Sugawara Kenichi
School of Rehabilitation, Faculty of Health and Social Services, Kanagawa University of Human Services.
Phys Ther Res. 2020 Dec 4;23(2):106-112. doi: 10.1298/ptr.R0010. eCollection 2020.
For central nervous system disorders' rehabilitation, it is important to accurately understand motor control and implement an appropriate motor learning process to induce neuroplastic changes. The neurophysiological studies have revealed that neural control mechanisms are crucial during both the onset of muscular activities and muscle release after contraction. When performing various movements during daily activities, muscle relaxation control enables precise force output and timing control. Moreover, surround inhibition is a functional mechanism in the motor system. Surround inhibition of the motor system may be involved in the selective execution of desired movements. This review demonstrates cortical excitability resulting from motor learning, movement control mechanisms including muscle relaxation and the suppression of nontarget muscle groups, and the voluntary drive's importance that is required for movement.
对于中枢神经系统疾病的康复而言,准确理解运动控制并实施适当的运动学习过程以诱导神经可塑性变化非常重要。神经生理学研究表明,神经控制机制在肌肉活动开始以及收缩后肌肉放松过程中都至关重要。在日常活动中进行各种动作时,肌肉放松控制能够实现精确的力量输出和时间控制。此外,周围抑制是运动系统中的一种功能机制。运动系统的周围抑制可能参与期望动作的选择性执行。本综述阐述了运动学习导致的皮质兴奋性、包括肌肉放松和非目标肌肉群抑制在内的运动控制机制,以及运动所需的自主驱动的重要性。