Neurorecovery and Neuroplasticity: Rethinking Outcomes in Neurorecovery Across Motor, Language, and Cognition*
Date: October 18, 2026
Time: 3:30 pm to 5:00 pm
Room: Coral 4
Track: Cross-Cutting Special Interest Group (SIG)
Session Description
Traditional clinical endpoints in neurorecovery trials often emphasize functional success (e.g., task completion) while providing limited insight into the mechanisms that drive recovery. This limitation is evident across motor, speech, language, and cognitive rehabilitation, where standard outcome measures may fail to capture compensatory strategies or underlying neural reorganization. As a result, meaningful biological and behavioral improvements may be overlooked, and promising therapies may be inadequately evaluated.
This session will highlight emerging approaches to outcome measurement in speech, cognition, and motor recovery that move beyond accepted endpoints to incorporate detailed behavioral profiling, error-based analyses, process-level cognitive metrics, and quantitative performance measures such as kinematic analysis. We will discuss how these methods address domain-specific challenges in aphasia, cognitive impairment, and motor dysfunction while clarifying distinctions between impairment-level change and functional compensation. Emphasis will be placed on improving sensitivity to treatment effects and aligning outcome measures more closely with mechanisms of neural plasticity.
By integrating insights across motor, language, speech, and cognition, this session aims to challenge how neurorecovery is measured and to advance a mechanism-informed framework for translationally meaningful trial endpoints.
Learning Objectives
At the conclusion of this session, attendees will be able to:
- Differentiate true recovery from compensatory strategies across motor, language, speech, and cognitive domains using advanced behavioral and performance-based measures.
- Evaluate limitations of traditional endpoints and consider the role of more sensitive, domain-specific measures in detecting meaningful neurorecovery.
- Examine the use of mechanism-informed outcome measures (e.g., kinematics, error-based, and process-level metrics) to enhance clinical trial design and interpretation of treatment effects.
Speakers
- (Chair) Karunesh Ganguly, MD, PhD, FANA
- (Co-Chair, Speaker) Peter Turkeltaub, MD, PhD, FANA
- (Speaker) David Lin, MD
- (Speaker) Andrew Kayser, MD, PhD, FANA
Reading Between the Lines: Dissecting the Neurocognitive Basis of Post-stroke Alexia and Creating Clinically Meaningful Outcome Measures
Description
In this presentation, Dr. Turkeltaub will discuss how alexia is common and limits independence. Highlighting a detailed dissection of reading skills can improve diagnostic precision and may guide targeted treatment.
Rethinking Endpoints for Motor Neurorecovery Trials
Description
In this presentation, Dr. Lin will review the current landscape of upper extremity motor outcome measures and propose a new mechanistic framework.
Mechanisms of Working Memory and Their Implications for Cognitive Neurorehabilitation
Description
In this presentation, Dr. Kayser will discuss building work in cognitive neuroscience. Dr. Kayser will review mechanisms of working memory and discussing how these mechanisms may inform therapies.