Levin Mindy F, Piscitelli Daniele
School of Physical and Occupational Therapy, McGill University, Montreal, QC,Canada.
Feil and Oberfeld Research Centre, Jewish Rehabilitation Hospital site of Centre for Interdisciplinary Research in Rehabilitation, Montreal, QC,Canada.
Motor Control. 2022 Jul 8;26(4):497-517. doi: 10.1123/mc.2022-0026. Print 2022 Oct 1.
There is a lack of conceptual and theoretical clarity among clinicians and researchers regarding the control of motor actions based on the use of the term "motor control." It is important to differentiate control processes from observations of motor output to improve communication and to make progress in understanding motor disorders and their remediation. This article clarifies terminology related to theoretical concepts underlying the control of motor actions, emphasizing how the term "motor control" is applied in neurorehabilitation. Two major opposing theoretical frameworks are described (i.e., direct and indirect), and their strengths and pitfalls are discussed. Then, based on the proposition that sensorimotor rehabilitation should be predicated on one comprehensive theory instead of an eclectic mix of theories and models, several solutions are offered about how to address controversies in motor learning, optimality, and adaptability of movement.
临床医生和研究人员在基于“运动控制”一词来理解运动动作控制方面，缺乏概念和理论上的清晰认识。区分控制过程和运动输出观察结果，对于改善交流以及在理解运动障碍及其矫治方面取得进展很重要。本文阐明了与运动动作控制背后理论概念相关的术语，强调了“运动控制”一词在神经康复中的应用方式。文中描述了两个主要的对立理论框架（即直接和间接框架），并讨论了它们的优点和缺陷。然后，基于感觉运动康复应基于一种综合理论而非多种理论和模型的折衷组合这一观点，针对如何解决运动学习、运动最优性和运动适应性方面的争议，提出了几种解决方案。
