Action research in rehabilitation with chronic stroke recovery: A case report with a focus on neural plasticity

Article type: Case Report

Authors: Pedersen, Malene^a | Bundgaard, Tina H.^b | Zeeman, Peter^c | Jørgensen, Jørgen R.^c | Sørensen, Peter M.B.^d | Berro, Hamza M.^e | Larsson, Bodil W.^{f; *}

Affiliations: [a] AP Health Center, Charlottenlund, Denmark | [b] Day Care Center, Region H, Denmark | [c] Center for Rehabilitation of Brain Injury, University of Copenhagen, Denmark | [d] Municipality based Rehabilitation Brøndby, Brøndby, Denmark | [e] Department of Neurorehabilitation, Region S, Denmark | [f] Metropolitan University College, Physiotherapy, Copenhagen, Denmark

Correspondence: [*] Address for correspondence: Bodil W. Larsson, Physiotherapist, MscPH, Associate Professor, Metropolitan University College, Sigurdsgade 26, 2200 Copenhagen N, Denmark. Tel.: +45 72487960; E-mail: [email protected].

Abstract: BACKGROUND: Chronic stroke patients are primarily referred to general rehabilitation, rather than to specific neurorehabilitation. Currently, there are no Danish clinical guidelines for chronic stroke, but recent research in neuroplasticity has contributed to possible rehabilitation interventions for these patients. OBJECTIVE: The purpose of this project is to describe the use of a specialized neuroplastic approach in combination with an already existing training program. METHODS: The project is designed as an action research project concerning four participants with chronic stroke. Through ten intervention, a neuroplastic focus has been added to their group training program including daily home training. Participants were tested before and after the intervention with MAS, DGI, 6MWT, SSQLS. RESULTS: All four participants improved their functional levels and their quality of life following the intervention. CONCLUSIONS: This report indicates that a specific neuroplastic focus in combination with action research has an impact on the participants with chronic stroke. However, there is still no clarity regarding what type of rehabilitation methods can be considered the most efficacious in promoting neuroplasticity. This case report serves as a pilot project for further studies of how to implement neuroplasticity in physical therapy.

Keywords: Neuroplasticity, chronic stroke, action research, physiotherapy, case report

DOI: 10.3233/NRE-161356

Journal: NeuroRehabilitation, vol. 39, no. 2, pp. 261-272, 2016