For people with central nervous system disorders, how much joint assistance or individual's effort is required for joint movement to restore motor function or better motor learning? What factor that defines The optimum assistance for reorganization of CNS is? Please tell me the papers or information on these.
Hi Kenichi,
if the joint is assisted, the individual is learning to move the joint in an manner that does not activate the sensory and motor systems necessary for normal movement. The individual may learn to move in an assisted manner, but the carry over to normal movement will still require additional training. As for restoring normal movement, we anticipate roughly 4000 repetitions, however the joint movements are task specific, therefore the carry over to similar movements may require additional training.
Monica Rivera
Hi Monica, Thanks for your answer! It is very helpful. Please tell me the source if you can.
Hi Kenichi
A good starting point for answering your question is a recent article from Puneet Singh and colleagues: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5167208/ . Departing from this article you will be able to find several similar articles discussiing your topic.
Best wishes, Eling de Bruin
Hi, Daniel,
Thank you for helpful answer. An active assistive movement by a therapist may be performed when the patient's voluntary muscle contraction is small enough not to cause articulation. In such a scene, my question is how much assistance a therapist should demonstrate for sensory-motor recovery.
sincerely,
Kenichi
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