Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study
Stroke is one of the leading causes of permanent disability in adults. The literature suggests that rehabilitation is key to early motor recovery. However, conventional therapy is labor and cost intensive. Robotic and functional electrical stimulation (FES) devices can provide a high dose of repetit...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2018-04-01
|
| Series: | Frontiers in Human Neuroscience |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fnhum.2018.00125/full |
| _version_ | 1818383497224519680 |
|---|---|
| author | Xin Zhang Ahmed M. Elnady Bubblepreet K. Randhawa Lara A. Boyd Carlo Menon |
| author_facet | Xin Zhang Ahmed M. Elnady Bubblepreet K. Randhawa Lara A. Boyd Carlo Menon |
| author_sort | Xin Zhang |
| collection | DOAJ |
| description | Stroke is one of the leading causes of permanent disability in adults. The literature suggests that rehabilitation is key to early motor recovery. However, conventional therapy is labor and cost intensive. Robotic and functional electrical stimulation (FES) devices can provide a high dose of repetitions and as such may provide an alternative, or an adjunct, to conventional rehabilitation therapy. Brain-computer interfaces (BCI) could augment neuroplasticity by introducing mental training. However, mental training alone is not enough; but combining mental with physical training could boost outcomes. In the current case study, a portable rehabilitative platform and goal-oriented supporting training protocols were introduced and tested with a chronic stroke participant. A novel training method was introduced with the proposed rehabilitative platform. A 37-year old individual with chronic stroke participated in 6-weeks of training (18 sessions in total, 3 sessions a week, and 1 h per session). In this case study, we show that an individual with chronic stroke can tolerate a 6-week training bout with our system and protocol. The participant was actively engaged throughout the training. Changes in the Wolf Motor Function Test (WMFT) suggest that the training positively affected arm motor function (12% improvement in WMFT score). |
| first_indexed | 2024-12-14T03:07:18Z |
| format | Article |
| id | doaj.art-0c52ea2f16914af190bbc565a75dfd48 |
| institution | Directory Open Access Journal |
| issn | 1662-5161 |
| language | English |
| last_indexed | 2024-12-14T03:07:18Z |
| publishDate | 2018-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Human Neuroscience |
| spelling | doaj.art-0c52ea2f16914af190bbc565a75dfd482022-12-21T23:19:21ZengFrontiers Media S.A.Frontiers in Human Neuroscience1662-51612018-04-011210.3389/fnhum.2018.00125338222Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case StudyXin Zhang0Ahmed M. Elnady1Bubblepreet K. Randhawa2Lara A. Boyd3Carlo Menon4MENRVA Research Group, Simon Fraser University, Vancouver, BC, CanadaMENRVA Research Group, Simon Fraser University, Vancouver, BC, CanadaMENRVA Research Group, Simon Fraser University, Vancouver, BC, CanadaBrain Behaviour Lab, University of British Columbia, Vancouver, BC, CanadaMENRVA Research Group, Simon Fraser University, Vancouver, BC, CanadaStroke is one of the leading causes of permanent disability in adults. The literature suggests that rehabilitation is key to early motor recovery. However, conventional therapy is labor and cost intensive. Robotic and functional electrical stimulation (FES) devices can provide a high dose of repetitions and as such may provide an alternative, or an adjunct, to conventional rehabilitation therapy. Brain-computer interfaces (BCI) could augment neuroplasticity by introducing mental training. However, mental training alone is not enough; but combining mental with physical training could boost outcomes. In the current case study, a portable rehabilitative platform and goal-oriented supporting training protocols were introduced and tested with a chronic stroke participant. A novel training method was introduced with the proposed rehabilitative platform. A 37-year old individual with chronic stroke participated in 6-weeks of training (18 sessions in total, 3 sessions a week, and 1 h per session). In this case study, we show that an individual with chronic stroke can tolerate a 6-week training bout with our system and protocol. The participant was actively engaged throughout the training. Changes in the Wolf Motor Function Test (WMFT) suggest that the training positively affected arm motor function (12% improvement in WMFT score).http://journal.frontiersin.org/article/10.3389/fnhum.2018.00125/fullstroke rehabilitationmental trainingphysical trainingBCIexoskeletonFES |
| spellingShingle | Xin Zhang Ahmed M. Elnady Bubblepreet K. Randhawa Lara A. Boyd Carlo Menon Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study Frontiers in Human Neuroscience stroke rehabilitation mental training physical training BCI exoskeleton FES |
| title | Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study |
| title_full | Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study |
| title_fullStr | Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study |
| title_full_unstemmed | Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study |
| title_short | Combining Mental Training and Physical Training With Goal-Oriented Protocols in Stroke Rehabilitation: A Feasibility Case Study |
| title_sort | combining mental training and physical training with goal oriented protocols in stroke rehabilitation a feasibility case study |
| topic | stroke rehabilitation mental training physical training BCI exoskeleton FES |
| url | http://journal.frontiersin.org/article/10.3389/fnhum.2018.00125/full |
| work_keys_str_mv | AT xinzhang combiningmentaltrainingandphysicaltrainingwithgoalorientedprotocolsinstrokerehabilitationafeasibilitycasestudy AT ahmedmelnady combiningmentaltrainingandphysicaltrainingwithgoalorientedprotocolsinstrokerehabilitationafeasibilitycasestudy AT bubblepreetkrandhawa combiningmentaltrainingandphysicaltrainingwithgoalorientedprotocolsinstrokerehabilitationafeasibilitycasestudy AT laraaboyd combiningmentaltrainingandphysicaltrainingwithgoalorientedprotocolsinstrokerehabilitationafeasibilitycasestudy AT carlomenon combiningmentaltrainingandphysicaltrainingwithgoalorientedprotocolsinstrokerehabilitationafeasibilitycasestudy |