Investigating the Role of Task-Specific Functional Training in Enhancing Neuroplasticity During Early-Stage Physiotherapeutic Recovery After Traumatic Brain Injury
Keywords:
Traumatic brain injury, task-specific functional training, neuroplasticity, physiotherapy, early rehabilitationAbstract
Purpose
This study investigates how task-specific functional training (TSFT) contributes to enhanced neuroplasticity in adults undergoing early-stage physiotherapeutic recovery following moderate to severe traumatic brain injury.
Design/methodology/approach
A mixed-methods approach was used, combining quantitative neurophysiological measures (transcranial magnetic stimulation [TMS], functional MRI) and standardized functional outcome scores (FIM, Berg Balance) pre- and post-intervention in a 12-week TSFT program (n=40) versus standard therapy (n=40).
Findings
TSFT demonstrated statistically significant improvements (p<0.05) in neural connectivity and motor learning compared to controls. Functional outcomes correlated strongly with cortical reorganization markers.
Practical implications
Findings support integrating TSFT into early TBI rehabilitation to maximize adaptive neuroplasticity and optimize functional independence.
Originality/value
This study provides novel quantitative evidence linking TSFT protocols with measurable neuroplastic changes in early post-TBI physiotherapy.
References
[1] Baker, K., Harvey, R.L., & Borenstein, D. (2018). Neuroplasticity after brain injury. Journal of Neurological Rehabilitation.
[2] Barker, A.T., et al. (2020). Transcranial magnetic stimulation in TBI recovery. Neurorehabilitation Today.
[3] Bayona, N.A., et al. (2005). Task-oriented training: Stroke evidence. Archives of Physical Medicine and Rehabilitation.
[4] Cicerone, K.D., et al. (2011). Cognitive rehabilitation after TBI. Neuropsychological Rehabilitation.
[5] Day, L., et al. (2015). Functional mobility outcomes in TBI. Brain Injury Journal.
[6] Dobkin, B.H. (2005). Neural plasticity and recovery of function. Lancet Neurology.
[7] Duncan, P.W., et al. (2011). Repetitive task training for motor gain. Stroke Rehabilitation.
[8] Ferrarelli, F., et al. (2017). Motor cortex excitability in TBI. Clinical Neurophysiology.
[9] Giggins, O.M., et al. (2013). Wearable tech in neurorehabilitation. Journal of NeuroEngineering and Rehabilitation.
[10] Grealy, M.A., et al. (1999). Action video games & neural adaptation. Nature.
