Adult Neuro: task oriented approach Flashcards
Task Oriented Approach
a training program to be considered tactile task-oriented, it must be:
challenging, progressive and optimally adapted, and active participation
- Challenging enough to require new learning and to engage attention to solve the motor problem;
- 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,
- Interesting enough to invoke active participation to engage a “particular type of repetition” referred to as “problem-solving.”
Task Oriented Approach
What is the task-oriented approach based on?
- 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
Task Oriented Approach
describe the steps of the Motor Relearning Program:
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
Task Oriented Approach
In a task-oriented approach, examination of mobility function analyzes performance at three levels:
- the functional-task level (10 m walk test, etc)
- the essential strategies used to accomplish the requirements of mobility (observational)
- Impairment level
Task Oriented Approach
What are the initial parameters in Body Weight Support Training?
- 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)
Task Oriented Approach
what are the 3 main elements of the CIMT protocol?
- Repetitive tasks-oriented training (mass practice, shaping)
- Adherence
- Constraining
Task Oriented Approach
what are the two rationale mechanism underlying Constraint-Induced Movement Therapy?
- Overcome learned non-use
- Use-depended brain/cortical plasticity