Background: A significant part of neurological rehabilitation focuses on facilitating the learning of motor skills. Training can adopt either (more) explicit or (more) implicit forms of motor learning. Gait is one of the most practiced motor skills within rehabilitation in people after stroke because it is an important criterion for discharge and requirement for functioning at home. Objective: The aim of this study was to describe the design of a randomized controlled study assessing the effects of implicit motor learning compared with the explicit motor learning in gait rehabilitation of people suffering from stroke. Methods: The study adopts a randomized, controlled, single-blinded study design. People after stroke will be eligible for participation when they are in the chronic stage of recovery (>6 months after stroke), would like to improve walking performance, have a slow walking speed (<1 m/s), can communicate in Dutch, and complete a 3-stage command. People will be excluded if they cannot walk a minimum of 10 m or have other additional impairments that (severely) influence gait. Participants will receive 9 gait-training sessions over a 3-week period and will be randomly allocated to an implicit or explicit group. Therapists are aware of the intervention they provide, and the assessors are blind to the intervention participants receive. Outcome will be assessed at baseline (T0), directly after the intervention (T1), and after 1 month (T2). The primary outcome parameter is walking velocity. Walking performance will be assessed with the 10-meter walking test, Dynamic Gait Index, and while performing a secondary task (dual task). Self-reported measures are the Movement Specific Reinvestment Scale, verbal protocol, Stroke and Aphasia Quality of Life Scale, and the Global Perceived Effect scale. A process evaluation will take place to identify how the therapy was perceived and identify factors that may have influenced the effectiveness of the intervention. Repeated measures analyses will be conducted to determine significant and clinical relevant differences between groups and over time. Results: Data collection is currently ongoing and results are expected in 2019. Conclusions: The relevance of the study as well as the advantages and disadvantages of several aspects of the chosen design are discussed, for example, the personalized approach and choice of measurements.
Background A variety of options and techniques for causing implicit and explicit motor learning have been described in the literature. The aim of the current paper was to provide clearer guidance for practitioners on how to apply motor learning in practice by exploring experts’ opinions and experiences, using the distinction between implicit and explicit motor learning as a conceptual departure point. Methods A survey was designed to collect and aggregate informed opinions and experiences from 40 international respondents who had demonstrable expertise related to motor learning in practice and/or research. The survey was administered through an online survey tool and addressed potential options and learning strategies for applying implicit and explicit motor learning. Responses were analysed in terms of consensus ( 70%) and trends ( 50%). A summary figure was developed to illustrate a taxonomy of the different learning strategies and options indicated by the experts in the survey.
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Inzet van serious games als scholingsinstrument voor zorgprofessionals of als patiëntinterventie neemt sterk toe. Serious games kunnen kosten besparen en zorgkwaliteit verbeteren. (Potentiële) afnemers vragen, in lijn met het medische onderzoeksparadigma, vaak naar de klinische effectiviteit (internal validity) van deze games. Het gros van de Nederlandse game-ontwikkelaars bestaat echter uit kleine ondernemingen die het aan middelen en expertise ontbreekt om de hiervoor benodigde longitudinale onderzoekstrajecten uit te voeren. Tegelijkertijd tonen mkb’ers, meestal zonder ervan bewust te zijn, tijdens het game-ontwikkelproces al verschillende validiteitsvormen aan volgens het design-onderzoeksparadigma (face validity, construct validity, e.d.). Door dit niet bij hun afnemers kenbaar te maken, komt een constructieve dialoog over validiteit moeilijk op gang en lopen mkb’ers opdrachten mis. Het ontbreekt hen aan een begrippenkader en praktische handvatten. Bestaande raamwerken zijn nog te theorie-gedreven. Om mkb’ers te helpen de 'clash' te overbruggen tussen het medische en het design-onderzoeksparadigma, ontwikkelen lectoraten ICT-innovaties in de Zorg (Hogeschool Windesheim, penvoerder) en Serious Gaming (NHL Stenden Hogeschool) samen met elf mkb’ers, afnemers, studenten en experts in een learning community drie hulpmiddelen: •Checklist: praktische mkb-richtlijnen voor het vaststellen van validiteit; •Beslisboom: op basis waarvan mkb’ers onderbouwd de juiste validatiemethode kunnenselecteren; •Serious game: om samen met (potentiële) afnemers te spelen, zodat verschillende soortenvaliditeit expliciet benoemd worden. De hulpmiddelen worden inhoudelijk gevoed door casestudies waarin mkb’ers gevolgd worden in hoe validiteit momenteel wordt vastgesteld en geëxpliciteerd in het ontwikkelproces. Vervolgens brengen we de ontworpen hulpmiddelen in de mkb-praktijk voor evaluatie. Opgeleverde hulpmiddelen stellen mkb’ers in staat werkbare validatiemethoden toe te passen gedurende het game-ontwikkelproces om acceptabele bewijslast op te leveren voor potentiële afnemers, waardoor hun marktpositie versterkt. Ook draagt het project bij aan operationalisering van bestaande raamwerken en kunnen de hulpmiddelen in game design-curricula worden geïncorporeerd.
Tango is among the most widespread world music genres nowadays. However, only partial information about the elements and techniques of composing, arranging and performing tango has been documented and made available so far. This research project aims at investigating tango’s main aspects in the oeuvre of relevant tango musicians, promoting its creative practice and expanding its artistic community. By making the implicit knowledge in scores and recordings explicit and ready for creative use by the greater artistic community, tango can be preserved, on one side; and musicians can experiment and reach new artistic horizons, securing its continuation and development as vivid, contemporary music, on the other. The project has two research questions: 1. What are the main features and techniques of tango music composition, arrangement and performance? 2. How can musicians nowadays integrate these features and techniques into their practice to deepen their understanding and enhance their artistic creations and performances? This research uses a mixed method design, including the analysis of scores and recordings, literature review, interviews, observational studies and experimentation. It expands the artistic community on the topic and bridges two top-notch institutions devoted to tango learning: Codarts and UNSAM (Argentina). The research also endeavours improvements in the Codarts curriculum as it complements and expands its educational programme by providing students with research tools to enhance their creative practice. Theoretical and artistic outcomes will be documented and disseminated in concerts, concert-lectures, papers, articles and a tailor-made website containing compositions, arrangements, videos, text, musical examples and annotated scores, so as to record: a) the musical materials and techniques found in the analysed scores and recordings, together with their applications in practice and performance; b) the artistic processes, reflections and production of the participants; c) information on how to create, arrange and perform tangos.
The Hanzehogeschool Groningen (HUAS hereafter) is a University of Applied Sciences that is strongly inspired by the challenges of the North Netherlands region and firmly embedded in the city of Groningen in particular. HUAS has a strong track record in education, and practice-based research, and is dedicated to enhancing innovation and entrepreneurship. HUAS currently has 31,000 students Bachelor and Master students in 70 teaching programs. The 3.000 member of staff forming 17 schools and 7 centres of applied research collaborate to offer a cutting-edge teaching-based research. HUAS took the challenge to develop a strong research capacity with 67 professors, and an increasing number of researchers at various levels, supported by dedicated technical and administration support staff. PhD research thesis are co-supervised in collaboration with various universities in the Netherlands and abroad. HUAS positions itself as an Engaged and Versatile university, both in education and research. In line with this, the overall strategic ambitions of HUAS are to develop suitable learning pathways with recognised qualifications; to conduct applied research with a visible impact on education and society; and to be an adaptive, versatile and approachable organisation. HUAS links these strategic ambitions to three strategic research themes: Energy, Healthy Ageing and Entrepreneurship and four societal themes: strengthening a liveable and sustainable North Netherlands; transition to a healthy and active society; digital transformation; and energy transition and circularity. These four challenges define the focus of HUAS education and research.One of the societal themes is explicitly linked to the region: strengthening a liveable and sustainable North Netherlands. North Netherlands is a powerful, enterprising region with the city of Groningen as the healthiest city in the Netherlands. The region is a front runner in the energy transition, has a European exemplary role in the field of active and healthy ageing, and as an agricultural region, has many opportunities for the development of the circular economy and consequently the development of biobased construction material to mitigate climate change. Cooperation with different groups and stakeholders in the region is central in HUAS’s strategy. HUAS is part of extensive local and regional networks, including the University of the North and Akkoord van Groningen. As such, HUAS is well- connected to the research ecosystem in North Netherlands.HUAS has the ambition to better align, connect & develop on a local as well as a regional, national and international levels. Many of the challenges the North is faced with are also relevant in the EU context. Therefore, HUAS is a strong advocate and actor on engaging in European projects. HUAS monitors regularly the EU’s priorities and aligns its research between these priorities and its immediate societal needs. The EU provides a range of funding opportunities that fulfil our ambition as a research and teaching university and responds directly to our challenges from social, energy, and digital transformation. Indeed, over the last decade, HUAS has been successful in European programmes. In the Horizon 2020 programme, HUAS was part of five approved projects. In Horizon Europe so far two projects were granted. HUAS has performed particular well in the EU societal challenge for a secure, clean and efficient energy system. Examples of this are Making City (https://makingcity.eu/) focussing on the developing Positive Energy Districts, and IANOS (https://ianos.eu/) about the decarbonisation of islands. In addition to EU research and innovation schemes, HUAS has a considerable track record in projects funded by the Interreg schemes. In particular, these types of projects have strong links with region, and partners in the region. Currently, EU participation and involvement of HUAS is mainly concentrated in one field: sustainability & energy. In order to further disseminate to other parts of the university, only a well-designed strategy will allow the various research centres to better reach European fundings and satisfy the university’s ambitions. However, so far, no structured mechanism is in place internally to guide the research community and regional stakeholders how to reach European collaboration with confidence. Therefore, this pilot project aims to develop a strategic framework to enhance the participation of all parties at HUAS, including a pilot project that will lead to improvement and validation.
