Bologna Matteo, Paparella Giulia
Department of Human Neurosciences, Sapienza University of Rome, 00,185 Rome, Italy.
IRCCS Neuromed Pozzilli (IS), 86077 Pozzilli, Italy.
Brain Sci. 2020 Nov 1;10(11):808. doi: 10.3390/brainsci10110808.
Sensorimotor integration is an essential function for both motor control and learning. Over recent decades, a growing body of evidence has emerged in support of the role of altered sensorimotor integration in the pathophysiology of various neurological conditions and movement disorders, particularly bradykinesia, tremor, and dystonia. However, the various causes and mechanisms underlying altered sensorimotor integration in movement disorders are still not entirely understood. The lack of complete insight into the pathophysiological role of altered sensorimotor integration in movement disorders is certainly due to the heterogeneity of movement disorders as well as to the variable occurrence of neurodegenerative phenomena, even in idiopathic movement disorders, which contribute to pathophysiology in a complex and often not easily interpretable way. Clarifying the possible relationship between neurodegenerative phenomena and sensorimotor deficits in movement disorders and other neurological conditions may guide the development of a more detailed disease prognosis and lead, perhaps, to the implementation of novel and individualized therapeutic interventions.
感觉运动整合对于运动控制和学习来说是一项基本功能。在最近几十年里,越来越多的证据表明,感觉运动整合改变在各种神经疾病和运动障碍(尤其是运动迟缓、震颤和肌张力障碍)的病理生理学中发挥着作用。然而,运动障碍中感觉运动整合改变的各种原因和机制仍未完全明确。对运动障碍中感觉运动整合改变的病理生理作用缺乏全面了解,这肯定是由于运动障碍的异质性以及神经退行性现象的不同发生率,即使在特发性运动障碍中也是如此,这些现象以复杂且往往难以解释的方式促成了病理生理学。阐明神经退行性现象与运动障碍及其他神经疾病中的感觉运动缺陷之间的可能关系,可能会为制定更详细的疾病预后提供指导,并可能导致实施新的个性化治疗干预措施。