Ch 10: Contemporary Task-Oriented Approaches to Motor Control Training – Flashcards

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Contemporary Task-Oriented Approaches to Motor Control Training
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• Based on current research of the motor behavior. • Rejects reflex-hierarchical model of motor control and traditional neurphisology therapies. • Environmental/task performance systems model of motor control
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Main principles of Carr and Shepard's Motor Relearning Program (MRP)
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• person is an active participant whose goal is to relearn effective strategies • does not follow a developmental sequence • successful task relearning occurs when performance is automatically and efficiently • compensatory strategies limit recovery & focuses on learning general strategies for motor problems
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Task-oriented approach to motor control training
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- Practicing goal-directed, functional tasks; no focus on underlying impairments - Task performance emerges from interaction of multiple systems including personal and performance contexts. - Individual must practice w/varied strategies to find optimal solutions to motor problems - Th. must determine which control parameters or systems (personal, environ, etc.) + or - influences on motor behavior.
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Principles of Motor Learning:
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• Contemporary approaches to treating motor dysfunction incorporate principles of motor learning during interventions focused on remediating motor control in persons with CNS dysfunction. • Ultimate goal of utilizing motor learning theory: Acquisition of functional skills that can be generalized to multiple situations and environments
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Skill acquisition (cognitive stage)
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occurs at initial instruction and practice of a skill.
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Skill retention (associated stage)
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involves "carry over", as individuals are asked to demonstrated their newly acquired skill after initial practice.
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Skill transfer (autonomous stage) involves
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the individual demonstrating the skill in a new context.
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Random practice
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involves practice of several tasks that are presented in a random order encouraging reformulation of the solution to pre presented motor problem.
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Blocked practice
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involves repeated performance of the same motor skill.
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Variable conditions
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involve practice skills in various contexts to improve transfer of learning and retention skills.
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Cognitive stage of motor learning:
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"what to do" - demonstrate ideal performance and focus on errors as they become consistent. Point out similarities to other learned tasks and have patient to verbalized and visualized task.
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Associated stage of motor learning:
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"how to do" decisions - use less guided movements - use variable feedback - continue to provide knowledge of performance
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Autonomous stage of motor learning:
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"how to succeed" decision - self-evaluation and provide occasional feedback when errors are evident - vary environment to challenge learner and increase competitiveness
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