ABT Basics
These standardized rehabilitation regimens use repetitive, task-specific physical movements and cognitive intentions to promote CNS recovery.
What are activity-based therapies (ABTs)?
In R.I.S.E., the “R” stands for this.
What is Repetition?
This concept describes the brain’s ability to change in response to experience and activity.
What is neuroplasticity?
In the OG CIMT protocol, the less-affected limb was constrained for approximately this percentage of waking hours.
What is 90%?
This type of gait training emphasizes task-specific stepping practice at higher cardiovascular intensities.
What is high-intensity gait training?
This is the overall goal of ABTs: restoring CNS function through this process.
What is neuroplasticity?
This pillar tells the brain it must find a way to make the task more efficient and less demanding.
What is Intensity?
This form of plasticity is presents as persistent strengthening of synapses based on recent patterns of activity.
What is long-term potentiation (LTP)?
The EXCITE trial examined this intervention for upper-extremity recovery after stroke.
What is CIMT?
This standardized test is listed among the primary outcomes for high-intensity gait training.
What is the 6-Minute Walk Test?
This ABT involves restraining the less-affected limb while intensively practicing with the affected limb.
What is Constraint-Induced Movement Therapy (CIMT)?
This pillar requires the brain to remain flexible in how it performs a task under changing conditions.
What is Skilled learning?
“Neurons that fire together, wire together” describes this form of plasticity.
What is Hebbian plasticity?
This is a way to deliver consistent, programmable, high-intensity motor therapy.
What is robotic therapy?
The greatest reduction in aphasia was associated with this many total hours of speech-language therapy.
What are 20-50 hours?
This therapy focuses on high-intensity walking, sometimes using partial body-weight support.
What is locomotor/treadmill training?
This pillar keeps the brain doing more repetitions—and having fun makes it easier.
What is Engagement?
This type of activity dependent plasticity results in prolonged decrease in synaptic strength.
What is long term depression?
Meta-analyses presented in the lecture suggest robotics can be as effective as this when the amount of therapy time is the same.
What is the same amount of therapist-delivered therapy?
This spatial-attention disorder can be treated using visual scanning, sensory cueing, and prism adaptation.
What is spatial neglect?
This ABT uses computer-based simulations to practice real-world motor and cognitive tasks in a motivating environment.
What are virtual reality and gamification?
Put the four pillars in the correct order represented by the acronym R.I.S.E.
What are Repetition, Intensity, Skilled learning, and Engagement?
This concept describes a competitive relationship between the two cerebral hemispheres during recovery.
What is competitive equilibrium between the hemispheres?
Recent studies with task specific training have shown that patients can do many more of these than was previously thought?
What are repetitions?
These remote services can address cost and travel barriers while improving access and compliance.
What is telerehabilitation?