Center for Movement Studies, The Kennedy Krieger Institute, Baltimore, Maryland 21205, USA.
Department of Physical Medicine and Rehabilitation, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205, USA.
Annu Rev Neurosci. 2018 Jul 8;41:415-429. doi: 10.1146/annurev-neuro-080317-062245. Epub 2018 Apr 30.
The fields of human motor control, motor learning, and neurorehabilitation have long been linked by the intuition that understanding how we move (and learn to move) leads to better rehabilitation. In reality, these fields have remained largely separate. Our knowledge of the neural control of movement has expanded, but principles that can directly impact rehabilitation efficacy remain somewhat sparse. This raises two important questions: What can basic studies of motor learning really tell us about rehabilitation, and are we asking the right questions to improve the lives of patients? This review aims to contextualize recent advances in computational and behavioral studies of human motor learning within the framework of neurorehabilitation. We also discuss our views of the current challenges facing rehabilitation and outline potential clinical applications from recent theoretical and basic studies of motor learning and control.
人类运动控制、运动学习和神经康复领域长期以来一直存在着这样一种直觉,即理解我们如何运动(以及如何学习运动)可以促进更好的康复。但实际上,这些领域在很大程度上仍然是相互独立的。我们对运动神经控制的了解不断扩大,但能够直接影响康复效果的原理仍然相对较少。这就提出了两个重要的问题:运动学习的基础研究究竟能告诉我们多少关于康复的知识,以及我们是否在提出正确的问题来改善患者的生活? 本篇综述旨在将人类运动学习的计算和行为研究的最新进展置于神经康复的框架内进行论述。我们还讨论了我们对康复所面临的当前挑战的看法,并从运动学习和控制的最新理论和基础研究中概述了潜在的临床应用。