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

Neurorehabilitation and Neural Repair. 2023. Vol. 37. No. 8. P. 577–586.

K. Germanova, K. Panidi, Ivanov T., Novikov P., Ivanova G. E., Villringer A., V. V. Nikulin, Nazarova M.

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.

Keywords: stroke, post-stroke rehabilitation, motor decision-making

Publication based on the results of: Active and passive decoding of neuronal processes of cognition and decision making in normal and pathological brain (2023)