Role of Rehabilitation in Neural Plasticity

Keci, Andromeda; Tani, Klejda; Xhema, Joana

doi:10.3889/oamjms.2019.295

Cited by 23 publications

(15 citation statements)

References 37 publications

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“…In this study, tDCS was compared to sham tDCS. The presented analysis shows that bilateral tDCS stimulation increases the number of gamma waves in the brain, which may be related to the neuroplasticity [ 48 , 49 , 50 ].…”

Section: Discussionmentioning

confidence: 99%

Tractography Alterations in the Arcuate and Uncinate Fasciculi in Post-Stroke Aphasia

Kierońska

Świtońska

Meder³

et al. 2021

Brain Sciences

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Fiber tractography based on diffuse tensor imaging (DTI) can reveal three-dimensional white matter connectivity of the human brain. Tractography is a non-invasive method of visualizing cerebral white matter structures in vivo, including neural pathways surrounding the ischemic area. DTI may be useful for elucidating alterations in brain connectivity resulting from neuroplasticity after stroke. We present a case of a male patient who developed significant mixed aphasia following ischemic stroke. The patient had been treated by mechanical thrombectomy followed by an early rehabilitation, in conjunction with transcranial direct current stimulation (tDCS). DTI was used to examine the arcuate fasciculus and uncinate fasciculus upon admission and again at three months post-stroke. Results showed an improvement in the patient’s symptoms of aphasia, which was associated with changes in the volume and numbers of tracts in the uncinate fasciculus and the arcuate fasciculus.

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Section: Discussionmentioning

confidence: 99%

Tractography Alterations in the Arcuate and Uncinate Fasciculi in Post-Stroke Aphasia

Kierońska

Świtońska

Meder³

et al. 2021

Brain Sciences

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“…The kind of measurement that we proposed was conducted for the first time, so there is no strict comparison with other research. The most common gait analysis is conducted in children with scoliosis or cerebral palsy (CP) or in adults with hemiplegia [ 24 , 25 , 26 , 27 , 28 , 29 , 30 ]. We have tried to compare some of the results, while keeping cautions.…”

Section: Discussionmentioning

confidence: 99%

Pelvic Symmetry Is Influenced by Asymmetrical Tonic Neck Reflex during Young Children’s Gait

Gieysztor

Pecuch

Kowal

et al. 2020

IJERPH

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Gait is one of the examined functions in child development. It should be economical and symmetrical. One test increasingly used by physiotherapists and pediatricians is asymmetrical tonic neck reflex (ATNR). Physiologically, it is observed from in utero up to six postnatal months. This reaction is inhibited with the growing maturation of the central nervous system (CNS). In some children, when the natural process of development is incorrect, ATNR manifests later in life, when it is observed as an automatic response of muscle tension to head rotation. Analysis of pelvis symmetry in the gait of children with active ATNR is important for better understanding their specific movements. In the gait of children with persistent ATNR, some variations are observed. The aim of the study was to investigate the gait symmetry of preschool children and the influence of persistent ATNR. Fifty preschool children with a trace form of ATNR were examined. The distribution of the gait parameters was determined using a BTS G-SENSOR measurement instrument. ATNR negatively influences pelvic obliquity and pelvic rotation (p < 0.01). Younger children have a statistically higher symmetry index of pelvis obliquity in the examined group (p = 0.015). Boys obtain a higher result of symmetry in pelvic tilt than girls in the group (p = 0.027). ATNR affects walking symmetry in preschool children, thus evaluation of the reflex activity and then proper therapy is required to support proper development.

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“…For instance, patients having problems controlling their shoulder muscles can perform shoulder flexion-extension and horizontal flexion-extension movement as part of their post-stroke rehabilitation program. These programs stimulate the brain's process of neurological changes and have been shown to help motor-impaired stroke patients regain the lost motor functionality (Warraich and Kleim, 2010 ; Keci et al, 2019 ). In other words, a higher number of stimuli to the damaged part of the brain, by performing the rehabilitation exercises repeatedly, can lead to a greater amount of recovery (Lohse et al, 2014 ; De Sousa et al, 2018 ; Keci et al, 2019 ).…”

Section: Introductionmentioning

confidence: 99%

“…These programs stimulate the brain's process of neurological changes and have been shown to help motor-impaired stroke patients regain the lost motor functionality (Warraich and Kleim, 2010 ; Keci et al, 2019 ). In other words, a higher number of stimuli to the damaged part of the brain, by performing the rehabilitation exercises repeatedly, can lead to a greater amount of recovery (Lohse et al, 2014 ; De Sousa et al, 2018 ; Keci et al, 2019 ). This notion is supported by many studies that link the amount and rate of recovery from motor impairment with prolonged, repetitive, and active participation in rehabilitation programs (Banala et al, 2009 ; Warraich and Kleim, 2010 ; Lohse et al, 2014 ; De Sousa et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Error-Related Negativity-Based Robot-Assisted Stroke Rehabilitation System: Design and Proof-of-Concept

Kumar

Lin

et al. 2022

Front. Neurorobot.

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Conventional rehabilitation systems typically execute a fixed set of programs that most motor-impaired stroke patients undergo. In these systems, the brain, which is embodied in the body, is often left out. Including the brains of stroke patients in the control loop of a rehabilitation system can be worthwhile as the system can be tailored to each participant and, thus, be more effective. Here, we propose a novel brain-computer interface (BCI)-based robot-assisted stroke rehabilitation system (RASRS), which takes inputs from the patient's intrinsic feedback mechanism to adapt the assistance level of the RASRS. The proposed system will utilize the patients' consciousness about their performance decoded through their error-related negativity signals. As a proof-of-concept, we experimented on 12 healthy people in which we recorded their electroencephalogram (EEG) signals while performing a standard rehabilitation exercise. We set the performance requirements beforehand and observed participants' neural responses when they failed/met the set requirements and found a statistically significant (p < 0.05) difference in their neural responses in the two conditions. The feasibility of the proposed BCI-based RASRS was demonstrated through a use-case description with a timing diagram and meeting the crucial requirements for developing the proposed rehabilitation system. The use of a patient's intrinsic feedback mechanism will have significant implications for the development of human-in-the-loop stroke rehabilitation systems.

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Role of Rehabilitation in Neural Plasticity

Cited by 23 publications

References 37 publications

Tractography Alterations in the Arcuate and Uncinate Fasciculi in Post-Stroke Aphasia

Tractography Alterations in the Arcuate and Uncinate Fasciculi in Post-Stroke Aphasia

Pelvic Symmetry Is Influenced by Asymmetrical Tonic Neck Reflex during Young Children’s Gait

Error-Related Negativity-Based Robot-Assisted Stroke Rehabilitation System: Design and Proof-of-Concept

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