Neuroplasticity + Gait Flashcards
Failure to drive specific brain function can lead to functional degradation
Use it or Lose it
Training that drives a specific brain function can lead to an enhancement of that function
Use it and Improve It
The nature of the training experience dictates the nature of the plasticity
Specificity
Induction of plasticity requires sufficient repetition
Repitition Matters
Induction of plasticity requires sufficient training intensity
Intensity Matters
List types of intensity
- length of time of a session
- frequency of sessions
- number of sessions
- CV Intensity
Different forms of plasticity occur at different times during recovery and earlier = better
Time matters
The training experience must be sufficiently salient (important) to induce plasticity
Salience Matters
What are some things patients that have neurological disorders want to commonly work on?
Transfers
Balance
Gait
Training induced plasticity occurs more readily in younger brains because they are more plastic and able to change
Age matters
Plasticity in response to one training experience can enhance acquisition of similar behaviours
Transference
Plasticity in response to one training experience can impede acquisition of similar behaviours
Interference
why are the 10 principles of neuroplasticity important?
Because they should form the foundation of our POC for our patients
According to the CPG, what should clinicians do for Individuals w/chronic stroke?
Walking training at moderate to high aerobic intensities
Walking training w/VR
According to the CPG, what may clinicians consider doing for Individuals w/chronic stroke?
- strength training at >= 70% 1 RM
- circuit training, cycling, or recumbent stepping at 75-85 HR MAX
- Balance training w/VR
According to the CPG, what should clinicians NOT do for Individuals w/chronic stroke?
- static/dynamic balance activities including pre-gait
- BWSTT w/emph on kinematics
- Robot-assisted gait training
What is FITT for mod-hight IGT
3x week, 30-50 min per session at 60-80% HRR/75-85% HR max for 12 weeks - 6mo duration
What are possible outcomes of M-HIGT
Increased gait speed and 6MWT results
What is the FITT for VR Implementation
20-30 min sessions, 3x week for 3-6 weeks
What are possible outcomes from VR Implementation
Gait speed, 6MWT
What is the FITT for strength training
70-100% 1RM for multiple sets and reps w/focus on mm groups that contribute to locomotion
What is true of cycling and pts w/chronic stroke?
Better outcomes can be achieved at higher intensities - may not be as effective as walking but can be good to increase CV endurance
What kind of circuit training should be used w/pts w/chronic stroke?
Strength
Balance
Locomotor
What are the principles of locomotor training
- maximize reps (Less rest and more stepping)
- maintain HR 70-80% HR Reserve w/RPE 15-17
- increase demands w/error augmentation
How does locomotor training work?
- increased CP activity leads to increase in neuromuscular activity
