Furuya Shinichi, Altenmüller Eckart
Institute for Music Physiology and Musicians' Medicine, Hanover University of Music, Drama and Media, Hanover, Germany; Department of Information and Communication Sciences, Sophia University, Tokyo, Japan.
Ann N Y Acad Sci. 2015 Mar;1337:118-24. doi: 10.1111/nyas.12659.
Precise control of movement timing plays a key role in musical performance. This motor skill requires coordination across multiple joints and muscles, which is acquired through extensive musical training from childhood. However, extensive training has a potential risk of causing neurological disorders that impair fine motor control, such as task-specific tremor and focal dystonia. Recent technological advances in measurement and analysis of biological data, as well as noninvasive manipulation of neuronal activities, have promoted the understanding of computational and neurophysiological mechanisms underlying acquisition, loss, and reacquisition of dexterous movements through musical practice and rehabilitation. This paper aims to provide an overview of the behavioral and neurophysiological basis of motor virtuosity and disorder in musicians, representative extremes of human motor skill. We also report novel evidence of effects of noninvasive neurorehabilitation that combined transcranial direct-current stimulation and motor rehabilitation over multiple days on musician's dystonia, which offers a promising therapeutic means.
运动时间的精确控制在音乐表演中起着关键作用。这项运动技能需要多个关节和肌肉之间的协调,而这种协调是通过从童年开始的广泛音乐训练获得的。然而,广泛训练存在导致神经障碍的潜在风险,这些神经障碍会损害精细运动控制,如特定任务震颤和局灶性肌张力障碍。生物数据测量与分析以及神经元活动的无创操纵方面的最新技术进展,促进了对通过音乐练习和康复实现灵巧运动的习得、丧失和重新习得背后的计算和神经生理机制的理解。本文旨在概述音乐家运动精湛技艺和障碍的行为及神经生理基础,音乐家代表了人类运动技能的两个极端。我们还报告了关于多天联合经颅直流电刺激和运动康复的无创神经康复对音乐家肌张力障碍影响的新证据,这提供了一种有前景的治疗手段。