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The role of mirror mechanism in the recovery, maintenance, and acquisition of motor abilities

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NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS
卷 127, 期 -, 页码 404-423

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PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.neubiorev.2021.04.024

关键词

Action observation; motor imagery; Mirror neurons; Neuro-rehabilitation; Prevention; motor skills; Training; Sport; Music

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This article summarizes the potential applications of action observation treatment in rehabilitation, fall prevention, injury prevention, and improving motor control precision. By connecting various points and discussing the impact of AOT on neurophysiological mechanisms, it explores the potential for enhancing individuals' quality of life across the lifespan.
While it is well documented that the motor system is more than a mere implementer of motor actions, the possible applications of its cognitive side are still under-exploited, often remaining as poorly organized evidence. Here, we will collect evidence showing the value of action observation treatment (AOT) in the recovery of impaired motor abilities for a vast number of clinical conditions, spanning from traumatological patients to brain injuries and neurodegenerative diseases. Alongside, we will discuss the use of AOT in the maintenance of appropriate motor behavior in subjects at risk for events with dramatic physical consequences, like fall prevention in elderly people or injury prevention in sports. Finally, we will report that AOT can help to tune existing motor competencies in fields requiring precise motor control. We will connect all these diverse dots into the neurophysiological scenario offered by decades of research on the human mirror mechanism, discussing the potentialities for individualization. Empowered by modern technologies, AOT can impact individuals' safety and quality of life across the whole lifespan.

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