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Biomedical subjects

T Mulder

Publications and source records attributed to T Mulder.

41 records · Page 3Linked to original sources
PubMed1984

Sensory feedback therapy and theoretical knowledge of motor control and learning.

Generally the application of artificial sensory feedback therapy (e.g. EMG biofeedback) in neuromuscular rehabilitation is conceived as a psychophysiological operant conditioning technique. Until now there are almost no attempts to link these methods to modern psychological theories of motor control. In the present article a critical review is given of four theoretical systems concerning motor control: closed-loop theory, open-loop theory, schema-theory, and finally a brief overview is presented of recently developed notions on heterarchical and distributed control. Artificial sensory feedback therapy (e.g. EMG feedback) is described against this theoretical background, with an emphasis on the role of feedback in motor learning and motor control. The implications of these theories for new directions in sensory feedback therapy are discussed.

Biofeedback, Psychology↗
PubMedDate not supplied

Gait adaptations during walking under visual and cognitive constraints: a study of patients recovering from limb-saving surgery of the lower limb.

The objective of this case series study was reautomatization of gait after limb-saving surgery for tumors at a laboratory of gait analysis. Twelve patients (9 males and 3 females; mean age, 38 years) who underwent limb-saving surgery of the lower limb at least 1 year previously and ten normal subjects (3 males and 7 females; mean age, 37.5 years) were studied. The main outcome measures were walking speed and stride time duration under normal walking conditions as well as the use of different types of constraints. Patients walked with a lower preferred walking speed than the normal subjects. Patients showed a higher coefficient of variation of stride time in normal walking as well as complex walking compared with normal subjects. During walking with constraints, a significant decrease in stride time was found in patients but not in normal subjects. Although restoration of gait after limb-saving surgery is impressive, it is not complete (lower walking speed) and can break down under conditions of visual and cognitive load. Hence, the application of complex tasks reveals that gait reautomatization is not complete in these patients during a period of 2 to 5 years after surgery.

Adult↗