New Concepts in Motor Learning and Training Related to Voice Rehabilitation

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Traditional motor learning theorists indicate that paying conscious attention to motor tasks can negatively affect performance. Implicit learning strategies have historically been preferred and recommended over explicit instruction. Recently, elite, skilled athletes and performers report the desire to maintain some level of conscious awareness to online bodily movements to increase performance proficiency. This article explores the advantages and areas of continued research needed in applying these training principles to voice rehabilitation. Training should include certain key components to optimize online performance, including the integration of implicit and explicit instruction, utilization of a symbolic representation of the motor act, combination of action observation and motor imagery, and the ability to transfer between Type 1 (optimal, automatic) and Type 2 (optimal, controlled) processing. An integrated implicit–explicit approach to voice therapy applies these training principles to voice rehabilitation.



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