Investigation of Perceptual-Motor Behavior Across the Expert Athlete to Disabled Patient Skill Continuum can Advance Theory and Practical Application

Müller, Sean; Vallence, Ann-Maree; Winstein, Carolee J.

doi:10.1080/00222895.2017.1408557

Cited by 8 publications

(7 citation statements)

References 66 publications

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“…Evidence suggests that robotic guided movements, in addition to typical motor areas, activate also deep neural centers such as the insula and the amygdala that are involved in movement memory and motivation to the movement and play a key role in inducing sensory processes related to the internal representation of the movements ( 68 ). Therefore, the simultaneous activation of sensory and motor systems could facilitate perceptual–motor skill learning and transfer ( 69 ).…”

Section: Discussionmentioning

confidence: 99%

The Effect of Robotic Assisted Gait Training With Lokomat® on Balance Control After Stroke: Systematic Review and Meta-Analysis

et al. 2021

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Introduction: Disturbances of balance control are common after stroke, affecting the quality of gait and increasing the risk of falls. Because balance and gait disorders may persist also in the chronic stage, reducing individual independence and participation, they represent primary goals of neurorehabilitation programs. For this purpose, in recent years, numerous technological devices have been developed, among which one of the most widespread is the Lokomat®, an actuated exoskeleton that guide the patient's limbs, simulating a symmetrical bilateral gait. Preliminary evidence suggests that beyond gait parameters, robotic assisted gait training may also improve balance. Therefore, the aim of this systematic review was to summarize evidence about the effectiveness of Lokomat® in improving balance in stroke patients.Methods: Randomized controlled trials published between January 1989 and August 2020, comparing Lokomat® training to conventional therapy for stroke patients, were retrieved from seven electronic databases. Balance, assessed by means of validated clinical scales, was considered as outcome measure. The Physiotherapy Evidence Database (PEDro) scale was used to evaluate the methodological quality of the studies. The study protocol was registered on PROSPERO (no. CRD42020197531).Results: After the removal of the duplicates, according to the inclusion criteria, 13 studies were selected, involving 445 subacute or chronic stroke patients. Eleven papers contributed to three meta-analyses. Favorable results for recovery of balance in stroke survivors treated with Lokomat® were shown using Timed Up and Go (pooled mean difference = −3.40, 95% CI −4.35 to −2.44; p < 0.00001) and Rivermead Mobility Index as outcome measures (pooled mean difference = 0.40, 95% CI 0.26–0.55; p < 0.00001). Inconclusive results were found when balance was measured by means of the Berg Balance Scale (pooled mean difference = 0.17, 95% CI −0.26 to 0.60; p = 0.44).Conclusions: Overall, most studies have shown beneficial effects of Lokomat® on balance recovery for stroke survivors, at least comparable to conventional physical therapy. However, due to the limited number of studies and their high heterogeneity, further research is needed to draw more solid and definitive conclusions.

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Section: Discussionmentioning

confidence: 99%

The Effect of Robotic Assisted Gait Training With Lokomat® on Balance Control After Stroke: Systematic Review and Meta-Analysis

et al. 2021

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“…One study showed that some skilled subjects had greater dexterity of the untrained hand, with less error and faster movement together with activated structural reorganisation compared with unskilled subjects 58. Athletes may use this pattern with a continuous training modality to learn new skills and recover from injuries 59. Although MTr has only been used as a supplementary tool to compare skill levels between skilled and unskilled subjects,26 better methods of improving motor function are needed.…”

Section: Discussionmentioning

confidence: 99%

Effects of mirror training on motor performance in healthy individuals: a systematic review and meta-analysis

Chen

Wang

Bai

et al. 2019

BMJ Open Sport Exerc Med

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ObjectiveMirror training (MTr) is a rehabilitation technique for patients with neurological diseases. There is no consensus on its effects on motor function in healthy individuals. This systematic review and meta-analysis considers the effects of MTr on motor function in healthy individuals.DesignThis is a systematic review and meta-analysis.Data sourcesWe searched six databases for studies assessing the effects of MTr on motor function in healthy individuals, published between January 1995 and December 2018. The Cochrane risk of bias was used to assess the quality of the studies. A meta-analysis was conducted with narrative synthesis.Eligibility criteria for selecting studiesEnglish-language randomised controlled trials reporting the behavioural results in healthy individuals were included.ResultsFourteen randomised controlled trials involving 538 healthy individuals were eligible. Two short-term studies showed MTr was inferior to passive vision pattern (standardised mean difference 0.57 (95% CI 0.06 to 1.08), I2=0%, p=0.03). The methods varied and there is limited evidence supporting the effectiveness of MTr compared with three alternative training patterns, with insufficient evidence to support analyses of age, skill level or hand dominance.ConclusionThe limited evidence that MTr affects motor performance in healthy individuals is weak and inconsistent among studies. It is unclear whether the effects of MTr on motor performance are more pronounced than the direct vision pattern, passive vision pattern or action observation. Further studies are needed to explore the short-term and long-term benefits of MTr and its effects on motor learning in healthy individuals.PROSPERO registration numberCRD42019128881.

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“…The majority of the studies that have investigated visual and motor expertise (or experience) contributions to anticipation in sport have measured visual-perceptual anticipation, which involves a nonmotor prediction. In addition, the majority of studies have focused upon performance, rather than learning and transfer (Müller et al, 2018). In relation to performance, seminal studies were conducted by Abernethy and colleagues.…”

Section: Evidence Of Visual and Motor Contributions To Anticipationmentioning

confidence: 99%

Visual-perceptual training with acquisition of the observed motor pattern contributes to greater improvement of visual anticipation.

Brenton¹,

Müller²,

Dempsey³

2019

Journal of Experimental Psychology: Applied

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This experiment investigated the contribution of visual and additive motor experience to improvement of visual anticipation. Club cricket batters were randomized into (a) a visual-perceptual group that received temporal occlusion training (n ϭ 13), (b) a visuomotor group that received temporal occlusion training coupled with motor pattern practice of the observed bowler's action (n ϭ 13), and (c) a no-training control group (n ϭ 13). They completed a fast bowler video-based temporal occlusion prepost anticipation test, as well as a transfer temporal occlusion test that included different fast and slow bowlers. Results indicated visual-perceptual and visuomotor groups equally improved pick up of advance cues across prepost tests. Additive motor pattern practice for the visuomotor group facilitated superior anticipation through earlier pick up of advance information across the transfer tests. No improvement was found for the control group. The findings indicate that visual and combined motor experience facilitates learning, but additive motor experience facilitates superior transfer. Findings have implications for theoretical and applied knowledge to develop anticipation skill. Public Significance StatementThe capability to read an opponent in striking sports can be improve through video simulation training, but when combined with motor practice of the observed pattern, benefits are broader. This training is not time consuming and can be easily incorporated into standard sport-specific practice.

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Investigation of Perceptual-Motor Behavior Across the Expert Athlete to Disabled Patient Skill Continuum can Advance Theory and Practical Application

Cited by 8 publications

References 66 publications

The Effect of Robotic Assisted Gait Training With Lokomat® on Balance Control After Stroke: Systematic Review and Meta-Analysis

The Effect of Robotic Assisted Gait Training With Lokomat® on Balance Control After Stroke: Systematic Review and Meta-Analysis

Effects of mirror training on motor performance in healthy individuals: a systematic review and meta-analysis

Visual-perceptual training with acquisition of the observed motor pattern contributes to greater improvement of visual anticipation.

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