bilateral-assessment-corticospinal-pathways-ankle-muscles-using

Bilateral Assessment of the Corticospinal Pathways of the Ankle Muscles Using Navigated Transcranial Magnetic Stimulation

Distal leg muscles receive neural input from motor cortical areas via the corticospinal tract, which is one of the main motor descending pathway in humans ...

Medical University of South Carolina

Ralph H. Johnson VA Medical Center

Rehabilitation of walking after stroke has been investigated with a variety of interventions, which will be outlined in this review. To date, the majority of interventions have demonstrated a positive, but similar effect in the primary clinical outcome of self-selected walking speed. Consistent among the most successful interventions is a focus on the intensity of the intervention and the ability to progress rehabilitation in a structured fashion. Successful progression of rehabilitation of walking likely lies in the ability to combine interventions based on an understanding of contributing underlying deficits (eg, motor control, strength, cardiovascular endurance, and dynamic balance). Rehabilitation programs must account for the need to train dynamic balance for falls prevention. Lastly, clinicians and researchers need to measure the effects of rehabilitation on participation and health related quality of life.

Rehabilitation of walking after stroke.

To identify the clinical measures associated with improved walking speed after locomotor rehabilitation in individuals poststroke and how those who respond with clinically meaningful changes in walking speed differ from those with smaller speed increases.

Locomotor rehabilitation of individuals with chronic stroke: difference between responders and nonresponders.

The purpose is to establish a theoretical framework by which new interventions for poststroke rehabilitation may be developed incorporating knowledge of neuroplasticity and the critical ingredients of rehabilitation.

Article	Year
Rehabilitation of walking after stroke. Current treatment options in neurology\| PubMed ID: 22991142	2012
Locomotor rehabilitation of individuals with chronic stroke: difference between responders and nonresponders. Archives of physical medicine and rehabilitation\| PubMed ID: 23220082	2013
Promoting neuroplasticity and recovery after stroke: future directions for rehabilitation clinical trials. Current opinion in neurology\| PubMed ID: 23254556	2013

Mark G. Bowden

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