Neurophysiology of Robot-Mediated Training and Therapy: A Perspective for Future Use in Clinical Populations

Article

Turner, D., Ramos-Murguialday, Ander, Birbaumer, Niels, Hoffmann, Ulrich and Luft, Andreas 2013. Neurophysiology of Robot-Mediated Training and Therapy: A Perspective for Future Use in Clinical Populations. Frontiers in Neurology. 4 (184).
AuthorsTurner, D., Ramos-Murguialday, Ander, Birbaumer, Niels, Hoffmann, Ulrich and Luft, Andreas
Abstract

The recovery of functional movements following injury to the central nervous system (CNS) is multifaceted and is accompanied by processes occurring in the injured and non-injured hemispheres of the brain or above/below a spinal cord lesion. The changes in the CNS are the consequence of functional and structural processes collectively termed neuroplasticity and these may occur spontaneously and/or be induced by movement practice. The neurophysiological mechanisms underlying such brain plasticity may take different forms in different types of injury, for example stroke vs. spinal cord injury (SCI). Recovery of movement can be enhanced by intensive, repetitive, variable, and rewarding motor practice. To this end, robots that enable or facilitate repetitive movements have been developed to assist recovery and rehabilitation. Here, we suggest that some elements of robot-mediated training such as assistance and perturbation may have the potential to enhance neuroplasticity. Together the elemental components for developing integrated robot-mediated training protocols may form part of a neurorehabilitation framework alongside those methods already employed by therapists. Robots could thus open up a wider choice of options for delivering movement rehabilitation grounded on the principles underpinning neuroplasticity in the human CNS.

JournalFrontiers in Neurology
Journal citation4 (184)
ISSN1664-2295
Year2013
PublisherFrontiers Media SA
Publisher's version
License
CC BY-ND
Web address (URL)http://dx.doi.org/10.3389/fneur.2013.00184
Publication dates
Print13 Nov 2013
Publication process dates
Deposited13 Mar 2015
Accepted27 Oct 2013
FunderEuropean Commission
Copyright information© 2013 Turner, Ramos-Murguialday, Birbaumer, Hoffmann and Luft. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
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