therapist Practice and Education

et al. 2021

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Over the past 3 decades, the volume of human motor learning research has grown enormously. As such, the understanding of motor learning (ie, sustained change in motor behavior) has evolved. It has been learned that there are multiple mechanisms through which motor learning occurs, each with distinctive features. These mechanisms include use-dependent, instructive, reinforcement, and sensorimotor adaptation-based motor learning. It is now understood that these different motor learning mechanisms contribute in parallel or in isolation to drive desired changes in movement, and each mechanism is thought to be governed by distinct neural substrates. This expanded understanding of motor learning mechanisms has important implications for physical therapy. It has the potential to facilitate the development of new, more precise treatment approaches that physical therapists can leverage to improve human movement. This Perspective describes scientific advancements related to human motor learning mechanisms and discusses the practical implications of this work for physical therapist practice and education.

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Section: Introductionmentioning

confidence: 99%

Updates in Motor Learning: Implications for Physical Therapist Practice and Education

et al. 2021

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“…Neuroplasticity involves adaptive structural and functional changes to the brain in response to intrinsic or extrinsic stimuli ( 26 ). As such conventional rehabilitation strategies aim to stimulate the central and peripheral nervous system through electrical stimulation and movements through functional training and exercises ( 27 – 31 ). Exercise and motor training promote dendrites arborizations and neuronal growth leading to new synaptic formation, which is the key to reorganizing neural function ( 32 ).…”

Section: Resultsmentioning

confidence: 99%

Concepts and Application of Tai Ji in Stroke Rehabilitation: A Narrative Review

Alkharji¹,

Gan²,

Foo³

2022

ijph

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Stroke remains a leading cause of adult disability, and it decreases the health-related quality of life due to functional disability and poor functional recovery in stroke. Tai Ji has been recently introduced to overcome disabilities. This review aims to explain the effects of Tai Ji on functional recovery in stroke patients, linking it to current approaches, concepts and therapies such as Bobath and proprioceptive neuromuscular facilitation techniques. A compilation of recent literature on Tai Ji's use in stroke rehabilitation from Google scholar and PubMed Central (2018 to 2022). The benefits of Tai Ji in stroke functional recovery were studied and explained based on its similarity in concepts to current conventional stroke rehabilitation approaches. There were few randomized controlled trials on Tai Ji in functional recovery among stroke patients. However, all literature identified Tai Ji as beneficial in stroke rehabilitation. However, there was no literature on explaining the Tai Ji movement based on current conventional stroke rehabilitation approaches. Tai Ji carries similar theories to the current neurorehabilitation approach. Tai Ji can be modified and incorporated into stroke rehabilitation programs based on patients’ needs to produce promising outcomes.

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“…8 The past decades have seen a shift in the focus of neurorehabilitation from the use of compensatory approaches to neurorecovery, that is, restoration of function through use of the affected limbs by activity-dependent neural adaptation and training. [9][10][11] This shift has been most apparent in the rehabilitation of individuals with incomplete SCI. 10 Therefore, early detection and prognostication of individuals that may be candidates for restorative treatments, are crucial.…”

mentioning

confidence: 99%

Early Trauma Predictors of Mobility in People with Spinal Cord Injury

Engel-Haber

Radomislensky²,

Peleg

et al. 2021

Spine

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Study Design. A retrospective cohort study.Objective. This study aims to assess the potential value of very early trauma variables such as Abbreviated Injury Scale (AIS) and the Injury Severity Score for predicting independent ambulation following a traumatic spinal cord injury (TSCI). Summary of Background Data. Several models for prediction of ambulation early after TSCI have been published and validated. The vast majority rely on the initial examination of American Spinal Injury Association (ASIA) impairment scale and level of injury; however, in many locations and clinical situations this examination is not feasible early after the injury. Methods. Patient characteristics, trauma data, and ASIA scores on admission to rehabilitation were collected for each of the 144 individuals in the study. Outcome measure was the indoor mobility item of the Spinal Cord Independence Measure taken upon discharge from rehabilitation. Univariate and multivariable models were created for each predictor, Odds ratios (ORs) were obtained by a multivariable logistic regression analysis, and area under the receiver operator curve was calculated for each model. Results. We observed a significant correlation between the trauma variables and independent ambulation upon discharge from rehabilitation. Of the early variables, the AIS for the spine region showed the strongest correlation. Conclusion. These findings support using preliminary trauma variables for early prognostication of ambulation following a TSCI, allowing for tailored individual interventions.

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Moving Forward

Cited by 20 publications

References 59 publications

Updates in Motor Learning: Implications for Physical Therapist Practice and Education

Updates in Motor Learning: Implications for Physical Therapist Practice and Education

Concepts and Application of Tai Ji in Stroke Rehabilitation: A Narrative Review

Early Trauma Predictors of Mobility in People with Spinal Cord Injury

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