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Answering the Call: The Influence of Neuroimaging and Electrophysiological Evidence on Rehabilitation

LA Boyd, PT, PhD, is Assistant Professor and Canada Research Chair in Neurobiology of Motor Learning, School of Rehabilitation Sciences, University of British Columbia, T325-2211 Westbrook Mall, Vancouver, British Columbia, Canada V6T 2B5, and Adjunct Assistant Professor, Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center, Kansas City, Kan.
ED Vidoni, PT, MSPT, is a graduate student and PhD candidate, Department of Physical Therapy and Rehabilitation Science, University of Kansas Medical Center.
JJ Daly, PT, MSPT, PhD, is Associate Professor, Department of Neurology, Case Western Reserve University School of Medicine; Director, Stroke Motor Control and Motor Learning Laboratory, Louis Stokes Cleveland Dept of Veterans Affairs Medical Center, Cleveland, Ohio.

Laraboyd{at}interchange.ubc.ca

Functional recovery after brain damage or disease is dependent on the neuroplastic capability of the cortex and the nonaffected brain. Following cortical injury in the motor and sensory regions, the adjacent spared neural tissues and related areas undergo modifications that are required in order to drive more normal motor control. Current rehabilitation models seek to stimulate functional recovery by capitalizing on the inherent potential of the brain for positive reorganization after neurological injury or disease. This article discusses how neuroimaging and electrophysiological data can inform clinical practice; representative data from the modalities of functional magnetic resonance imaging, diffusion tensor imaging, magnetoencephalography, electroencephalography, and positron emission tomography are cited. Data from a variety of central nervous system disease and damage models are presented to illustrate how rehabilitation practices are beginning to be shaped and informed by neuroimaging and electrophysiological data.

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