Adult Neuro: task oriented approach Flashcards

1
Q

Task Oriented Approach

a training program to be considered tactile task-oriented, it must be:

A

challenging, progressive and optimally adapted, and active participation

  1. Challenging enough to require new learning and to engage attention to solve the motor problem;
  2. Progressive and optimally adapted such that over practice, the task demand is optimally adapted to the patient’s capability and the environmental context; not too simple or repetitive to not challenge, and not too difficult to cause a failure of motor learning or a low sense of competence,
  3. Interesting enough to invoke active participation to engage a “particular type of repetition” referred to as “problem-solving.”
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2
Q

Task Oriented Approach

What is the task-oriented approach based on?

A
  • Theories of motor control (systems, reflex-hierarchical)
  • Understanding kinetics and kinematics
  • Neuroplasticity
  • Theories of motor learning (Fitts and Posner)
  • Role of the environment
  • There is a shift from facilitation and inhibition towards the relearning of motor control necessary for specific functional tasks
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3
Q

Task Oriented Approach

describe the steps of the Motor Relearning Program:

A

1. analysis of tasks (observation, comparison, identify missing components) → 2. practice of missing components (using verbal, manual, and visual FB) → 3. practice entire task (avoid learned errors and learned non-use) → 4. transfer of training

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4
Q

Task Oriented Approach

In a task-oriented approach, examination of mobility function analyzes performance at three levels:

A
  1. the functional-task level (10 m walk test, etc)
  2. the essential strategies used to accomplish the requirements of mobility (observational)
  3. Impairment level
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5
Q

Task Oriented Approach

What are the initial parameters in Body Weight Support Training?

A
  • Intensity: 40% of body weight, no incline, low speed (0.5 mph)
  • Duration: a total of 30-60 min per session (may be 5 min bouts); 6-12 weeks.
  • Frequency: 5 days/wk

(progress to ↑ speed, incline duration, ↓ amount of BWS)

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6
Q

Task Oriented Approach

what are the 3 main elements of the CIMT protocol?

A
  1. Repetitive tasks-oriented training (mass practice, shaping)
  2. Adherence
  3. Constraining
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7
Q

Task Oriented Approach

what are the two rationale mechanism underlying Constraint-Induced Movement Therapy?

A
  1. Overcome learned non-use
  2. Use-depended brain/cortical plasticity
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