Evidence demonstrates that activity is essential for development and repair of the central nervous system, yet traditional rehabilitation approaches lack the intensity necessary to drive neural change. Activity-Based Therapy (ABT) represents an evolving shift in neurorehabilitation. Based on activity-dependent plasticity, ABT offers high intensity activation of the nervous system to optimize the capacity for recovery.
In this course, past clinical assumptions will be compared to recent scientific evidence guiding development of ABT. We will describe activity-based interventions and strategies, including mechano-stimulation, functional electrical stimulation, massed practice, and task specific training. Mechano-stimulation will be emphasized as a tool in early intervention and emergent assessment tools with sufficient sensitivity to measure change in the very young patient will be discussed.
Using lecture and case studies we will review current research trends, prescriptive diagnostics, physiology and pathophysiology, parameter selection and curation of treatment goals.
List indications for the use of mechanostimulation in an ABT program.
Define the benefits of mechanostimulation on the developing and recovering nervous system.
Identify sensitive tools for measurement of change in the developing and recovering nervous system.