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Motor Rehabilitation

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3. Understanding motor learning applied to rehabilitation
The ability to walk may be compromised after damage to structures of the neural system due to a spinal cord injury (SCI) or a stroke. Frequently, patients in rehabilitation have an altered neural control leading to an inaccurate, slow or inefficient performance of the movement (Bastian, 2008). Thus, a main goal in the walking rehabilitation process is to learn how to perform a movement again, recovering motor function, by incorporating motor learning principles into this process (Sawers et al., 2012). Learning has been defined as “…a ‘relative permanent’ change, resulting from practice or a novel experience in the capability for responding” (Guthrie, 1952). Additionally, some authors consider motor learning to be a “loose” term that includes motor adaptation, skill acquisition, and decision-making (Kitago & Krakauer, 2013).

In a broad view the learning process can be described in five main phases: fast, slow, consolidation, automatic, and retention. During the fast stage, a major increase in performance occurs. In the slow stage, the gains in performance occurs via practice. After an interval time period, consolidation is observed without additional practice. Then, in the automatic phase, minimal …show more content…

A wide variety of human motor skills performed every day, such as riding a bicycle, playing an instrument or driving a car, rest on the ability to process elements of a sequence and execute a coherent sequence of actions (Keele et al., 2003; Seidler, 2010).Learning to perform a sequence of events allows the subject to predict the next movement and prepare for the next action, which can be very useful for the daily functions (Goschke & Bolte, 2012) or in motor rehabilitation approaches (Kitago & Krakauer,

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