Motor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative Review

Introduction: Movement is the main identity and the base of knowledge and practice in physical therapy; thus, the advances in motor control science, and motor learning and development are linked to physical therapy clinical activity. The purpose of this narrative review article was to describe a pro...

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Main Authors: Masumeh Hessam, Reza Salehi, Mohammad Mehravar, Mohammad Jafar Shaterzadeh-Yazdi, Hossein Negahban, Shahram Rafie
Format: Article
Language:fas
Published: Vesnu Publications 2018-07-01
Series:مجله پژوهش در علوم توانبخشی
Subjects:
Online Access:http://jrrs.mui.ac.ir/index.php/jrrs/article/view/3008
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author Masumeh Hessam
Reza Salehi
Mohammad Mehravar
Mohammad Jafar Shaterzadeh-Yazdi
Hossein Negahban
Shahram Rafie
author_facet Masumeh Hessam
Reza Salehi
Mohammad Mehravar
Mohammad Jafar Shaterzadeh-Yazdi
Hossein Negahban
Shahram Rafie
author_sort Masumeh Hessam
collection DOAJ
description Introduction: Movement is the main identity and the base of knowledge and practice in physical therapy; thus, the advances in motor control science, and motor learning and development are linked to physical therapy clinical activity. The purpose of this narrative review article was to describe a prominent approach in motor control with potential to better understanding and diagnosis of movement dysfunctions, the uncontrolled manifold (UCM). Materials and Methods: In this narrative review, databases such as PubMed, Web of Science, and Google Scholar were searched from 1999 till 2017, using the key words “Synergy”, “Uncontrolled Manifold”, “Motor Control”, and “Anticipatory Synergy Adjustment”. Results: Finally, 37 studies were included. Most studies discussed the degree of freedom problem in human movements, history of synergy, characteristics of synergy, introducing the uncontrolled manifold approach as a tool for quantifying the synergy, and clinical applications of this method in the assessments of movement dysfunctions. Conclusion: Using this method provides the ability to identify the connections between functional activities with motor synergies, synergy strength index, and the anticipatory synergy adjustments. The uncontrolled manifold offers a science-based approach to guide clinical decision making on whether synergies have to be broken, reinforced, or created new synergies in patients with movement dysfunctions.
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spelling doaj.art-fedbc782ad74422d9f491bfbe16768c42022-12-22T03:10:04ZfasVesnu Publicationsمجله پژوهش در علوم توانبخشی1735-75192008-26062018-07-0113529630210.22122/jrrs.v13i5.3008890Motor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative ReviewMasumeh Hessam0Reza Salehi1Mohammad Mehravar2Mohammad Jafar Shaterzadeh-Yazdi3Hossein Negahban4Shahram Rafie5PhD Candidate, Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssociate Professor, Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz AND Rehabilitation Research Center, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, IranMusculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranAssociate Professor, Musculoskeletal Rehabilitation Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranProfessor, Department of Physical Therapy, School of Paramedical Sciences AND Orthopedic Research Center, Mashhad University of Medical Sciences, Mashhad, IranAssistant Professor, Department of Neurology, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, IranMotor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative ReviewIntroduction: Movement is the main identity and the base of knowledge and practice in physical therapy; thus, the advances in motor control science, and motor learning and development are linked to physical therapy clinical activity. The purpose of this narrative review article was to describe a prominent approach in motor control with potential to better understanding and diagnosis of movement dysfunctions, the uncontrolled manifold (UCM). Materials and Methods: In this narrative review, databases such as PubMed, Web of Science, and Google Scholar were searched from 1999 till 2017, using the key words “Synergy”, “Uncontrolled Manifold”, “Motor Control”, and “Anticipatory Synergy Adjustment”. Results: Finally, 37 studies were included. Most studies discussed the degree of freedom problem in human movements, history of synergy, characteristics of synergy, introducing the uncontrolled manifold approach as a tool for quantifying the synergy, and clinical applications of this method in the assessments of movement dysfunctions. Conclusion: Using this method provides the ability to identify the connections between functional activities with motor synergies, synergy strength index, and the anticipatory synergy adjustments. The uncontrolled manifold offers a science-based approach to guide clinical decision making on whether synergies have to be broken, reinforced, or created new synergies in patients with movement dysfunctions.http://jrrs.mui.ac.ir/index.php/jrrs/article/view/3008MovementTask performance and analysisMovement disordersMotor skills
spellingShingle Masumeh Hessam
Reza Salehi
Mohammad Mehravar
Mohammad Jafar Shaterzadeh-Yazdi
Hossein Negahban
Shahram Rafie
Motor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative Review
مجله پژوهش در علوم توانبخشی
Movement
Task performance and analysis
Movement disorders
Motor skills
title Motor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative Review
title_full Motor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative Review
title_fullStr Motor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative Review
title_full_unstemmed Motor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative Review
title_short Motor Synergies in Physical Therapy: The Uncontrolled Manifold Approach; A Narrative Review
title_sort motor synergies in physical therapy the uncontrolled manifold approach a narrative review
topic Movement
Task performance and analysis
Movement disorders
Motor skills
url http://jrrs.mui.ac.ir/index.php/jrrs/article/view/3008
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