This course will focus on the clinical translation of novel approaches to optimize motor recovery and function after acquired brain injury. Motor learning principles and current clinical practice guidelines to guide motor rehabilitation after acquired brain injury will be discussed in parallel with innovative technologies to support the application of these principles in individuals across the severity spectrum. Experiential learning will focus on technology currently available to support motor rehabilitation while reinforcing motor learning principles. Appropriate outcome measure selection and implementation will be discussed based on severity level and motor rehabilitation goals.

This presentation will provide an overview of using motor learning principles to facilitate adaptive plasticity after neurologic injury. Neural mechanisms associated with use-dependent learning and the importance and timing of motor rehabilitation will be discussed. An overview of the practical application of motor learning principles including learning considerations associated with errors, contextualization, and advanced training will be reviewed. A general overview of advancements and innovations in technology will be discussed along with the inclusion of TBI in Healthy People 2030 to lay the foundation for the course.

This section of the course will focus on current opportunities to promote walking and balance recovery after acquired brain injury. Novel technologies including overground and treadmill-based exoskeletons, virtual reality, and functional electrical stimulation will be reviewed along with case study presentation of clinical application along the severity spectrum from disorders of consciousness (DOC) to community integration. The clinical practice guideline to guide locomotor training after brain injury will be discussed along with the challenges and opportunities associated with integration. A review of recommended outcome measures to assess progress and safety will be addressed throughout the severity spectrum. Experiential learning will be facilitated in lab-based sessions with advanced technologies.