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    Summary
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    An optimal feedback control model accurately captures motor control in older adults and stroke survivors during a robot-assisted tracking task. The model improved post-training, reflecting motor learning and kinematic changes.

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    Area of Science:

    • Neuroscience
    • Biomechanics
    • Robotics

    Background:

    • Kinematic deficits are key indicators of motor and cognitive impairments in post-stroke individuals and healthy older adults.
    • Robot-based kinematic analysis offers objective measures for evaluating motor performance and recovery.

    Purpose of the Study:

    • To evaluate an optimal feedback control model's ability to capture and predict kinematic performance in healthy older adults and post-stroke participants.
    • To investigate if the model reflects motor learning changes after a robot-based pursuit tracking training task.

    Main Methods:

    • An optimal feedback control model was fitted to data from 6 healthy older adults and 3 post-stroke participants performing a robot-based pursuit tracking task.
    • Kinematic data were collected at baseline (pre-training) and assessment (post-training) time points.
    • Model performance was assessed by comparing modeled kinematics to actual participant movements and by analyzing changes in model parameters.

    Main Results:

    • The optimal control model accurately modeled pursuit tracking behavior in both position and velocity domains for healthy and post-stroke participants.
    • Model accuracy significantly improved post-training, with higher correlations between modeled and actual kinematics (position median R = 0.89, velocity median R = 0.68).
    • Significant increases in controller gains and decreases in positional noise were observed post-training, suggesting motor learning.

    Conclusions:

    • The optimal feedback control model effectively captures and reflects motor learning in pursuit tracking tasks for both healthy older adults and post-stroke survivors.
    • The model's parameters provide insights into underlying changes in motor control strategies following training.
    • This approach holds potential for objective assessment of motor function and rehabilitation progress in clinical populations.