Cited by 198Stroke Rehabilitation and RecoveryMotor Control and AdaptationCognitive Functions and Memory

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Motor learning in neurological rehabilitation

Levin, Mindy F., Demers, Marika·2021·Disability and Rehabilitation

DOI 10.1080/09638288.2020.1752317

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Abstract

While most upper limb training interventions in neurological rehabilitation are based on established principles of motor learning and neural plasticity, recovery potential may be improved if the focus includes remediating an individual's specific motor impairment within the framework of a motor control theory. This paper reviews current theories of motor control and motor learning and describes how they can be incorporated into training programs to enhance sensorimotor recovery in patients with neurological lesions. An emphasis is placed on dynamical systems theory and the use of new technologies such as virtual, augmented and mixed reality applications for rehabilitation to facilitate learning.Implications for RehabilitationKinematic abundance allows the healthy nervous system to produce different combinations of joint rotations to perform a desired task.The structure of practice to improve the movement repertoire in rehabilitation should take into account the kinematic abundance of the system.Learning can be enhanced by varied practice with feedback about key movement elements.Virtual reality environments provide opportunities to manipulate the structure and schedule of practice and feedback.

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Authors: Levin, M. F., & Demers, M.
Affiliations: Jewish Rehabilitation Hospital (CA)
University of Southern California (US)
Corresponding author: Levin, Mindy F.
ORCID: Levin, Mindy F.
Demers, Marika
Venue: Disability and Rehabilitation
Publisher: Informa UK Limited
Published: 2020-04-22
Volume: 43
Issue: 24
Pages: 3445-3453
ISSN: 0963-8288 (ISSN-L)
1464-5165
DOI: 10.1080/09638288.2020.1752317
OpenAlex: W3017170620
Cited by: 198
References: 109
Citations by year: 2026: 35 · 2025: 55 · 2024: 43 · 2023: 35 · 2022: 21 · 2021: 8 · 2020: 1
FWCI: 1.99
Type: journal article
Language: en
Open access: closed
Locations: Disability and Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Funders: Fonds de la Recherche du Québec en Santé
Topics: Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
Life Sciences › Neuroscience › Cognitive Neuroscience › Motor Control and Adaptation
Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Functions and Memory
Keywords: motor learning, neurorehabilitation, motor control theory, dynamical systems theory, upper limb training, sensorimotor recovery, virtual reality, augmented reality, mixed reality, neuroplasticity, practice structure, movement feedback, motor impairment
MeSH terms: Neurological Rehabilitation, Stroke Rehabilitation, Virtual Reality, Humans, Movement, Neuronal Plasticity, Physical Therapy Modalities

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