In this paper, the authors introduce a novel framework for rehabilitation. This framework is intended to be one that feels intuitive, is grounded in evidence, supports clinical decision making, and serves multiple professions. This approach intended to bring together, to fuse, knowledge from psychology, neuroscience, neurorehabilitation and exercise physiology in an adaptable fashion that provides space for patient preferences. This approach, known as High Intensity Unloaded-Loaded-Unloaded (HULU) is a framework that can be leveraged in efforts to promote skill acquisition, as well as skill re-acquisition (rehabilitation after loss). HULU is intended to provide structure for treatment planning and afford therapist-patient (or therapist-athlete) dyads to create engaging, precise and person-specific dosage when the goal is learning to capture or recapture skills for athletics, occupation, mobility, activities of daily living, or instrumental activities of daily living. While this framework is not intended to serve all people, it will provide clinicians with an easy and logical tool to implement the principles of exercise physiology, neuroplasticity and psychology while leveraging approaches from the OPTIMAL Theory of Motor Learning, Motivational Interviewing and occupation-centered care via engagement pathways influencing intensity, attention and awareness.
Citation: Studer, M., Julie H. & Naoya O.(2026). New Clear Fusion – Harnessing the Energies of Psychology, Neuroscience and Exercise Physiology in Neurorehabilitation. J Psychol Neurosci; 8(4):1-14. DOI : https://doi.org/10.47485/2693-2490.1175