Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home....
Transcript of Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home....
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Neuroplasticitet og
Neurorehabilitering
Jens Bo NielsenInstitut for Neurovidenskab
Panum
Københavns Universitet
&
Elsassfonden
E-mail: [email protected]
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Plasticity at three different levels
Engert & Bonhoeffer, Nature. 1999
Cellular Networks
Paul Bach-Y-Rita
Representational maps
Jeffrey Kleim
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Training, learning Stabil hukommelse,
Varig forbedret præstationsevne
Consolidation (altered gene-expression
and protein synthesis)
Dopamine
Amphetamine
Reward
Nutrition
Sleep
Exercise
Stable memory
Lasting change in performance
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Neuroplastic changes requires intensive and progressive training
over prolonged periods
Jesper
Lundbye-Jensen
Lasse Christiansen
Christiansen et al. 2018
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Neuroplastic changes in relation to training as part of daily living
Treadmill training at home iPad training in stroke survivors Climbing
Willerslev-Olsen et al (2014; 2015; 2019)
Lorentzen et al. (2017) Christensen et al (2017)Larsen et al (2016; 2017)
Feasability study (n=18),
2.5 hr of activity 3 times pr
week in 3 weeks
15 children, 30 adults
Randomized, cross-over, follow-up
4 weeks training, 30 mins pr day
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Using new technology to facilitate training at home
Babytraining - Caretoy Children – adults. MiTii
Sgandurra et al. (2014, 2016, 2017, 2019)
Significant improvement in IMP, visual acuity
and reduced parental stress
N=40
Blinded, randomized, cross-over
30 mins training pr day in 4 weeks
N=38
Blinded, cross-over
30 mins training pr day in 12 weeks
Significant improvement in AMPS and AHA, STS
Lorentzen et al. (2017)
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New education: Master in Neurorehabilitation
Besøg Jakob Lorentzen i uddannelseshjørnet i Fordybelsesrummet
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