title: Action research in rehabilitation with chronic stroke recovery: A case report with a focus on neural plasticity.
abstract: BACKGROUND
  Chronic stroke patients are primarily referred to general rehabilitation, rather than to specific neurorehabilitation. Currently, there are no Danish clinical guidelines for chronic stroke, but recent research in neuroplasticity has contributed to possible rehabilitation interventions for these patients.
  
  
  OBJECTIVE
  The purpose of this project is to describe the use of a specialized neuroplastic approach in combination with an already existing training program.
  
  
  METHODS
  The project is designed as an action research project concerning four participants with chronic stroke. Through ten intervention, a neuroplastic focus has been added to their group training program including daily home training. Participants were tested before and after the intervention with MAS, DGI, 6MWT, SSQLS.
  
  
  RESULTS
  All four participants improved their functional levels and their quality of life following the intervention.
  
  
  CONCLUSIONS
  This report indicates that a specific neuroplastic focus in combination with action research has an impact on the participants with chronic stroke. However, there is still no clarity regarding what type of rehabilitation methods can be considered the most efficacious in promoting neuroplasticity. This case report serves as a pilot project for further studies of how to implement neuroplasticity in physical therapy.
authors.affiliation: AP Health Center, Charlottenlund, Denmark.
authors.forename: Malene
authors.initials: M
authors.lastname: Pedersen
authors.affiliation: Day Care Center, Region H, Denmark.
authors.forename: Tina H
authors.initials: TH
authors.lastname: Bundgaard
authors.affiliation: Center for Rehabilitation of Brain Injury, University of Copenhagen, Denmark.
authors.forename: Peter
authors.initials: P
authors.lastname: Zeeman
authors.affiliation: Center for Rehabilitation of Brain Injury, University of Copenhagen, Denmark.
authors.forename: Jørgen R
authors.initials: JR
authors.lastname: Jørgensen
authors.affiliation: Municipality based Rehabilitation Brøndby, Brøndby, Denmark.
authors.forename: Peter M B
authors.initials: PM
authors.lastname: Sørensen
authors.affiliation: Department of Neurorehabilitation, Region S, Denmark.
authors.forename: Hamza M
authors.initials: HM
authors.lastname: Berro
authors.affiliation: Metropolitan University College, Physiotherapy, Copenhagen, Denmark.
authors.forename: Bodil W
authors.initials: BW
authors.lastname: Larsson
mesh_terms: D000368:Aged; D005260:Female; D006302:Health Services Research; D006801:Humans; D008297:Male; D008875:Middle Aged; D009473:Neuronal Plasticity / Q000502:physiology*; D010865:Pilot Projects; D011788:Quality of Life; D020127:Recovery of Function / Q000502:physiology*; D020521:Stroke / Q000503:physiopathology*; D000071939:Stroke Rehabilitation / Q000379:methods*; D016896:Treatment Outcome
keywords: Neuroplasticity; action research; case report; chronic stroke; physiotherapy