Abstract
Current knowledge of neural and neuromuscular processes controlling gait and movement as well as an understanding of how these mechanisms change following stroke is an important basis for the development of effective rehabilitation interventions. To support the translation of findings from basic research into useful treatments in clinical practice, up-to-date neuroscience should be presented in forms accessible to all members of the multidisciplinary team. In this review we discuss aspects of cortical control of gait and movement, muscle synergies as a way of translating cortical commands into specific muscle activity and as an efficient means of reducing neural and musculoskeletal redundancy. We discuss how these mechanisms change following stroke, potential consequences for gait rehabilitation, and the prescription and use of walking-aids as well as areas requiring further research.
Original language | English |
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Pages (from-to) | 1-14 |
Number of pages | 14 |
Journal | Physiotherapy Theory and Practice |
Volume | 35 |
Issue number | 1 |
DOIs | |
Publication status | Published - 2019 |
Keywords
- Cerebral cortex
- neuronal networks
- muscle synergies
- cerebrovascular stroke
- gait rehabilitation
- walking aids
- PRIMARY MOTOR CORTEX
- BEHAVIORAL REPERTOIRE
- MODULAR ORGANIZATION
- TEMPORAL RECRUITMENT
- CORTICAL CONTROL
- TRUNK RESTRAINT
- BALANCE CONTROL
- PLASTICITY
- TASK
- RECOVERY