Exercise Training, Motor Abilities and Biomechanical Parameters in Patients with Neuromuscular Disorders

Abstract

Motor abilities are motor control building blocks that underlie all movement. To be able to walk it is necessary to have control of balance, multi-limb and whole-body coordination as well as to have control of several other abilities. If any of these abilities is affected the skill of walking will be affected, as well as several other skills that depend on balance and coordination. Some of these specific control losses can be assessed, identified and become the focus of the therapeutic intervention. One clinically useful approach is to classify abilities according to their level of motor complexity. In this classification abilities are categorized into four levels, with skill being the top level: • Parametric abilities • Synergistic abilities • Composite abilities • Skill. Neuromuscular disorder (NMD) is a very broad term encompassing a range of conditions that impair the functioning of the muscles or neuromuscular junctions. The aim of this presentation is to discuss the importance of Virtual reality (VR) training and Motor- Sensory Training (MST) in improving walking and balance performance in patients with MS. The strategies for rehabilitation have been put on the processing (and/or central integration) of specific sensory afferents (i.e., somatosensory, visual, and vestibular) led to improvement of gait and balance performance. Moreover, , it would further explore the potential field of application of new technological devices, which are increasingly being used in clinical practice even though their mechanisms of action are still unknown. And further, it would be relevant to find new approaches which allow training patients in a safe and efficient manner even when neurological condition is severe.