This volume of Progess in Brain Research follows on from the 32nd International Symposium of the Groupe de recherche sur le système nerveux central (GRSNC), May 2010, and aims to provide an overview of the various neural mechanisms that contribute to learning new motor and sensory skills, and to adapting to changed circumstances including the use of devices and implants to substitute for lost sensory or motor abilities (brain machine interfaces). The focus is on recent developments covering five major themes: Mechanisms to improve motor performance Neuro-rehabilitation of motor function Mechanisms to enhance sensory perception Cross modal interationc for enhancing sensorimotor performance Assistive technologies to enhance sensorimotor performance Leading authors review the state-of-the-art in their field of investigation, and provide their views and perspectives for future research Chapters are extensively referenced to provide readers with a comprehensive list of resources on the topics covered All chapters include comprehensive background information and are written in a clear form that is also accessible to the non-specialist.