The human motor system is unique. It talks, walks and can play the piano from a remarkably early age. But it is difficult to study. One cannot impale single neurones with electrodes or lesion discrete areas of the nervous system in man. However, data gleaned from such elegant experiments in lower species that walk on four feet may not reflect the organisation of human motor mechanisms. John Rothwell is one of a small band of human-motor physiologists who have followed the dictum 'The proper study of mankind is man'. In this book, he brings together what is known about human motor physiology in an eminently readable and critical fashion. Of course, there is a stimulating symbiosis between animal and human experimental motor physiology, and this is effected by the integration of critical information that can only be obtained from work on animals with what is known about man. Many disciplines have interest in the mechanisms of human voluntary movement - physiologists, psychologists, physiotherapists and clinicians, be they neurologists or those working in orthopaedics, physical medicine or rehabilitation. All will find John Rothwell's book invaluable. To the beginner it provides an excellent introduction to the subject. To the expert it presents a coherent review of current knowledge and areas of uncertainty. What is abundantly clear is how much more remains to be discovered about how man controls movement. The stimulus provided by this volume will be invaluable to thought and experiment.
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This comprehensive text on motor control is at a level between basic physiology texts and exhaustive research volumes. Some background knowledge of somatotomy in the sensorimotor cortex, gross spindle anatomy and Sherrington's stretch reflex, etc., is assumed. Issues discussed include: the role of preprogrammed versus feedback control of movement; the possible pathways and functions of the stretch reflex; the role of the cerebellum and basal ganglia in programming and controlling movement and associated adjustments of body posture. The book is organised in a systematic way, discussing CNS structures in ascending order from the spinal cord to cerebral cortex. Throughout the book the basic science is related to various neurological diseases of the motor system, e.g. Parkinson's disease. The book will interest postgraduate and practising neurologists as well as advanced students of physiology and physiotherapy. This book should be of interest to neurologists and physiologists.
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