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标题：Observation of others’ actions during limb immobilization prevents the subsequent decay of motor performance
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作者：Doriana De Marco ; Emilia Scalona ; Maria Chiara Bazzini 等
期刊名称：Proceedings of the National Academy of Sciences
印刷版ISSN：0027-8424
电子版ISSN：1091-6490
出版年度：2021
卷号：118
期号：47
DOI：10.1073/pnas.2025979118
语种：English
出版社：The National Academy of Sciences of the United States of America
摘要：Significance In several clinical conditions, especially those related to orthopedic trauma or specific injuries of the peripheral nervous system, patients may experience a period of limb nonuse that has detrimental cascade effects on corticomotor organization and ultimately, on motor performance. During limb nonuse, treatments based on action observation may be suitable for stimulating the motor system via the mirror mechanism. Using short-term immobilization in healthy volunteers, our study showed that administering action observation during immobilization limits the movement alterations induced by limb nonuse. Given action observation’s protective role against the decline of motor performance, it represents a valid tool for early interventions during limb nonuse, thus reducing the burden of further motor rehabilitation. There is rich clinical evidence that observing normally executed actions promotes the recovery of the corresponding action execution in patients with motor deficits. In this study, we assessed the ability of action observation to prevent the decay of healthy individuals’ motor abilities following upper-limb immobilization. To this end, upper-limb kinematics was recorded in healthy participants while they performed three reach-to-grasp movements before immobilization and the same movements after 16 h of immobilization. The participants were subdivided into two groups; the experimental group observed, during the immobilization, the same reach-to-grasp movements they had performed before immobilization, whereas the control group observed natural scenarios. After bandage removal, motor impairment in performing reach-to-grasp movements was milder in the experimental group. These findings support the hypothesis that action observation, via the mirror mechanism, plays a protective role against the decline of motor performance induced by limb nonuse. From this perspective, action observation therapy is a promising tool for anticipating rehabilitation onset in clinical conditions involving limb nonuse, thus reducing the burden of further rehabilitation.
关键词：action observation; mirror mechanism; motor rehabilitation; early treatment