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Activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population
Well-established scientific evidence demonstrates that activity is essential for the development and repair of the central nervous system, yet traditional rehabilitation approaches target muscles only above the lesion as a means of compensation. Activity-Based Rehabilitation (ABR) represents an evol...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10511641/ https://www.ncbi.nlm.nih.gov/pubmed/37744428 http://dx.doi.org/10.3389/fresc.2023.1186212 |
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author | Reeves, Brooke Smith, Emily Broussard, Miranda Martin, Rebecca |
author_facet | Reeves, Brooke Smith, Emily Broussard, Miranda Martin, Rebecca |
author_sort | Reeves, Brooke |
collection | PubMed |
description | Well-established scientific evidence demonstrates that activity is essential for the development and repair of the central nervous system, yet traditional rehabilitation approaches target muscles only above the lesion as a means of compensation. Activity-Based Rehabilitation (ABR) represents an evolving paradigm shift in neurorehabilitation targeting activation of the neuromuscular system below the lesion. Based on activity-dependent plasticity, ABR offers high intensity activation of the nervous system to optimize the capacity for recovery, while working to offset the chronic complications that occur as a result of neurologic injury. Treatment focus shifts from compensatory training to promotion of restoration of function with special emphasis on normalizing sensory cues and movement kinematics. ABR in children carries special considerations for a developing nervous system and the focus is not just restoring functions but advancing functions in line with typical development. Application of activity-based interventions includes traditional rehabilitation strategies at higher intensity and frequency than in traditional models, including locomotor training, functional electrical stimulation, massed practice, and task specific training, applied across the continuum of care from early intervention to the chronic condition. |
format | Online Article Text |
id | pubmed-10511641 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-105116412023-09-22 Activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population Reeves, Brooke Smith, Emily Broussard, Miranda Martin, Rebecca Front Rehabil Sci Rehabilitation Sciences Well-established scientific evidence demonstrates that activity is essential for the development and repair of the central nervous system, yet traditional rehabilitation approaches target muscles only above the lesion as a means of compensation. Activity-Based Rehabilitation (ABR) represents an evolving paradigm shift in neurorehabilitation targeting activation of the neuromuscular system below the lesion. Based on activity-dependent plasticity, ABR offers high intensity activation of the nervous system to optimize the capacity for recovery, while working to offset the chronic complications that occur as a result of neurologic injury. Treatment focus shifts from compensatory training to promotion of restoration of function with special emphasis on normalizing sensory cues and movement kinematics. ABR in children carries special considerations for a developing nervous system and the focus is not just restoring functions but advancing functions in line with typical development. Application of activity-based interventions includes traditional rehabilitation strategies at higher intensity and frequency than in traditional models, including locomotor training, functional electrical stimulation, massed practice, and task specific training, applied across the continuum of care from early intervention to the chronic condition. Frontiers Media S.A. 2023-09-06 /pmc/articles/PMC10511641/ /pubmed/37744428 http://dx.doi.org/10.3389/fresc.2023.1186212 Text en © 2023 Reeves, Smith, Broussard and Martin. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) (https://creativecommons.org/licenses/by/4.0/) . The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) 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. |
spellingShingle | Rehabilitation Sciences Reeves, Brooke Smith, Emily Broussard, Miranda Martin, Rebecca Activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population |
title | Activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population |
title_full | Activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population |
title_fullStr | Activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population |
title_full_unstemmed | Activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population |
title_short | Activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population |
title_sort | activity based restorative therapy considerations for children: medical and therapeutic perspectives for the pediatric population |
topic | Rehabilitation Sciences |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10511641/ https://www.ncbi.nlm.nih.gov/pubmed/37744428 http://dx.doi.org/10.3389/fresc.2023.1186212 |
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