Appropriately combining mental practice (MP) and physical practice (PP) in a poststroke rehabilitation is critical for ensuring a substantially positive rehabilitation outcome. Here, we present a rehabilitation protocol incorporating a separate active PP stage followed by MP stage, using a hand exoskeleton and brain-computer interface (BCI). The PP stage was mediated by a force sensor feedback-based assist-as-needed control strategy, whereas the MP stage provided BCI-based multimodal neurofeedback combining anthropomorphic visual feedback and proprioceptive feedback of the impaired hand extension attempt. A six week long clinical trial was conducted on four hemiparetic stroke patients (screened out of 16) with a left-hand disability. The primary outcome, motor functional recovery, was measured in terms of changes in grip-strength (GS) and action research arm test (ARAT) scores; whereas the secondary outcome, usability of the system was measured in terms of changes in mood, fatigue, and motivation on a visual-analog-scale. A positive rehabilitative outcome was found as the group mean changes from the baseline in the GS and ARAT were +6.38 kg and +5.66 accordingly. The VAS scale measurements also showed betterment in mood ( $-$ 1.38), increased motivation (+2.10) and reduced fatigue ( $-$ 0.98) as compared to the baseline. Thus, the proposed neurorehabilitation protocol is found to be promising both in terms of clinical effectiveness and usability.

Posttraumatic growth (PTG) is the phenomenon of positive psychological changes experienced as a result of the struggle with highly challenging life circumstances. This study is a qualitative investigation of PTG experiences among 12 Tibetan refugees residing in Dharmshala, Himachal Pradesh, India. Interpretive phenomenological analysis was used to analyze the narratives of case studies in order to explore various dimensions of PTG experienced by the participants as a result of facing various adversities in their lives. Major themes depicting posttraumatic growth experiences included positive changes in outlook toward the world and people, realization of personal strengths, and the experience of more intimate and meaningful relationships. This study indicates that the cultural worldviews provided necessary thrust and schemas for the PTG. Integrating these factors in health services may encourage positive growth outcomes among Tibetan refugees.

This study is an attempt to understand the role of cultural resources in promoting coping among Tibetan refugees. Tibetan refugee communities have adapted well and managed to preserve their cultural identity in exile and have been cited as models of successful coping with refugee life. Tibet is renowned for its rich culture and traditions. The unique feature of this culture is the devotion towards Buddhism which has exerted a strong influence in almost every aspect of their life and culture. This study is a qualitative investigation of 12 Tibetan refugees coming from diverse background (students, businessmen, activists, and ex-prisoners). Interpretive phenomenological analysis was used to analyse the narratives of case studies in order to explore various cultural factors promoting healthy coping. Major themes related to the cultural resources promoting healthy coping included – protective hand of Dalai Lama and other Lamas, Buddhist philosophy and practices, community bonding and support, and historical exemplars of strength and resiliency.

Short-term effects of music stimulus on enhancement of cognitive functions in human brain are documented, however the underlying neural mechanisms in these cognitive effects are not well investigated. In this study, we have attempted to decipher the mechanisms involved in alterations of neural networks that lead to enhanced cognitive effects post-exposure to music. We have investigated the changes in Electroencephalography (EEG) power and functional connectivity of alpha band in resting state of the brain after exposure to Indian classical music. We have quantified the changes in functional connectivity by phase coherence, phase delay, and phase slope index analyses. Spatial mapping of functional connectivity dynamics thus obtained, on brain networks revealed reduced information flow in long-distance connections between frontal and parietal cortex, and between other cortical regions underpinning intelligence. Analyses also showed increased power in the prefrontal and occipital cortex. With these findings, we have developed a stimulus-mechanism-end effect based neuro-cognitive model that explains the music induced cognitive enhancement by a three-channel framework - (1) enhanced global efficiency of brain, (2) enhanced local neural efficiency at the prefrontal lobe, and (3) increased sustained attention. Results signify that music directly affects the cognitive system and leads to improved brain efficiency through well-defined mechanisms.