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Neuroplasticitet og Neurorehabilitering Jens Bo Nielsen Institut for Neurovidenskab Panum Københavns Universitet & Elsassfonden E-mail: [email protected]

Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,

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Page 1: Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,

Neuroplasticitet og

Neurorehabilitering

Jens Bo NielsenInstitut for Neurovidenskab

Panum

Københavns Universitet

&

Elsassfonden

E-mail: [email protected]

Page 2: Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,

Plasticity at three different levels

Engert & Bonhoeffer, Nature. 1999

Cellular Networks

Paul Bach-Y-Rita

Representational maps

Jeffrey Kleim

Page 3: Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,

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

Page 4: Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,

Neuroplastic changes requires intensive and progressive training

over prolonged periods

Jesper

Lundbye-Jensen

Lasse Christiansen

Christiansen et al. 2018

Page 5: Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,

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

Page 6: Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,

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)

Page 7: Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,

New education: Master in Neurorehabilitation

Besøg Jakob Lorentzen i uddannelseshjørnet i Fordybelsesrummet

Page 8: Spasticitet og neurorehabilitering€¦ · Using new technology to facilitate training at home. Babytraining - Caretoy Children –adults. MiTii. Sgandurra et al. (2014, 2016, 2017,