Piscitelli Daniele
School of Medicine and Surgery, PhD Program in Neuroscience, University of Milan-Bicocca, Milan, Italy.
Arch Physiother. 2016 Jun 23;6:5. doi: 10.1186/s40945-016-0019-z. eCollection 2016.
Neurorehabilitation is at a crossroads. Indeed, there is inconclusive, but promising evidence about clinical effectiveness of rehabilitation in the field of neurological impairments. Translating the new theories on motor control into clinical research may help to develop new treatment strategies and guide rehabilitation approaches. The concepts of synergy and the uncontrolled manifold hypothesis provide a strong theoretical framework to explain how the nervous system controls and coordinates movements, ensuring stability during daily actions. Moreover, this approach can increase the understanding of the neural control of action stability with implications for clinical practice and may help the development of new treatment strategies.
神经康复正处于十字路口。的确,关于神经功能障碍领域康复的临床有效性,有一些尚无定论但颇具前景的证据。将运动控制的新理论转化为临床研究,可能有助于开发新的治疗策略并指导康复方法。协同作用和非受控流形假说的概念提供了一个强大的理论框架,用以解释神经系统如何控制和协调运动,确保日常活动中的稳定性。此外,这种方法可以增进对动作稳定性神经控制的理解,对临床实践具有启示意义,并可能有助于新治疗策略的开发。