Department of Kinesiology, University of Wisconsin-Milwaukee, Milwaukee, WI 53201, United States.
Department of Kinesiology, University of Wisconsin-Milwaukee, Milwaukee, WI 53201, United States.
Neurosci Lett. 2020 Jul 27;732:135080. doi: 10.1016/j.neulet.2020.135080. Epub 2020 May 25.
Motor adaptation, a type of motor learning, is often thought to involve two distinct processes: error-based and use-dependent learning. Passive movement training, which is associated with use-dependent learning, can facilitate motor adaptation, although it is unknown how long its facilitative effect can last. The objective of this study was to examine the lasting effect of passive training on visuomotor adaptation for the duration of up to 24 h. Neurotypical, right-handed subjects experienced four experimental sessions: baseline, training, time delay and testing. In the training session, all subjects received passive training of their dominant arm that was moved by an exoskeletal robot in a "desired" target direction repeatedly. Following that, the subjects experienced a time delay of 5 min, 1 h or 24 h. In the testing session, the subjects performed reaching movements under a novel visuomotor condition, in which the visual display was rotated 30 degrees counterclockwise about the start circle. Control subjects experienced the baseline and testing sessions with a time delay of 5 min between the two sessions. Results indicate that the 1-h and 24-h groups, but not the 5-min group, adapted to the rotation significantly better than the controls. This finding has an implication for neurorehabilitation suggesting, for example, that passive proprioceptive training may indeed be a viable option for improving arm motor function in stroke survivors with severe hemiparesis, for whom efficient intervention techniques are very limited.
运动适应是一种运动学习,通常被认为涉及两种不同的过程:基于错误的学习和使用依赖性学习。被动运动训练与使用依赖性学习有关,可以促进运动适应,尽管其促进作用能持续多久尚不清楚。本研究的目的是在长达 24 小时的时间内,考察被动训练对视觉运动适应的持久影响。神经典型的右利手受试者经历了四个实验阶段:基线、训练、时滞和测试。在训练阶段,所有受试者的优势手臂都接受了被动训练,由外骨骼机器人以“期望”的目标方向反复移动。之后,受试者经历了 5 分钟、1 小时或 24 小时的时滞。在测试阶段,受试者在新的视觉运动条件下进行伸展运动,其中视觉显示器绕起始圆逆时针旋转 30 度。对照组受试者在两次测试之间有 5 分钟的时滞经历基线和测试阶段。结果表明,1 小时和 24 小时组,但不是 5 分钟组,与对照组相比,适应旋转的能力显著提高。这一发现对神经康复具有启示意义,例如,被动本体感觉训练可能确实是改善严重偏瘫中风幸存者手臂运动功能的可行选择,对于这些患者来说,有效的干预技术非常有限。