Takayuki Kodama

By Takayuki Kodama and Hideki Nakano

Hitherto, physical therapy for rehabilitating patients with cerebral dysfunction has focused on acquiring and improving compensatory strategies by using the remaining functions; it has been presumed that once neural functions have been lost, they cannot be restored. However, neuroscience-based animal research and neuroimaging research since the 1980s have demonstrated that recovery arises from plastic changes in the central nervous system and reconstruction of neural networks; this research is ushering in a new age of neuroscience-based rehabilitation as a treatment for cerebral dysfunction (such as stroke). In this paper, in regard to mental practices using motor imagery and kinaesthetic illusion, we summarize basic discoveries and theories relating to motor function therapy based on neuroscientific theory; in particular, we outline a novel rehabilitation method using kinaesthetic illusion induced by vibrational stimulus, which the authors are currently attempting in stroke patients.

Part of the book: Neurological Physical Therapy

By Hideki Nakano and Takayuki Kodama

Motor imagery and action observation facilitate motor recovery of patients because both the motor imagery and the action observation share the activation of cortical neural networks implicated in movement execution. Specifically, imagery, observation, and execution activate the medial parietal area of the brain located between the parieto‐occipital sulcus and the posterior end of the cingulate sulcus. This chapter reviews the neural mechanisms and clinical studies of motor imagery and action observation and discusses the applications in physical therapy.

Part of the book: Neurological Physical Therapy

By Hideki Nakano and Takayuki Kodama

Action observation is a useful approach for improving human motor skill acquisition. This process involves the mirror neuron system that consists of the ventral premotor area, inferior parietal lobule, and superior temporal sulcus. The interaction between these areas produces the effect of action observation. This chapter presents neurophysiological and brain imaging studies of action observation, and their application to human motor learning. For action observation, the mirror system appears to map the intention in the ventral premotor area and the goal in the inferior parietal lobule. These features of action representation may be useful for refining conditions of practice, based on the mirror system, for acquiring new motor skills.

Part of the book: Electroencephalography