{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:58:21Z","timestamp":1777942701615,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2012,2,13]],"date-time":"2012-02-13T00:00:00Z","timestamp":1329091200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neurorehabil Neural Repair"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:p>Background. This study tested in children with cerebral palsy (CP) whether motor habilitation resembles motor learning. Methods. Twelve children with hemiplegic CP ages 5 to 12 years with moderate to severe motor impairments underwent a 16-session robot-mediated planar therapy program to improve upper limb reach, with a focus on shoulder and elbow movements. Participants were trained to execute point-to-point movements (with robot assistance) with the affected arm and were evaluated (without robot assistance) in trained (point-to-point) and untrained (circle-drawing) conditions. Outcomes were measured at baseline, midpoint, immediately after the program, and 1 month postcompletion. Outcome measures were the Fugl-Meyer (FM), Quality of Upper Extremity Skills Test (QUEST), and Modified Ashworth Scale (MAS) scores; parent questionnaire; and robot-based kinematic metrics. To assess whether learning best characterizes motor habilitation in CP, the authors quantified ( a) improvement on trained tasks at completion of training (acquisition) and 1 month following completion (retention) and ( b) quantified generalization of improvement to untrained tasks. Results. After robotic intervention, the authors found significant gains in the FM, QUEST, and parent questionnaire. Robot-based evaluations demonstrated significant improvement in trained movements and that improvement was sustained at follow-up. Furthermore, children improved their performance in untrained movements indicating generalization. Conclusions. Motor habilitation in CP exhibits some traits of motor learning. Optimal treatment may not require an extensive repertoire of tasks but rather a select set to promote generalization.<\/jats:p>","DOI":"10.1177\/1545968311433427","type":"journal-article","created":{"date-parts":[[2012,2,14]],"date-time":"2012-02-14T00:46:15Z","timestamp":1329180375000},"page":"855-860","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":44,"title":["Motor Learning Characterizes Habilitation of Children With Hemiplegic Cerebral Palsy"],"prefix":"10.1177","volume":"26","author":[{"given":"Hermano I.","family":"Krebs","sequence":"first","affiliation":[{"name":"Massachusetts Institute of Technology, Cambridge, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan E.","family":"Fasoli","sequence":"additional","affiliation":[{"name":"Providence VA Medical Center, Providence, RI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Dipietro","sequence":"additional","affiliation":[{"name":"Massachusetts Institute of Technology, Cambridge, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Fragala-Pinkham","sequence":"additional","affiliation":[{"name":"Franciscan Hospital for Children, Brighton, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Hughes","sequence":"additional","affiliation":[{"name":"Spaulding Rehabilitation Hospital, Boston, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joel","family":"Stein","sequence":"additional","affiliation":[{"name":"Columbia University, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neville","family":"Hogan","sequence":"additional","affiliation":[{"name":"Massachusetts Institute of Technology, Cambridge, MA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,2,13]]},"reference":[{"key":"bibr1-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1997.00550160075019"},{"key":"bibr2-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000095963.00970.68"},{"key":"bibr3-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1177\/1545968307305457"},{"key":"bibr4-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0911341"},{"key":"bibr5-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0b013e31818a6aa4"},{"key":"bibr6-1545968311433427","first-page":"135","volume":"45","author":"Frascarelli F","year":"2009","journal-title":"Eur J Phys Rehab Med"},{"key":"bibr7-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2009.03416.x"},{"key":"bibr8-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.96.8.4645"},{"key":"bibr9-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.22-18-08297.2002"},{"key":"bibr10-1545968311433427","author":"Dipietro L","journal-title":"IEEE Trans Neural Syst Rehabil Eng"},{"key":"bibr11-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1097\/01.wco.0000200544.29915.cc"},{"key":"bibr12-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0b013e328315a293"},{"key":"bibr13-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024494031121"},{"key":"bibr14-1545968311433427","doi-asserted-by":"publisher","DOI":"10.2340\/1650197771331"},{"key":"bibr15-1545968311433427","volume-title":"QUEST: Quality of Upper Extremity Skills Test","author":"DeMatteo C","year":"1992"},{"key":"bibr16-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/67.2.206"},{"key":"bibr17-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1177\/1545968309343214"},{"key":"bibr18-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1152\/jn.01295.2006"},{"key":"bibr19-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1162\/neco.2009.03-08-721"},{"key":"bibr20-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1007\/s004220050543"},{"key":"bibr21-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1177\/1545968311402508"},{"key":"bibr22-1545968311433427","doi-asserted-by":"publisher","DOI":"10.1177\/1545968311400093"}],"container-title":["Neurorehabilitation and Neural Repair"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1545968311433427","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1545968311433427","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1545968311433427","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:03:49Z","timestamp":1777705429000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1545968311433427"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,2,13]]},"references-count":22,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,9]]}},"alternative-id":["10.1177\/1545968311433427"],"URL":"https:\/\/doi.org\/10.1177\/1545968311433427","relation":{},"ISSN":["1545-9683","1552-6844"],"issn-type":[{"value":"1545-9683","type":"print"},{"value":"1552-6844","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,2,13]]}}}