Clinical Pilates in Practice: Visuomotor Adaptation & Passive Movement

This study examined the lasting effect of passive training on visuomotor adaptation within a 24-hour timeline.

G. Tays et al. Consolidation of use-dependent motor memories induced by passive movement training. Neuroscience Letters 732 (2020) 135080.

Key Points: Visomotor Adaptation & Passive Movement

  • Adapting to a sensorimotor environment requires complex and dynamic systems that can adjust to the environment within minutes, resulting in long-term performance changes.

  • Adaptation is driven by two primary learning mechanisms:

    → Error-based, model-based, or algorithmic learning; and

    → Use-dependent, model-free, or instant-reliant training.

  • Use-dependent learning occurs both during active and passive movements.

  • Passive movement training has the capacity to facilitate subsequent visuomotor adaptation.

    → Results showed improvement after one-hour and 24-hour delay conditions.

    Use-dependent learning alongside passive movement training enhances the consolidation of motor memories, which can last at least 24-hours post initial training.

  • Use-dependent-based training methods could be applied as a neurorehabilitation technique in clinical settings.

  • Visuomotor adaptation led to motor memory consolidation at 24 hours, but not after five minutes.

  • Provision of proprioceptive and visual inputs was more effective for optimal motor learning compared to provision of just proprioceptive inputs.

Clinical Pilates in Practice

  • Use vision to support the learning of new motor patterns; while it can be great to close our eyes and “feel” the body moving, visual inputs are important for stimulating motor learning.

  • Often, we see patients who have a greater passive than active range of motion; this can be exploited for learning new movement patterns when in earlier stages of rehabilitation.

    → Consider integrating closed-kinetic-chain exercises that support passive mobility around a joint while still teaching the desired functional movement.

  • Active ranges are often pain-limited.

    → Incorporating an active-assisted, or passive component to exercises can help maintain pain-free ranges of movement, while still assisting the learning of new motor patterns.

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Hernia Repair Outcomes