Considering Neurorehabilitation with Emerging Therapies: How does training effect recovery?
1Gill M, 1Linde M, 2Joyce M, 3Brennan M
1Mayo Clinic, Rochester, MN, USA; 2Craig Hospital, Englewood, CO, USA; 3ExerciseAbilities, Inc., Rochester, MN, USA
Significant advances have been made in regards to motor recovery following neuromodulation of the spinal cord via epidural stimulation. The research supports recovery of volitional activation below the level of injury for a complete injury. Activity based neurorehabilitation interventions are critical for recovery even with advanced and experimental procedures such as epidural stimulation. Many training strategies for neurorehabilitation have emerged over the years, including locomotor training, functional electrical stimulation and high intensity training; while coverage for rehabilitation across the continuum of care is increasingly limited for people with severe neurologic injuries. We propose a panel discussion to review neuro recovery training interventions from different perspectives, including the NeuroRecovery Network program, ExerciseAbilities, a local nonprofit community clinic serving patients with neurologic disorders. Each program will define their programs goals/focus and describe gains and challenges with each technique. By understanding the differences in approach from each setting, clinicians/providers will be able to determine how they may play a role in the application of rehab along with advanced interventional studies available for paralysis.
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