[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209131-en":3,"doc-seo-209131-105":31,"detail-sidebar-cat-0-en-105":92},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},209131,962075114101,"Seraphina","https://ap-avatar.wpscdn.com/avatar/e000253a75eb197efd?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780044092746381165",7,"Healthcare","Neuroplasticity and New Technologies for Rehabilitation - Alejandro Losana Ferrer","Webinar presentation focused on neuroplasticity mechanisms and how new robotic technologies support post-stroke rehabilitation. It outlines key treatment requirements such as intensive, repetitive, functional, task-oriented, specific, and customizable therapy, and summarizes evidence on functional recovery. The slides explain neuroplastic adaptations including experience, intensity, repetition processes, and time-dependent integration, plus principles like functional training and combined physical-cognitive therapy. Expected outcomes include improvements in spasticity, manual dexterity, ROM, strength, edema reduction, and functional recovery, with referenced clinical studies and robotic glove use cases.","©2021 Rebiotex, S. L. Todos los derechos reservados  \nPresentation slides of the webinar“Neuroplasticity and robotic rehabilitation”.  \nFor any further information, please write to:  \n[info@gloreha.com](info@gloreha.com)  \nNeuroplasticity and New Technologies for Rehabilitation  \nAlejandro Losana Ferrer  \nPhysiotherapist at IRF La Salle  \n(Madrid – Spain)  \n©2021 Rebiotex, S. L. Todos los derechos reservados  \nFirst of all, a reflection ...  \nREPETITION.  \nFUNCTIONALITY.  \nINTENSITY.  \nA rehabilitation treatment after stroke has to be intensive, repetitive, functional, task-oriented, specific, customizable.  \nUnderstanding the pattern of functional recovery after stroke: facts and theories – Kollen et al. 2004  \nThe impact of physical therapy on functional outcomes after stroke: What's the evidence?– Van Peppen et al. 2004  \n©2021 Rebiotex, S. L. Todos los derechos reservados  \nNeuroplastic adaptations?  \n• Experience: Related to the experience, in this case grab and release or gait  \n• Intensity  \n• Competition: Related to learning  \n• Repetition Process: Perform a repetitive gesture  \n• Time dependent: Critical for long-term integration  \nCompetition  \nNeuroplasticity  \nExperience  \nIntensity  \nRepetition  \nTime  \nCalabrò RS, Naro A, Russo M, et al. Shaping neuroplasticity by using powered exoskeletons in patients with stroke: a randomized clinical trial. JNeuroeng Rehabil. 2018;15(1):35 . doi:10 . 1186/s12984-018-0377-8  \n©2021 Rebiotex, S. L. Todos los derechos reservados  \nMy experience  \nIRF La Salle robotic equipment  \n©2021 Rebiotex, S. L. Todos los derechos reservados  \nRobotic Glove Gloreha:  \nWhat is its purpose?  \n• Upper limb and hand rehabilitation:  \n• Passive, active-assisted, active mobilization  \n• Degravitate upper limbs  \nTwo Important Principles  \nFunctionality  \nCombination of physical and cognitive therapies  \n©2021 Rebiotex, S. L. Todos los derechos reservados  \nNeuroplastic adaptations?  \n• Motor imagery, movement and action observation can activate sensorimotor areas of the brain  \nSzameitat AJ, Shen S, Conforto A, Sterr A. Cortical activation during executed, imagined, observed, and passive wrist movements in healthy volunteers and stroke patients. Neuroimage. 2012 Aug 1;62(1):266-80. doi: 10. 1016/j. neuroimage.2012.05.009. Epub 2012 May 11. PMID: 22584231.  \nAS Merians, E Tunik, SV Adamovich (2009)”Virtual reality to maximize function for hand and arm rehabilitation: exploration of neural mechanisms-Studies in health technology and informatics,“ 2009  \n• Working with with feedback:  \no Sensory  \no Visual  \no Auditory  \n• Promotes plasticity and motor learning  \nSale P., Lombardi V., Franceschini M. (2012)“Hand Robotics Rehabilitation: Feasibility and Preliminary Results of a Robotic Treatment in Patients with Hemiparesis a clinical study” doi:10 . 1155/2012/820931  \nLee D., Seo H., Jung MW (2012)”Neural basis of reinforcement learning and decision making”. Annu Rev Neurosci 35:287– 308.  \n©2021 Rebiotex, S. L. Todos los derechos reservados  \nNeuroplastic adaptations?  \n“Passive Robot Assisted training  \nmay facilitate cortical neural plasticity by two mechanisms...”  \n“One consists of the simultaneous activation of both hemispheres…”  \n“…the other mechanism involves facilitation of the contralesionaluncrossed corticospinal tract and spared indirect corticospinal pathways.”  \n©2021 Rebiotex, S. L. Todos los derechos reservados  \nWhat effects can we expect?  \nIn previous studies, positive changes have been found in the following variables:  \n• Spasticity 2,3,5  \n• Manual dexterity1, 4  \n• ROM 1,  \n• Strenght 1  \n• Reduce edema 2,3  \n• Functional recovery6  \n1. Vanoglio F, Bernocchi P, Mulè C, et al. Feasibility and efficacy of a robotic device for hand rehabilitation in hemiplegic stroke patients: a randomized pilot controlled study. Clin Rehabil. 2017;31(3):351-360. doi:10 . 1177/0269215516642606  \n2. Bissolotti L, Villafañe JH, Gaffurini P, Orizio C, Valdes K, Negrini S. Changes in skeletal muscle ","cbCaidfDJXAs9kGo","https://ap.wps.com/l/cbCaidfDJXAs9kGo","pdf",3447965,2,1,19,"English","en",105,"# Neuroplasticity and rehabilitation treatment principles\n## Treatment requirements after stroke\n## Neuroplastic adaptations and key drivers\n# Robotic rehabilitation technologies\n## Robotic glove: purpose and principles\n## Motor imagery and action observation\n## Passive robot-assisted training mechanisms\n# Expected effects after therapy\n## Spasticity, dexterity, ROM, strength, edema, functional recovery","[{\"question\":\"What rehabilitation principles are emphasized for post-stroke treatment?\",\"answer\":\"Rehabilitation after stroke should be intensive, repetitive, functional, task-oriented, specific, and customizable.\"},{\"question\":\"Which factors are linked to neuroplastic adaptations in the presentation?\",\"answer\":\"The slides connect neuroplasticity to experience, intensity, competition/learning, repetition processes, and time-dependent integration for long-term effects.\"},{\"question\":\"What outcomes does the presentation state can improve with robotic rehabilitation?\",\"answer\":\"Reported positive changes include reduced spasticity, improved manual dexterity, increased ROM, better strength, reduced edema, and enhanced functional recovery.\"}]","Neuroplasticity and New Technologies for Rehabilitation - 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