Self-Controlled Feedback on Motor Learning and Neuroplastic Changes in People With Parkinson Disease.

Background and Purpose: People with Parkinson disease (PD) experience impaired motor learning. Although numerous studies have shown that self-controlled feedback can facilitate motor learning in healthy young adults, whether similar benefits can be observed in people with PD has been less investigat...

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Publicado en:Journal of Neurologic Physical Therapy Vol. 50; no. 3; pp. 166 - 174
Autores principales: Lim, De-Jun, Tai, Chun-Hwei, Chen, Shu-Ya, Huang, Cheng-Ya, Lee, Ya-Yun
Formato: equations & formulas research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jul2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2026
      vid: 50
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      pub: Lippincott Williams & Wilkins
      place: Baltimore, Maryland
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        194675687
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        atl: Self-Controlled Feedback on Motor Learning and Neuroplastic Changes in People With Parkinson Disease.
      aug:
        au:
          Lim, De-Jun
          Tai, Chun-Hwei
          Chen, Shu-Ya
          Huang, Cheng-Ya
          Lee, Ya-Yun
        affil: School and Graduate Institute of Physical Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan (D.-J.L., C.-Y.H., Y.-Y.L.)
      sug:
        subj:
          Self Regulation
          Feedback
          Motor Skills
          Skill Acquisition
          Neuronal Plasticity
          Parkinson Disease
          Funding Source
          Taiwan
          Human
          Cross Sectional Studies
          Summated Rating Scaling
          Data Analysis Software
          Chi Square Test
          Unpaired T-Tests
          Repeated Measures
          Analysis of Variance
          Post Hoc Analysis
          Analysis of Covariance
          Task Performance and Analysis
          Psychological Tests
          Scales
          Questionnaires
          Motivation
          Cognition
          Evoked Potentials, Motor
          Aged
          Male
          Female
          Aged: 65+ years
          Male
          Female
      ab: Background and Purpose: People with Parkinson disease (PD) experience impaired motor learning. Although numerous studies have shown that self-controlled feedback can facilitate motor learning in healthy young adults, whether similar benefits can be observed in people with PD has been less investigated. This study thus aimed to examine whether self-controlled feedback could benefit motor learning for individuals with PD, and to determine the associated behavioral and neurophysiological mechanisms. Methods: Thirty-two participants with PD, matched in pairs, were recruited into a self-control group (SELF) and a yoked group (YOKE) to practice a finger-pressing trajectory-matching task. All participants visited the laboratory on day 1 (D1) and day 2 (D2) to practice the trajectory-matching task. The SELF group could decide when to receive feedback, whereas the YOKE group received feedback based on their counterparts' choices. Retention tests were performed on D2 after practice and on day 7 (D7). Additionally, motivation questionnaires, error estimation ability, and corticomotor excitability were examined. Results: Both groups showed improvements in the trajectory-matching task throughout practice. On D7, the SELF group retained its trajectory-matching task performance and showed an increase in corticomotor excitability, whereas these changes were not observed in the YOKE group. There were no significant group differences in the motivation questionnaire or error estimation results. Discussion and Conclusions: Self-controlled feedback facilitated motor learning accompanied by increased corticomotor excitability in people with PD. Clinicians may consider incorporating self-control practices into the PD rehabilitation regimen to enhance training benefits. ClinicalTrial.gov ID: NCT05960331
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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