Combinations of stroke neurorehabilitation to facilitate motor recovery: perspectives on Hebbian plasticity and homeostatic metaplasticity
Identifieur interne : 000A48 ( Main/Merge ); précédent : 000A47; suivant : 000A49Combinations of stroke neurorehabilitation to facilitate motor recovery: perspectives on Hebbian plasticity and homeostatic metaplasticity
Auteurs : Naoyuki Takeuchi ; Shin-Ichi IzumiSource :
- Frontiers in Human Neuroscience [ 1662-5161 ] ; 2015.
Abstract
Motor recovery after stroke involves developing new neural connections, acquiring new functions, and compensating for impairments. These processes are related to neural plasticity. Various novel stroke rehabilitation techniques based on basic science and clinical studies of neural plasticity have been developed to aid motor recovery. Current research aims to determine whether using combinations of these techniques can synergistically improve motor recovery. When different stroke neurorehabilitation therapies are combined, the timing of each therapeutic program must be considered to enable optimal neural plasticity. Synchronizing stroke rehabilitation with voluntary neural and/or muscle activity can lead to motor recovery by targeting Hebbian plasticity. This reinforces the neural connections between paretic muscles and the residual motor area. Homeostatic metaplasticity, which stabilizes the activity of neurons and neural circuits, can either augment or reduce the synergic effect depending on the timing of combination therapy and types of neurorehabilitation that are used. Moreover, the possibility that the threshold and degree of induced plasticity can be altered after stroke should be noted. This review focuses on the mechanisms underlying combinations of neurorehabilitation approaches and their future clinical applications. We suggest therapeutic approaches for cortical reorganization and maximal functional gain in patients with stroke, based on the processes of Hebbian plasticity and homeostatic metaplasticity. Few of the possible combinations of stroke neurorehabilitation have been tested experimentally; therefore, further studies are required to determine the appropriate combination for motor recovery.
Url:
DOI: 10.3389/fnhum.2015.00349
PubMed: 26157374
PubMed Central: 4477170
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Combinations of stroke neurorehabilitation to facilitate motor recovery: perspectives on Hebbian plasticity and homeostatic metaplasticity</title><author><name sortKey="Takeuchi, Naoyuki" sort="Takeuchi, Naoyuki" uniqKey="Takeuchi N" first="Naoyuki" last="Takeuchi">Naoyuki Takeuchi</name></author><author><name sortKey="Izumi, Shin Ichi" sort="Izumi, Shin Ichi" uniqKey="Izumi S" first="Shin-Ichi" last="Izumi">Shin-Ichi Izumi</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26157374</idno><idno type="pmc">4477170</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4477170</idno><idno type="RBID">PMC:4477170</idno><idno type="doi">10.3389/fnhum.2015.00349</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000410</idno><idno type="wicri:Area/Pmc/Curation">000410</idno><idno type="wicri:Area/Pmc/Checkpoint">000696</idno><idno type="wicri:Area/Ncbi/Merge">003A67</idno><idno type="wicri:Area/Ncbi/Curation">003A67</idno><idno type="wicri:Area/Ncbi/Checkpoint">003A67</idno><idno type="wicri:Area/Main/Merge">000A48</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Combinations of stroke neurorehabilitation to facilitate motor recovery: perspectives on Hebbian plasticity and homeostatic metaplasticity</title><author><name sortKey="Takeuchi, Naoyuki" sort="Takeuchi, Naoyuki" uniqKey="Takeuchi N" first="Naoyuki" last="Takeuchi">Naoyuki Takeuchi</name></author><author><name sortKey="Izumi, Shin Ichi" sort="Izumi, Shin Ichi" uniqKey="Izumi S" first="Shin-Ichi" last="Izumi">Shin-Ichi Izumi</name></author></analytic><series><title level="j">Frontiers in Human Neuroscience</title><idno type="eISSN">1662-5161</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Motor recovery after stroke involves developing new neural connections, acquiring new functions, and compensating for impairments. These processes are related to neural plasticity. Various novel stroke rehabilitation techniques based on basic science and clinical studies of neural plasticity have been developed to aid motor recovery. Current research aims to determine whether using combinations of these techniques can synergistically improve motor recovery. When different stroke neurorehabilitation therapies are combined, the timing of each therapeutic program must be considered to enable optimal neural plasticity. Synchronizing stroke rehabilitation with voluntary neural and/or muscle activity can lead to motor recovery by targeting Hebbian plasticity. This reinforces the neural connections between paretic muscles and the residual motor area. Homeostatic metaplasticity, which stabilizes the activity of neurons and neural circuits, can either augment or reduce the synergic effect depending on the timing of combination therapy and types of neurorehabilitation that are used. Moreover, the possibility that the threshold and degree of induced plasticity can be altered after stroke should be noted. This review focuses on the mechanisms underlying combinations of neurorehabilitation approaches and their future clinical applications. We suggest therapeutic approaches for cortical reorganization and maximal functional gain in patients with stroke, based on the processes of Hebbian plasticity and homeostatic metaplasticity. Few of the possible combinations of stroke neurorehabilitation have been tested experimentally; therefore, further studies are required to determine the appropriate combination for motor recovery.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Abraham, W C" uniqKey="Abraham W">W. C. Abraham</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ameli, M" uniqKey="Ameli M">M. Ameli</name></author><author><name sortKey="Grefkes, C" uniqKey="Grefkes C">C. 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Gerloff</name></author><author><name sortKey="Cohen, L G" uniqKey="Cohen L">L. G. Cohen</name></author><author><name sortKey="Hummel, F C" uniqKey="Hummel F">F. C. Hummel</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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