Neuroplasticity & Proprioception Roles in Fall Risk Reduction – Michel (Shelly) Denes

Neuroplasticity and neuroprotection provide us with a brain that can adapt not only to changes inflicted by damage but also to experiences. With this understanding, we can intervene to help with balance, gait and reducing fall risk in our patients. Proprioception is also an integral part of movement, somatosensory input, gait and balance that is impacted by aging and disease as well. We can intervene to help the somatosensory input to ultimately reduce fall risk. Evidence shows that early interventions lead to the best outcomes.

1. Analyze the framework for postural control (somatosensory input) and its impact on reducing fall risk. 
2. Determine the best options to screen, assess and intervene with somatosensory deficits. 
3. Assess the scientific impact of exercise on neuroplasticity and neuroprotection. 

Framework for Posture Control  

• Somatosensory input and impact on reducing fall risk 
  • What is proprioception? 
  • Light touch and vibration 
  • Vision and vestibular impacts 

Screen, Assess and Intervene 

• CDC’s STEADI initiative 
• Romberg Test  
• Treatments and interventions to improve proprioception 
• Case study: significant proprioceptive deficits 

Neuroplasticity 

• Drivers of neuroplastic changes 
• Behavior and its impact on rehab 
• 10 principles of neuroplasticity 

Science behind Exercise 

• Impact on neuroplasticity and neuroprotection 
• Evidence based programs 
• Appropriate exercise RX for older adults 
• Exercise and balance recommendation 

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