RESUMEN
Motor learning does not occur on a 'blank slate', but in the context of prior coordination solutions. The role of prior coordination solutions is likely critical in redundant tasks where there are multiple solutions to achieve the task goal - yet their influence on subsequent learning is currently not well understood. Here we addressed this issue by having human participants learn a redundant virtual shuffleboard task, where they held a bimanual manipulandum and made a discrete throwing motion to slide a virtual puck towards a target. The task was redundant because the distance traveled by the puck was determined by the sum of the left- and right-hand speeds at the time of release. On the first day, 37 participants in different groups practiced symmetric or asymmetric solutions. On the second day, all participants transferred to a common criterion task, which required an asymmetric solution. Results showed that: (i) the symmetry of the practiced solution affected motor variability during practice, with more asymmetric solutions showing higher exploration of the null space, (ii) when transferring to the common criterion task, participants in the symmetric group showed much higher null space exploration, and (iii) when no constraints were placed on the solution, participants tended to return to the symmetric solution regardless of the solution originally practiced. Overall, these results suggest that the stability of prior coordination solutions plays an important role in shaping learning in redundant motor tasks.
RESUMEN
Background: Gait re-education is a primary rehabilitation goal after stroke. In the last decades, robots with different mechanical structures have been extensively used in the clinical practice for gait training of stroke survivors. However, the effectiveness of robotic training is still controversial, especially for chronic subjects. In this study, we investigated the short-term effects of gait training assisted by an endpoint robot in a population of chronic stroke survivors.Methods: Subjects were evaluated before and after training with clinical scales and instrumented gait analysis. Our primary outcome indicator was the walking speed. Next, we investigated the changes in kinetic and kinematic gait patterns as well as the intersegmental coordination at the level of the lower limbs.Results: Most subjects improved their speed in over-ground walking, by modifying the temporal more than the spatial gait parameters. These changes led to an improvement in the ankle power for both sides and to a slight reduction of the inclination of the pelvis during the swing phase, mainly due to a decreased knee flexion and an increased hip extension on the unimpaired leg.Conclusions: These results indicate that the proposed training induced mainly a functional change rather than an improvement of the quality of gait.Implication for RehabilitationGait re-education is a primary goal in stroke rehabilitation.Nowadays several robotic devices for gait rehabilitation are used in the clinical practice, but their effectiveness is controversial, especially for chronic survivors.After a 20-session training with an endpoint robot the chronic stroke survivors showed an improvement in overground gait speed.The increased gait speed was mainly due to functional changes of the temporal parameters and of the kinetic variables at the level of both ankle joints, as well as to a reduction of compensatory strategies observable in the unimpaired side.