This article considers the process of motor learning from an original point view in that it considers not only the four classical aspects of motor learning (programming, execution, agonist-antagonist coordination, and muscle contraction) but also four other factors, namely: rehabilitation setting, emotional state, communication, and the patient-physiotherapist relationship. These aspects play an equally critical role to the four classical elements in conditioning the entire process of motor learning and should not be overlooked by the physiotherapist in guiding patients through the process of musculoskeletal recovery.
Factors like setting, emotional feeling, communication, and relationship can be considered as crucial in motor learning only if the brain is viewed as a comprehensive map of the brain’s circuitry (connectome) within which neural networks (body-self neuromatrix) integrate multiple inputs to produce an output pattern (neurosignature).