Parallels between use of constraint‐induced movement therapy to treat neurological motor disorders and amblyopia training

Taub, Edward

doi:10.1002/dev.20514

Cited by 8 publications

(8 citation statements)

References 93 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Rehabilitative training has long been used to improve perceptual and cognitive performance in normal (Mahncke et al, 2006; Takeuchi et al, 2010) as well as clinical (learning impairement, Merzenich et al, 1996; e.g., amblyopia, Maurer and Hensch, 2012; stroke, Taub, 2012) populations. However, rehabilitative training, typically consisting of many hours of repetitive practice, is often too effortful and tedious for the intended users (Levi and Li, 2009).…”

Section: Introductionmentioning

confidence: 99%

Supramodal Enhancement of Auditory Perceptual and Cognitive Learning by Video Game Playing

et al. 2017

View full text Add to dashboard Cite

Medical rehabilitation involving behavioral training can produce highly successful outcomes, but those successes are obtained at the cost of long periods of often tedious training, reducing compliance. By contrast, arcade-style video games can be entertaining and highly motivating. We examine here the impact of video game play on contiguous perceptual training. We alternated several periods of auditory pure-tone frequency discrimination (FD) with the popular spatial visual-motor game Tetris played in silence. Tetris play alone did not produce any auditory or cognitive benefits. However, when alternated with FD training it enhanced learning of FD and auditory working memory. The learning-enhancing effects of Tetris play cannot be explained simply by the visual-spatial training involved, as the effects were gone when Tetris play was replaced with another visual-spatial task using Tetris-like stimuli but not incorporated into a game environment. The results indicate that game play enhances learning and transfer of the contiguous auditory experiences, pointing to a promising approach for increasing the efficiency and applicability of rehabilitative training.

show abstract

Section: Introductionmentioning

confidence: 99%

Supramodal Enhancement of Auditory Perceptual and Cognitive Learning by Video Game Playing

et al. 2017

View full text Add to dashboard Cite

show abstract

“…In a previous article ( Taub, 2010 ) we have noted the striking similarities in the procedures and magnitude of treatment results between CI therapy and the type of amblyopia treatment developed by Polat, Levi, and their respective co-workers (summarized in Levi and Polat, 1996 ). The parallels between the two treatments are reviewed here to establish the possibility that the CI therapy method might produce similar results with other types of visual impairments.…”

Section: Therapymentioning

confidence: 95%

“…In a previous article it was suggested that the principles that underlie the rehabilitation of deficits in movement and speech by Constraint Induced (CI) therapy training are similar to the improvement by training of visual deficits in amblyopia ( Taub, 2010 ). Both types of remediation probably have one mechanism in common, overcoming learned nonuse, and perhaps another, neuroplastic change.…”

Section: Introductionmentioning

confidence: 99%

Implications of CI therapy for visual deficit training

Taub

Mark

Uswatte

2014

Front. Integr. Neurosci.

Self Cite

View full text Add to dashboard Cite

We address here the question of whether the techniques of Constraint Induced (CI) therapy, a family of treatments that has been employed in the rehabilitation of movement and language after brain damage might apply to the rehabilitation of such visual deficits as unilateral spatial neglect and visual field deficits. CI therapy has been used successfully for the upper and lower extremities after chronic stroke, cerebral palsy (CP), multiple sclerosis (MS), other central nervous system (CNS) degenerative conditions, resection of motor areas of the brain, focal hand dystonia, and aphasia. Treatments making use of similar methods have proven efficacious for amblyopia. The CI therapy approach consists of four major components: intensive training, training by shaping, a “transfer package” to facilitate the transfer of gains from the treatment setting to everyday activities, and strong discouragement of compensatory strategies. CI therapy is said to be effective because it overcomes learned nonuse, a learned inhibition of movement that follows injury to the CNS. In addition, CI therapy produces substantial increases in the gray matter of motor areas on both sides of the brain. We propose here that these mechanisms are examples of more general processes: learned nonuse being considered parallel to sensory nonuse following damage to sensory areas of the brain, with both having in common diminished neural connections (DNCs) in the nervous system as an underlying mechanism. CI therapy would achieve its therapeutic effect by strengthening the DNCs. Use-dependent cortical reorganization is considered to be an example of the more general neuroplastic mechanism of brain structure repurposing. If the mechanisms involved in these broader categories are involved in each of the deficits being considered, then it may be the principles underlying efficacious treatment in each case may be similar. The lessons learned during CI therapy research might then prove useful for the treatment of visual deficits.

show abstract

“…Understanding the factors that predetermine the critical periods and principles of their opening and closure is expected to form the basis of new methods of therapy aimed at the improvement of visual deficits in children and adults with amblyopia. Such methods include ways for decreasing the levels of inhibition ( Wong, 2012 ), constraint-induced therapy training ( Taub, 2010 ; Taub et al, 2014 ), and many others.…”

Section: The Plasticity Of the Brain And Sensory Experiencementioning

confidence: 99%

Fractality of sensations and the brain health: the theory linking neurodegenerative disorder with distortion of spatial and temporal scale-invariance and fractal complexity of the visible world

2015

Front. Aging Neurosci.

View full text Add to dashboard Cite

The theory that ties normal functioning and pathology of the brain and visual system with the spatial–temporal structure of the visual and other sensory stimuli is described for the first time in the present study. The deficit of fractal complexity of environmental influences can lead to the distortion of fractal complexity in the visual pathways of the brain and abnormalities of development or aging. The use of fractal light stimuli and fractal stimuli of other modalities can help to restore the functions of the brain, particularly in the elderly and in patients with neurodegenerative disorders or amblyopia. Non-linear dynamics of these physiological processes have a strong base of evidence, which is seen in the impaired fractal regulation of rhythmic activity in aged and diseased brains. From birth to old age, we live in a non-linear world, in which objects and processes with the properties of fractality and non-linearity surround us. Against this background, the evolution of man took place and all periods of life unfolded. Works of art created by man may also have fractal properties. The positive influence of music on cognitive functions is well-known. Insufficiency of sensory experience is believed to play a crucial role in the pathogenesis of amblyopia and age-dependent diseases. The brain is very plastic in its early development, and the plasticity decreases throughout life. However, several studies showed the possibility to reactivate the adult’s neuroplasticity in a variety of ways. We propose that a non-linear structure of sensory information on many spatial and temporal scales is crucial to the brain health and fractal regulation of physiological rhythms. Theoretical substantiation of the author’s theory is presented. Possible applications and the future research that can experimentally confirm or refute the theoretical concept are considered.

show abstract

Parallels between use of constraint‐induced movement therapy to treat neurological motor disorders and amblyopia training

Cited by 8 publications

References 93 publications

Supramodal Enhancement of Auditory Perceptual and Cognitive Learning by Video Game Playing

Supramodal Enhancement of Auditory Perceptual and Cognitive Learning by Video Game Playing

Implications of CI therapy for visual deficit training

Fractality of sensations and the brain health: the theory linking neurodegenerative disorder with distortion of spatial and temporal scale-invariance and fractal complexity of the visible world

Contact Info

Product

Resources

About