Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking Forward

Executing voluntary motor actions in the upper extremities after a stroke is frequently challenging and frustrating. Although spontaneous motor recovery can occur, reorganizing the activation of the primary motor cortex and supplementary motor area takes a considerable amount of time involving effec...

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Main Authors: James H. Cauraugh, Nyeonju Kang
Format: Article
Language:English
Published: MDPI AG 2021-11-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/11/22/10858
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author James H. Cauraugh
Nyeonju Kang
author_facet James H. Cauraugh
Nyeonju Kang
author_sort James H. Cauraugh
collection DOAJ
description Executing voluntary motor actions in the upper extremities after a stroke is frequently challenging and frustrating. Although spontaneous motor recovery can occur, reorganizing the activation of the primary motor cortex and supplementary motor area takes a considerable amount of time involving effective rehabilitation interventions. Based on motor control theory and experience-dependent neural plasticity, stroke protocols centered on bimanual movement coordination are generating considerable evidence in overcoming dysfunctional movements. Looking backward and forward in this comprehensive review, we discuss noteworthy upper extremity improvements reported in bimanual movement coordination studies including force generation. Importantly, the effectiveness of chronic stroke rehabilitation approaches that involve voluntary interlimb coordination principles look promising.
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spelling doaj.art-e3883336d2c24221bb7ea21ee7ceac0c2023-11-22T22:19:59ZengMDPI AGApplied Sciences2076-34172021-11-0111221085810.3390/app112210858Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking ForwardJames H. Cauraugh0Nyeonju Kang1Department of Applied Physiology and Kinesiology, University of Florida, Gainesville, FL 32611-8206, USADivision of Sport Science, Sport Science Institute, and Health Promotion Center, Incheon National University, Incheon 22012, KoreaExecuting voluntary motor actions in the upper extremities after a stroke is frequently challenging and frustrating. Although spontaneous motor recovery can occur, reorganizing the activation of the primary motor cortex and supplementary motor area takes a considerable amount of time involving effective rehabilitation interventions. Based on motor control theory and experience-dependent neural plasticity, stroke protocols centered on bimanual movement coordination are generating considerable evidence in overcoming dysfunctional movements. Looking backward and forward in this comprehensive review, we discuss noteworthy upper extremity improvements reported in bimanual movement coordination studies including force generation. Importantly, the effectiveness of chronic stroke rehabilitation approaches that involve voluntary interlimb coordination principles look promising.https://www.mdpi.com/2076-3417/11/22/10858chronic strokebimanual movementbimanual force controlrehabilitation
spellingShingle James H. Cauraugh
Nyeonju Kang
Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking Forward
Applied Sciences
chronic stroke
bimanual movement
bimanual force control
rehabilitation
title Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking Forward
title_full Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking Forward
title_fullStr Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking Forward
title_full_unstemmed Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking Forward
title_short Bimanual Movements and Chronic Stroke Rehabilitation: Looking Back and Looking Forward
title_sort bimanual movements and chronic stroke rehabilitation looking back and looking forward
topic chronic stroke
bimanual movement
bimanual force control
rehabilitation
url https://www.mdpi.com/2076-3417/11/22/10858
work_keys_str_mv AT jameshcauraugh bimanualmovementsandchronicstrokerehabilitationlookingbackandlookingforward
AT nyeonjukang bimanualmovementsandchronicstrokerehabilitationlookingbackandlookingforward