Movement therapy induced neural reorganization and motor recovery in stroke: A review

Notice that absolutely nothing here will help survivors recover. No mention of where to find these protocols. 

Movement therapy induced neural reorganization and motor recovery in stroke: A review

 Kamal Narayan Arya, MOT, PhD Scholar (Neurology), Sr. OccupationalTherapist
a,b,
*,ShantaPandian,MOT(Neurology),SuperintendentOT(OPD)
b
,Rajesh Verma, DM (Neurology), DNB (Neurology), Professor
a
,R.K. Garg, DM (Neurology), Professor & HOD
a
a
Department of Neurology, CSM Medical University (KGMU), Lucknow, UP 226003, India
b
Pt. Deendayal Upadhyaya Institute for the Physically Handicapped, University of Delhi,Ministry of Social Justice & Empowerment, Govt. of India, New Delhi 110002, India
Received 7 October 2010; received in revised form 22 January 2011; accepted 29 January 2011
KEYWORDS
Stroke;Neurorehabilitation;Cortical reorganization;Neuroplasticity
Summary
 This paper is a review conducted to provide an overview of accumulated evidence on contemporary rehabilitation methods for stroke survivors. Loss of functional movement isa common consequence of stroke for which a wide range of interventions has been developed.Traditional therapeutic approaches have shown limited results for motor deficits as well as lack evidence for their effectiveness. Stroke rehabilitation is now based on the evidence of neuro-plasticity, which is responsible for recovery following stroke. The neuroplastic changes in the structure and function of relevant brain areas are induced primarily by specific rehabilitation methods. The therapeutic method which induces neuroplastic changes, leads to greater motor and functional recovery than traditional methods. Further, the recovery is permanent in nature. During the last decade various novel stroke rehabilitative methods for motor recovery have been developed. This review focuses on the methods that have evidence of associated cortical level reorganization, namely task-specific training, constraint-induced movement therapy,robotic training, mental imaging,and virtual training. All of these methods utilize principles of motor learning. The findings from this review demonstrated convincing evidence both at the neural and functional level in response to such therapies. The main aim of the review was to determine the evidence for these methods and their application into clinical practice.
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2011 Elsevier Ltd. All rights reserved.
* Corresponding author. Department of Neurology, CSM Medical University (KGMU), Lucknow, UP 226003, India.
E-mail address:
 kamalnarya@yahoo.com (K.N. Arya).
available at www.sciencedirect.comjournal homepage: www.elsevier.com/jbmt
Journal of Bodywork & Movement Therapies (2011)