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Motor Delay
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following a normal course of development; slower progression through milestones Kids may be able to catch up
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Structural Deficit
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structural difference that prohibits children to develop the same as those without disabilities So kids will not catch up
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Motor delays are characterized by
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visual impairments, cognitive disabilities, learning disabilities, and autism
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Are there any structural deficit/physical impairment in motor delay
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No
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Neuromaturation Theory
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As cortex develops, it inhibits some function of subcortical layers and assume ever-increasing neuromuscular control
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How is neuromaturation devel
...
oped?
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biologically driven
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What are delays linked to in NMT ?
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CNS Damage
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How to train brain with NMT
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Thru Therapy
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Cognitive Processing Theory
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Delays are resulting from problems receiving and processing info
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Symptoms of cognitive processing theory
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difficulty making decisions quickly, choosing wrong movement, failing to use feedback for adjustment, slow and clumsy movement
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What can rehearsal therapy help with cognitive processing theory
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it helps individuals process info quickly and move it to long term memory
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Dynamic systems theory
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movement is the result of the interaction of many systems, environment, nature of the task, and individual
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What is the goal of therapy in dynamic system theory
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identifying and manipulating various organismic, environmental, and task constraints.
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Spinal cord delay
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info to and from brain is compromised
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paraplegic
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lower limbs
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quadriplegic
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chest down
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Spasticity
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muscle spams (sustained muscle contractions/sudden movements
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Ataxia
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Problems producing voluntary coordinated motor movement
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Symptoms of ataxia
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change in speech, difficulty swallowing, difficulty with walking and fine motor task
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Hypotonia
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Low muscle tone
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Dysmetria
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difficulty coordinating a complex motor movement involving several muscle groups
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People with dysmertia have problems with
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Judging distance or scale and appropriate force to use on a task
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Dydiadochokinesa
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Problems with performing rapid alternating moves
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tremors
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rhythmical, involuntary, oscillatory movement of a body part
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dysarthria
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motor speech disorder
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mediation deficit
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something is fundamentally wrong with cognitive processing ability
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Do strategies to aid cognitive processing work with mediation deficits ?
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NO
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production deficit
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no fundamental damage but, individuals don't use cognitive strategies to facilitate performance
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Will strategies to aid cognitive processing work with people with production deficits ?
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Yes
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What group of people are production deficits common amongst
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people with intellectual disabilities
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cerebral palsy
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permanently disabling disorders resulting from damage to the motor-control areas of the brain
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Symptoms of cerebral palsy
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abnormal muscle, heightned persistence of primitive and postural reflexes, limited coordination, abnormal sensory awareness
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Is cerebral palsy progressive?
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no, its non-progressive
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When does cerebral palsy occur
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before/during/right after birth
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Attention deficit/hyperactivity disorder (ADHD)
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Poor performance on timed test/activities, developmental coordination is often impaired, and social impacts
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Autism
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deficits in communication, behaviors, and social skills
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CNS
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Brain, spinal cord and everything in between
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PNS
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everything else like
sensory, autonomic, and motor system
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Afferent pathways
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Ascending, sensory info from the periphery sensory organ to the CNS
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Efferent pathways
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Exiting info out from the CNS
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3 sub components of motor cortex
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Primary Motor Cortex Supplementary Motor Cortex Pre-motor Motor Cortex
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Primary Motor Cortex
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Somatotopic organization, complex task initiated, and control of force production
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Damage to primary motor cortex results in
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paralysis and spasticity
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Supplementary Motor Cortex
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Organization and planning of movement, sequence of movement
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When the supplementary motor cortex active
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when learning
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When is supplementary motor cortex silent
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when movement is automatic
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Damage to supplementary motor cortex results in
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inability to construct movements based on internal motor memory
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Pre-motor Cortex
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Organizing and planning of movement
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When does pre motor cortex fire movement initiation
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fires it prior to movement initiation
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Damage to pre motor cortex
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decreased ability to use external clues to control movement
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Basal ganglia
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Consist of 5 subcorticial nuclei which have no input/output to the spinal cord
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Function of basal ganglia
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Movement planning, memory, and initiation and termination of movement
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5 subcortical nuclei
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caudate, putamen, globus pallidus, subthalamic nucleus, and sustania nigra
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Parkinson
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Hypokinetic under stimulation of basal ganglia, and decreased dopamine production
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Symptoms of parkinson's
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involuntary tremors at 4-6 hz, bradykiesia (slowness of movement), rigidity, and postural deficits
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rigidity
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increased resistance to external joint movement
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Huntington's Disease
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A hyperkinetic disease where there is an excessive movement as a result of over timulation of basal ganglia
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Symptoms of Huntington's disease
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uncontrollable jerking movement of limbs and facial movements, cognitive deficits, and psychological disorders
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Cerebellum
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It has 2 hemispheres and somatotopic organization
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2 hemisphere of cerebellum
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vermis and medial area
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function of cerebellum
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monitors movment by comparing sensory info from actual movement occuring with the intended movement from cortex
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What else does cerebellum a play role in?
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timing of movements, posture, locomotion, coordination, and learning
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What does the cerebellum have than any other part of the brain
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more neruons
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do neuron in cerebellum make direct contact to motor nuerons?
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no
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damage to cerebellum results in
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intentional tremor, postural tremor, Dysdiadochokinesia, hypotonia, and impaired learning
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Intentional tremors
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large oscillation when limb approaches target
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Hypotonia
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decreased resistance to passive joint motion
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Brainstem
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efferent tracts originating in brainsteam nuclei that are essential for control of posture and locomotion that connects brain to spinal cord
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What does the brainstem house?
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cranial nerves that supply sensory and muscle function of the fact and head with autonomic functions of the body
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components of brainstem
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Pons, Medulla oblongata, midbrain, vesitibular nuclei, reticular formation, tectum, red nucleus, and mesencephalic locomotor
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Vestibular nuceli
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postural control, contraction of anti gravity muscles, and vestibular system
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Reticular formation
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control of posture
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Tectum
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Body orientation
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red nucleus
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voluntary movement control in flexors that isn't well in human
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Mesencephalic locomotor region
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locomotion pattern
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spinal cord
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The simplest part of the nervous system which receives sensory info from periphery and has motor neurons where it extends from base of skull to lumbar region.
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4 Regions of spinal cord
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Cervical, thoracic, lumbar, and sacral
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Ventral horns
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efferent info
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dorsal horns
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afferent info
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Monosynaptic reflexes
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carried out in spinal cord
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Monosynaptic reflexes are composed of
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Receptor (muscle spindle, cutaneous receptor), sensory neuron (dorsal root ganglia), motor neuron (ventral root), and effector (muscle)
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Stretch reflex
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A reflex that has is done in response to stretching within the muscle. This is done by attempting to resist the stretch.
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cross-extensor reflex
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Step on tack, a flex tacked limb extend opposite
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Pain receptor inhibit extensor,
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excite flexor
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exite cotra-lateral extensor
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inhibit CL Flexor
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Vision (Falls)
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There is an increased reliance on vision for movement with advanced aging
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Individuals that are 85 yr old+ swing up how much than those that are 50-60 yr old
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38%
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Vision loss the
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3rd most common chronic condition for older adults
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Visual activity wise what does a score of 6/18 represent
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1.5 greater chance of fall risk
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Visual activity wise what does a score of 6/9 represent
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2 times greater risk of falling
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Reasons for decrease in visual acuity
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age-related mascular degeneration, diabetes, and cataracts
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Diabetes visual acuity
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diabetic retinopathy vision
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cataracts
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opacity of the eye lens over 50% of 80+ year
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Contrast sensitivty (edge detection)
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reflect the ability to detect ground level hazards
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What does edge detection do in older people
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predisposes older people to trip over obstacles
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Contrast sensitivity
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ability to detect edges under low contrast conditions
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What is the strongest fall risk factor
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depth perception
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asymmetrcal visual acuity
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poor depth perception
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Why are multi-focal glasses
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because the bottom part are meant for reading and the top are meant for far sightedness so there is 1 in error
for depth perception which makes it them have a 2x greater risk of falling
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Impaired visual field
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22% increased in collision with obstacles
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Gloucoma
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high pressure in the eye that affect side or peripheral vision
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Muscle Strength (Falls)
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Beyond 40 years, muscle strength declines at an accelerated pace, so that hand grip strength is reduced by 5-15%
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Sarcopenia
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Age related muscle loss
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Reason why muscle strength declines
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Motor neuron death, muscle fiber decreased, hormonal factor (decreased testosterone, androgen, and growth hormones), sedentary lifestyle, immunologic, and nutritional factors.
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Can strength be improved?
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Yes its a modifiable factor
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14% of seniors 75 year old and older are insufficient to do what ?
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one leg stance
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What two other muscles are weaken making it difficult to enough power and unable to stand up from a chair
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Ankle and thigh muscle
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Reaction time (falls)
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How fast you respond to stimuli
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Even after controlling physical health, amount practice, and motivation reaction time will
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decline with age
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What is the percent decrease reaction time from
20-60 yr old
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26%
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Reasons for reaction time being delayed
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sensory conduction delay, motor conduction delay, and lack of power
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Sensory conduction delay
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detection of loss of balance
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Motor Conduction Delay
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Central processing and motor command
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Lack of Power
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movement process
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Can reaction time be trained
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Those with concomitant slow reaction times are also less likely to succeed in breaking the fall with an outstretched hand, further increasing hip fracture risk
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somatosensory/proprioception function
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Muscle detection, skin, joint receptor, less blood flow to skin, reduced number of receptor, conduction delay
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vestibular function
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40% reduction in sensory hair cells in people 80+ yr old
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why is there a loss in sensory hair cells?
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This problem occurs when inner ear calcium particles fall into an inner ear semicircular canal
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Failure to control head eye coordination
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30% greater risk of fall.
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Affective factors
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Emotional environment
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Positive emotional environment
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feeling of belong; valued; dignity; activities occur to positive way, acceptance of everyone's abilities, and not top
down
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Advantages of variability of practice
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It promotes problem solving, discovery learning, self-regulation, and promotes adaptability of learning
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How to successfully motivate learner
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Promote achievement, provide choice, promote goal setting, use competition wisely, promote social interaction, and use rewards wisely
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How to provide choices
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promote intrinsic motivation and autonomy
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How to promote goal setting
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personal improvement and include learners input
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How to use competition wisely
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lowers "loser" motivation and frame it correctly
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How to use rewards wisely
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fat dog syndrome
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3 stages of sport expertise
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Sampling, specialization, and investment
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Sampling
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exposure to numerous sports for fun and enjoyment
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What ages does sampling occur
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6-12 years old
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specialization
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fewer sports, development of skill more important, still fun
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What ages does specialization occur
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13-15
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investment
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focusing on being elite
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Main focus of investment
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main focus on skill development, competitive and strategic
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class="flashcard__q">What ages does investment occur
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16 + years old
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Goal Setting
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Allows monitoring of progress towards end state
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Goals of goal setting
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direction attention to important aspect of skill, produce greater effort, promotes learning strategies (self discovery), and influence confidence and anxiety
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outcome goals
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results of performance
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perfomance goals
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focus on relative improvement
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process goals
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focus on specific aspect of the skills
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explicit learning
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conscious awareness of factors like goal attainment and developing relationship between learner and task
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implicit learning
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not conscious like riding a bike
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stages of social learning theory
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Originally focused on social learning of behavior with demonstrations/modeling information processing in 4 stages
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4 stages of social learning theory
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Attention to model, formation of memory (retention), production of model movement, and motivation
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Attention to the model 2 components
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impacted by arousal and complexity of movement which may need cues what to pay attention too!
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pros of demonstration
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Helps cope with difficult emotional situations, learn strategies and decision making, helps
learn a movement sequence, and helps acquire a new pattern of coordination
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cons of demonstration
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They don't promote problem solving, too simple, learner already knows task and requirements, new task involves change in parameters, since the outcome is more important than how movement is done, won't matter when outcome is clear and performance feedback is available.
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Contextual interference
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The more skills that are practiced during a practice session the higher the contextual interference (effecting learning)
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Contextual interference leads to
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Poorer performance during practice, learning increases on retention and transfer test, and task specificity
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Why Contextual interference works
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May need to concentrate more on the learning situation
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Limiting factors of Contextual Interference
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better when the characteristics of the variations of the task are more dissimilar than similar
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This effect may be due to
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elaboration and action plan reconstruction
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Elaboration
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engage in use of more strategies
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Action plan reconstruction
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during variability of practice performer engages in more problem solving activity
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schema theory
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Suggest that a rule developed fr a task thru interaction of 4 schema building parameters
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4 parameters of schema
theory
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Initial conditions, response specifications, sensory consequences, and response outcome
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Augmented feedback
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Feedback or information provided to the leaner that the learner usually doesn't receive from performing task
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Why use augmented feedback
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it can be a source of info when usual info isn't there due to something like injury/disease and when all else is ok it can provide extra help for the beginner leaner
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guided practice
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A type of augmented feedback that uses methods used to guide the action of the leaner so that movement errors are minimized
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2 Goal of guided practice
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to learn the appropriate movement pattern and to do this while not learning wrong patterns
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3 types of guided practice
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Physical restriction, forced responses, verbal guidance
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Physical restriction
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prevention of errors by blocking out incorrect movement patterns by making them physically impossible to make
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Purpose of this method
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performer provides the movement
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forced response goal
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the pattern of the movement is controlled directly by the instructor by transporting the limb/body of the learner thru the movement
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Point of forced response
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the performer is taken thru the movement
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verbal guidance
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the movement occurs slow enough so that verbal cues can be used to guide the movement while it is in progress
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Purpose of verbal guidance
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performer produces movement to the command of instructor
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Why is augmented feedback good?
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prevention of errors (method for error-less learning) and references for development (provides a continuous reference of correctness)
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Issues with augmented feedback
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Withdrawal, it can become a crutch for performance and often need to wean performer off feedback
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intrinsic feedback
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Feedback received from own sensory sources
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extrinsic feedback
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feedback received from external sources
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knowledge of results
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Info provided to the performer which specifies the outcome of the response
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knowledge of performance
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info about the movement pattern
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Where can knowledge of performance come from
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both intrinsic and extrinsic sources
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4 ways to classify feedback
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Mode of feedback, normal vs augmented, intrinsic vs extrinsic, and knowledge of results or knowledge of performance
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The Neuromaturation Theory of motor delays states that
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Delays are linked to damage to the CNS
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Which of the following is related to cerebellum injury/disbaility:
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Tremors
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As someone ages, they will experience the following
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decreased physical ability
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Aging can be defined as: a process occurring in living organisms with the passage of time that leads to a loss of adaptability, functional impairment, and eventually death.
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True
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According to the exercise-aging cycle, a person will decrease their physical activity after experiencing
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Psychological changes
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Biological age refers to
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how old a person is due to their body physiology
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Which of the following is correctly defined?
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Motor delay: following a normal course of development; slower progression through milestones
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Which of the following rehabilitation plans fits best with the dynamical systems theory:
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A child wants to be able to play with his friends on the playground but uses a wheelchair to get around. Instead of going to small playground, the group of friends decides to go to a fully wheelchair accessible playground.
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Non-linear pedagogy suggests that
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learning happens with rather sudden changes in performance
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Variability within learning a new skill is
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helpful for promoting problem solving, discovery learning, and self-regulation
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class="flashcard__q">Affective factors are
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the emotional factors associated with learning, such as a positive learning environment
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Which of the following most closely resembles a hands-off practicioner approach
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learning to swim by being thrown into the deep end
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A mastery climate is
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one that focuses on individual performance (not compared to others)
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Ecological task analysis model
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A 4 step approach to motor learning in which feedback is given to the learner only after they have attempted the skill
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Instructional factors
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include teaching style and motivation
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Discovery learning
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a style of learning in which the learner experiences the environment and the task for themselves at their own pace
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a way to increase motivation
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positive feedback
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Goal setting is most effective if the goal is:
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specific, attainable, challenging, and realistic
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Define goal setting:
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Self regulatory skill that allows individuals to monitor progress toward a self-determined goal
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Social learning theory involves these 4 steps:
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1.
Attention, 2. Retention, 3. Production, 4. Motivation
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Demonstrations promote problem solving during the learning process
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False
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class="flashcard__q">Massed practice
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practice schedule in which the amount of rest between practice trials are short (less than the time of the trial)
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Distributed practice
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practice schedule in which the duration of rest between practice is relatively long
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Blocked practice
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a schedule in which many trials on a single task are practiced consecutively
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Random practice
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a schedule in which practice trials on several different tasks are mixed across the practice period
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