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Neuroplasticity and sensory-motor synergy : Implications for hand function and rehabilitation

Rosén, Birgitta LU ; Wijk, Ulrika LU orcid and Björkman, Anders LU (2026) In Journal of Hand Therapy 39(2). p.469-478
Abstract

Background: Normal hand function relies on a finely tuned interaction between the sensory and motor systems within the central and peripheral nervous systems. The central nervous system continuously adapts to changed activity, environmental changes, learning, and injury — a phenomenon known as neuroplasticity. The neuroplasticity is a life-long ability and presents opportunities for therapeutic intervention; by directing it, lost or impaired functions can be improved through a process called "guided plasticity". Purpose: To give an overview of methods of guided plasticity used in hand rehabilitation Study design/Method: Expert review Result: This overview highlights the cortical process for neuroplasticity, sensory-motor synergy, and... (More)

Background: Normal hand function relies on a finely tuned interaction between the sensory and motor systems within the central and peripheral nervous systems. The central nervous system continuously adapts to changed activity, environmental changes, learning, and injury — a phenomenon known as neuroplasticity. The neuroplasticity is a life-long ability and presents opportunities for therapeutic intervention; by directing it, lost or impaired functions can be improved through a process called "guided plasticity". Purpose: To give an overview of methods of guided plasticity used in hand rehabilitation Study design/Method: Expert review Result: This overview highlights the cortical process for neuroplasticity, sensory-motor synergy, and its implications for hand function and rehabilitation.Sensory and motor training should commence as early as possible after an injury due to the rapid cortical changes following input changes — a cortical preparation. Conclusion: As research progresses, we can expect further refinements in rehabilitation techniques and neuro engineering, potentially leading to improved outcomes for patients with hand injuries.

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Please use this url to cite or link to this publication:
author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Brain plasticity, Early sensory relearning, Guided plasticity, Hand rehabilitation, Hand therapy, Neuroplasticity, Sensory re-education
in
Journal of Hand Therapy
volume
39
issue
2
pages
469 - 478
publisher
Elsevier
external identifiers
  • pmid:41519636
  • scopus:105028093037
ISSN
0894-1130
DOI
10.1016/j.jht.2025.10.004
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2025 Published by Elsevier Inc. This is an open access article under the CC BY license. http://creativecommons.org/licenses/by/4.0/
id
c6e7f6cc-77f3-4de6-b563-3225c76bcbcb
date added to LUP
2026-02-27 09:33:39
date last changed
2026-08-30 12:41:00
@article{c6e7f6cc-77f3-4de6-b563-3225c76bcbcb,
  abstract     = {{<p>Background: Normal hand function relies on a finely tuned interaction between the sensory and motor systems within the central and peripheral nervous systems. The central nervous system continuously adapts to changed activity, environmental changes, learning, and injury — a phenomenon known as neuroplasticity. The neuroplasticity is a life-long ability and presents opportunities for therapeutic intervention; by directing it, lost or impaired functions can be improved through a process called "guided plasticity". Purpose: To give an overview of methods of guided plasticity used in hand rehabilitation Study design/Method: Expert review Result: This overview highlights the cortical process for neuroplasticity, sensory-motor synergy, and its implications for hand function and rehabilitation.Sensory and motor training should commence as early as possible after an injury due to the rapid cortical changes following input changes — a cortical preparation. Conclusion: As research progresses, we can expect further refinements in rehabilitation techniques and neuro engineering, potentially leading to improved outcomes for patients with hand injuries.</p>}},
  author       = {{Rosén, Birgitta and Wijk, Ulrika and Björkman, Anders}},
  issn         = {{0894-1130}},
  keywords     = {{Brain plasticity; Early sensory relearning; Guided plasticity; Hand rehabilitation; Hand therapy; Neuroplasticity; Sensory re-education}},
  language     = {{eng}},
  number       = {{2}},
  pages        = {{469--478}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Hand Therapy}},
  title        = {{Neuroplasticity and sensory-motor synergy : Implications for hand function and rehabilitation}},
  url          = {{http://dx.doi.org/10.1016/j.jht.2025.10.004}},
  doi          = {{10.1016/j.jht.2025.10.004}},
  volume       = {{39}},
  year         = {{2026}},
}