Article

Neurorestoration of motor command in spastic paresis requires a double action of
stimulation and guidance of central nervous system plasticity. Beyond drug
therapies, electrical stimulation and cell therapies, which may stimulate
plasticity without precisely guiding it, two interventions seem capable of
driving plasticity with a double stimulation and guidance component: the lesion
itself (lesion-induced plasticity) and durable behavior modifications
(behavior-induced plasticity). Modern literature makes it clear that the
intensity of the neuronal and physical training is a primary condition to foster
behavior-induced plasticity. When it comes to working on movement, intensity can
be achieved by the combination of two key components, one is the difficulty of
the trained movement, the other is the number of repetitions or the daily
duration of the practice. A number of recent studies shed light on promising
recovery prospects, particularly using the emergence of new technologies such as
robot-assisted therapy and concepts such as guided self-rehabilitation contracts.
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Langue : FRANCAIS