ABBREVIATIONSDARPP-32 Dopamine-and cAMP-regulated phosphoprotein of 32kDa M1Primary motor cortexCerebral palsy (CP) is a heterogeneous group of neurodevelopmental disorders associated with lifelong motor impairment and disability. Current intervention programmes aim to capitalize on the neuroplasticity of the undamaged part of the brain to improve motor functions, by engaging individuals in active motor learning and training. In this review, we highlight recent animal studies (1) exploring cellular and molecular mechanisms contributing to neuroplasticity during motor training, (2) assessing the functional role of the mesocortical dopaminergic system in motor skill learning, and (3) exploring the impact of naturally occurring genetic variation in dopamine-related gene expression on the acquisition and performance of fine motor skills. Finally, the potential influence of the dopamine system on the outcome of motor learning interventions in cerebral palsy is discussed.Cerebral palsy (CP) is a group of movement disorders caused by injuries to the immature brain, which often interrupt a neural network that includes frontal and parietal cortical areas, the striatum and cerebellum, and descending pathways from the motor cortex. This bilateral sensorimotor network is involved in advanced motor functions, such as motor planning, motor learning, and fine motor skills. Consequently, the injuries result in poorly coordinated movements that lack the precise spatial and temporal muscle activity pattern typical of smooth and well-coordinated movements. In recent decades, CP treatment strategies have shifted. Previously, the imagined goal was to cure CP and fix the injured brain. Nowadays, a more realistic focus is on the undamaged part of the brain, namely maximizing the capacity of the undamaged brain to improve motor functions. Motor learning and motor training have therefore become important components of CP treatment. The rationale for this new trend is supported by a recent systematic review of CP interventions, 1 which finds that only those treatments that engage individuals in active training improve motor function. Further support for using motor learning comes from research in basic neuroscience demonstrating that the brain is plastic and can reorganize itself depending on the activity. A general principle seems to be that synaptic connectivity is strengthened in neural networks that are used, whereas it is weakened in unused networks. Motor learning is a specific form of neuroplasticity in which complex motor skills, such as writing or playing a musical instrument, are acquired through repetitive practice. The skills are learned gradually during repeated training sessions until performance improvement reaches nearly asymptotic levels: that is, improvement is faster at the beginning and slower towards the end. Various tasks have been used to study motor skill learning in humans, including juggling, visuomotor tracking, and various tapping sequences. Advances in neuroimaging technologies have allowed the identification...