Important Movement Concepts: Clinical Versus Neuroscience Perspectives

in Motor Control
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Human movement is complex, presenting clinical and research challenges regarding how it is described and investigated. This paper discusses the commonalities and differences on how human movement is conceptualized from neuroscientific and clinical perspectives with respect to postural control; the limitations of linear measures; movement efficiency with respect to metabolic energy cost and selectivity; and, how muscle synergy analysis may contribute to our understanding of movement variability. We highlight the role of sensory information on motor performance with respect to the base of support and alignment, illustrating a potential disconnect between the clinical and neuroscientific perspectives. The purpose of this paper is to discuss the commonalities and differences in how movement concepts are defined and operationalized by Bobath clinicians and the neuroscientific community to facilitate a common understanding and open the dialogue on the research practice gap.

Vaughan-Graham, Patterson, Zabjek, and Cott are with the Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.

Address author correspondence to Julie Vaughan-Graham at julie.vaughan.graham@utoronto.ca.
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