Motor Decision-Making as a Common Denominator in Motor Pathology and a Possible Rehabilitation Target

Author:

Germanova K.12ORCID,Panidi K.1,Ivanov T.3,Novikov P.1,Ivanova G.E.3,Villringer A.4,Nikulin V.V.4,Nazarova M.15

Affiliation:

1. Centre for Cognition and Decision Making, Institute for Cognitive Neuroscience, HSE University, Russian Federation

2. Laboratory of the neurovisceral integration and neuromodulation, National Medical Research Center for Therapy and Preventive Medicine of the Ministry of Healthcare of the Russian Federation, Moscow, Russian Federation

3. FSBI “Federal Center for Brain and Neurotechnologies” of FMBA of Russian Federation, Moscow, Russia

4. Department of Neurology, Max Planck Institute for Human Cognitive and Brain Sciences, Leipzig, Germany

5. Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, USA

Abstract

Despite the substantial progress in motor rehabilitation, patient involvement and motivation remain major challenges. They are typically addressed with communicational and environmental strategies, as well as with improved goal-setting procedures. Here we suggest a new research direction and framework involving Neuroeconomics principles to investigate the role of Motor Decision-Making (MDM) parameters in motivational component and motor performance in rehabilitation. We argue that investigating NE principles could bring new approaches aimed at increasing active patient engagement in the rehabilitation process by introducing more movement choice, and adapting existing goal-setting procedures. We discuss possible MDM implementation strategies and illustrate possible research directions using examples of stroke and psychiatric disorders.

Funder

National Research University Higher School of Economics

Publisher

SAGE Publications

Subject

General Medicine

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