So 7 years, WHAT THE FUCK HAS YOUR HOSPITAL DONE WITH THIS?
Or is your doctor and stroke hospital doing nothing with this? Do you prefer your incompetence NOT KNOWING? OR NOT DOING?
Their reasons for doing nothing?
Laziness? Incompetence? Or just don't care? No leadership? No strategy? Not my job?
The latest here.
Neurophysiology of Robot-Mediated Training and Therapy: A Perspective for Future Use in Clinical Populations
2013, Frontiers in Neurology
published: 13 November 2013doi: 10.3389/fneur.2013.00184
Duncan L.Turner 1,2*,
published: 13 November 2013doi: 10.3389/fneur.2013.00184
Duncan L.Turner 1,2*,
Ander Ramos-Murguialday 3,4,
Niels Birbaumer 3,5,
Ulrich Hoffmann 4
and Andreas Luft 6
1 Neurorehabilitation Unit, University of East London, London, UK
2 Lewin Stroke Rehabilitation Unit, Department of Clinical Neurosciences, Cambridge University NHS FoundationTrust, Cambridge, UK
3 Institute of Medical Psychology and Behavioral Neurobiology, MEG Center, University ofTubingen,Tubingen, Germany
4 Health Division,Tecnalia Research & Innovation, San Sebastian, Spain
5 Ospedale San Camillo, Istituto di Ricovero e Cura a Carattere Scientifico,Venezia Lido, Italy
6 Clinical Neurorehabilitation, Department of Neurology, University of Zurich, Zurich, Switzerland
Edited by:
Cuntai Guan, Institute for InfocommResearch, Singapore
Reviewed by:
Kenji Kansaku, Research Institute of National Rehabilitation Center for Persons with Disabilities, JapanRoberto Colombo, Fondazione Salvatore Maugeri, Italy
*Correspondence:
Duncan L.Turner, NeurorehabilitationUnit, School of Health, Sport and Bioscience, University of East London, Stratford, London E15 4LZ,UK e-mail: d.l.turner@uel.ac.uk
The recovery of functional movements following injury to the central nervous system (CNS) is multifaceted and is accompanied by processes occurring in the injured and non-injured hemispheres of the brain or above/below a spinal cord lesion.The changes in the CNS arethe consequence of functional and structural processes collectively termed neuroplasticity and these may occur spontaneously and/or be induced by movement practice. The neurophysiological mechanisms underlying such brain plasticity may take different forms indifferent types of injury, for example stroke vs. spinal cord injury (SCI). Recovery of move-ment can be enhanced by intensive, repetitive, variable, and rewarding motor practice.To this end, robots that enable or facilitate repetitive movements have been developed to assist recovery and rehabilitation. Here, we suggest that some elements of robot mediated training such as assistance and perturbation may have the potential to enhance neuroplasticity. Together the elemental components for developing integrated robot mediated training protocols may form part of a neurorehabilitation framework alongside those methods already employed by therapists. Robots could thus open up a wider choice of options for delivering movement rehabilitation grounded on the principles underpinning neuroplasticityin the human CNS.
and Andreas Luft 6
1 Neurorehabilitation Unit, University of East London, London, UK
2 Lewin Stroke Rehabilitation Unit, Department of Clinical Neurosciences, Cambridge University NHS FoundationTrust, Cambridge, UK
3 Institute of Medical Psychology and Behavioral Neurobiology, MEG Center, University ofTubingen,Tubingen, Germany
4 Health Division,Tecnalia Research & Innovation, San Sebastian, Spain
5 Ospedale San Camillo, Istituto di Ricovero e Cura a Carattere Scientifico,Venezia Lido, Italy
6 Clinical Neurorehabilitation, Department of Neurology, University of Zurich, Zurich, Switzerland
Edited by:
Cuntai Guan, Institute for InfocommResearch, Singapore
Reviewed by:
Kenji Kansaku, Research Institute of National Rehabilitation Center for Persons with Disabilities, JapanRoberto Colombo, Fondazione Salvatore Maugeri, Italy
*Correspondence:
Duncan L.Turner, NeurorehabilitationUnit, School of Health, Sport and Bioscience, University of East London, Stratford, London E15 4LZ,UK e-mail: d.l.turner@uel.ac.uk
The recovery of functional movements following injury to the central nervous system (CNS) is multifaceted and is accompanied by processes occurring in the injured and non-injured hemispheres of the brain or above/below a spinal cord lesion.The changes in the CNS arethe consequence of functional and structural processes collectively termed neuroplasticity and these may occur spontaneously and/or be induced by movement practice. The neurophysiological mechanisms underlying such brain plasticity may take different forms indifferent types of injury, for example stroke vs. spinal cord injury (SCI). Recovery of move-ment can be enhanced by intensive, repetitive, variable, and rewarding motor practice.To this end, robots that enable or facilitate repetitive movements have been developed to assist recovery and rehabilitation. Here, we suggest that some elements of robot mediated training such as assistance and perturbation may have the potential to enhance neuroplasticity. Together the elemental components for developing integrated robot mediated training protocols may form part of a neurorehabilitation framework alongside those methods already employed by therapists. Robots could thus open up a wider choice of options for delivering movement rehabilitation grounded on the principles underpinning neuroplasticityin the human CNS.
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