Solution space: Monitoring the dynamics of motor rehabilitation
Number of pages
SourcePhysiotherapy Theory and Practice, 35, 6, (2019), pp. 507-515
Article / Letter to editor
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SW OZ DCC CO
Physiotherapy Theory and Practice
SubjectAction, intention, and motor control; All institutes and research themes of the Radboud University Medical Center; Radboudumc 18: Healthcare improvement science RIHS: Radboud Institute for Health Sciences
This article presents and discusses a perspective on the concept of "solution space" in physiotherapy. The model is illustrated with a subjective assessment of the way movements are performed and an objective quantification of the dynamics of the recovery process for a patient with a knee injury. Based on insights from the domain of human motor control, solution space is a key concept in our recovery model that explains the emergence of a variety of adaptive changes that may occur in the movement system recovering from an injury. The three dimensions that span the solution space are: (1) information and control processes; (2) time; and (3) degrees of freedom. Each dimension is discussed within the context of feasible physiotherapeutic assessments to identify and facilitate desirable behavioral patterns or bypass emerging but undesirable behavioral patterns that could impede both short- and long-term recovery. Central to this article is our view on the relationship between the recovery process and the three dimensions of the solution space, which determines the model's usefulness as a motor-rehabilitation monitoring tool.
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