Motor Learning in Neurological Rehabilitation:
Practising Skills with Movement Imagery Обучение движению в нейрологической реабилитации:
освоение двигательных навыков через визуализацию движений (воображение)Dissertation
to obtain the degree of Doctor
at the Maastricht University
on the authority of the Rector Magnificus
Prof. Dr. G.P.M.F. Mols
in accordance with the decision of the Board of Deans
to be defended in public
on Wednesday, June 23rd 2010, at 16.00 hours
Susy Michelle BraunАвтор
: Braun, Susy MichelleДата
: докторская диссертацияИздатель
: Universitaire Pers MaastrichtISBN
: 978-9052789590 This PhD-thesis used following background theory of motor learning as a starting point:
‘All skilled movements are first undertaken using conscious, cognitively-driven control. Over time, with practice, they are learned. Learning implies information processing and the laying down somewhere of new neural pathways and connections that can be activated when the specific movement pattern is required.
These pathways are probably held in neural networks as a specific pattern of interconnections. Each set is a motor action plan that defines and executes a more-or-less specific pattern of specific muscle actions.
When the brain is damaged or disrupted by disease the networks may be disrupted, and consequently the motor action plans disturbed or even lost. Recovery from (improvement after) loss of neurological tissue will involve, restoring old or developing new motor action plans. In this project, we researched the potential use of movement imagery and mental practice for exactly that purpose, learning daily activities, in patients after stroke and patients with Parkinson’s disease
’.Logic will get you from A to B,
imagination will take you everywhere.
(Albert Einstein)ContentChapter one
Introduction 1Chapter two
The effects of mental practice in stroke rehabilitation: a systematic review 15Chapter three
Is it possible to use the Structural Dimension Analysis of Motor memory (SDA-M)
to investigate representations of motor actions in stroke patients? 39Chapter four
Using mental practice in stroke rehabilitation: a framework 57Chapter five
Effects of mental practice embedded in daily therapy compared to therapy as usual
in adult stroke patients in Dutch nursing homes: design of a randomised controlled trial 77Chapter six
Feasibility of a mental practice intervention in stroke patients
in Dutch nursing homes: a process evaluation 103Chapter seven
Effects of mental practice in stroke rehabilitation in
Dutch nursing homes: results from a randomised controlled trial 123Chapter eight
Using mental practice in patients with Parkinson’s disease:
results from a randomised controlled trial 143Chapter nine
The experience of movement imagery therapy by patients
with stroke or Parkinson’s disease 165Chapter ten
General discussion 185Summary
(Dutch summary) 209Appendix
Log example 229About the author
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