The neuroplasticity-based model (NBM): an updated neurorehabilitation model that emphasizes evidence-informed strategies to induce neuroplastic changes

Nothing here will guarantee survivor recovery, right?

You haven't identified the EXACT signals between neurons that tell one neuron to drop their use and take on a neighboring neuron's use! That could then make neuroplasticity repeatable on demand.  Until that occurs ALL OF THIS SUPPOSED NEUROPLASTICITY RESEARCH IS ALMOST COMPLETELY FUCKING USELESS! 

The neuroplasticity-based model (NBM): an updated neurorehabilitation model that emphasizes evidence-informed strategies to induce neuroplastic changes

 Sarah dos Anjos Mary H. Bowman Alexandra Evancho Brian King  show all Received 21 Feb 2025 Accepted 15 Apr 2026 Published online: 03 May 2026 Cite this article https://doi.org/10.1080/09638288.2026.2662103 

Purpose

 Since its inception, neurorehabilitation principles guiding patient/client assessment and management have evolved alongside scientific discoveries. Historically, three models have shaped neurorehabilitation assessment and intervention: muscle-reeducation, neurotherapeutic facilitation, and contemporary task-oriented approaches, grounded in reflex, hierarchical, and systems theories of motor control and recovery. In recent decades, neuroplasticity research has challenged established principles of neurorehabilitation, supporting a shift toward an updated model. The purpose of this paper is to describe the implications of neuroplasticity research for neurorehabilitation and propose a new model that integrates emerging theories of adaptive neuroplasticity promotion in rehabilitation. 

Methods

 This special interest paper explores the current understanding of neuroplasticity and the implications of these findings for management(NOT RECOVERY!) of neurologic movement dysfunction. Based on the current literature, we propose and describe a fourth neurorehabilitation model, the Neuroplasticity-Based Model (NBM), that may better guide clinical assessment and management. 

Results

 The NBM’s five therapeutic aims include optimal intervention delivery, experiences designed to focus attention, intentional experiences to induce physiological stress, health promotion strategies, and behavioral change support. These aims are tailored to individual factors to create client-centered interventions that promote adaptive neuroplasticity. 

Conclusion

 The NBM offers a comprehensive framework for integrating emerging neuroplasticity discoveries into neurorehabilitation practice. 

IMPLICATIONS FOR REHABILITATION

 Current neurorehabilitation models require updating to integrate recent neuroplasticity research into the recovery process. The Neuroplasticity-Based Model (NBM) proposes four core therapeutic aims applied according to individual factors to induce neuroplastic changes during rehabilitation. Rehabilitation professionals are encouraged to systematically design motor training that includes a “just-right challenge”(So, NOTHING EXACT! or repeatable) to assure cognitive effort while also promoting success to motivate further efforts. During therapy, clinicians should apply interventions that prioritize one function at a time, promoting specificity and optimizing neuroplastic changes related to that function.