Chapter 12: Motor control and learning theories Flashcards

1
Q

what is the definition of motor control

A

organisation of control of the motor apparatus

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2
Q

what are the motor control theories

A
reflex theory 
systems theory 
motor programming theory 
task-oriented approach 
hierarchical theory
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3
Q

what is the reflex theory?

give its implications and limitations

A

Movement is controlled by stimulus response

implications

  • using sensory output to control reflex
  • able to stimulate good reflexes
  • able to remove undesirable and primitive reflexes

limitations

  • voluntary and spontaneous movements exist too
  • movements can occur in the absence of sensory stimuli
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4
Q

what is the systems theory

give its implications and limitations

A

muscles work in synergies, how the external and internal forces affect the body’s movement

implications
- considers how impairments to the MSK and NS contribute to overall loss of motor control

limitations
- does not take into account the external environment

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5
Q

what is the motor programming theory

give its implications and limitations

A

central motor patterns can be activated by sensory stimuli

implications

  • helps patient to re-learn a motor task
  • removes compensatory behaviours
  • muscles reeducated not in isolation (together as a system)

limitations
- Does not take into account that NS must deal with both MSK and environmental variables in achieving motor control

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6
Q

what is the hierarchical theory

give its implications and limitations

A

muscle actions are controlled in a top down manner
reflexive movements are dominant after an injury to the CNS

implications

  • Explains disordered motor control in patients with neurological disorders
  • When influence of higher centres is temporarily or permanently interfered with, normal reflexes become exaggerated and pathological reflexes appear (eg Babinski reflex in adults)
  • Reduced hyperactive stretch
  • Normalise tone (early bobath concept)

limitations

  • Cannot explain the dominance of reflex behaviour in certain situations
  • All reflex behaviours are primitive and non-adaptive while higher levels of control are mature, adaptive and appropriate
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7
Q

what is the task-oriented approach

give its implications and limitations

A

Normal movement emerges as interaction with many different systems
Movement organised around behavioural goals with environmental constraints

implications

  • Focuses on identifiable, functional tasks
  • Practice under varying conditions
  • Modifying environmental contexts
  • Focus on learning a variety of ways to solve the task rather than one single muscle activation patterns
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8
Q

what is motor performance

A

behavioural act of performing a skill at a specific time, at a specific situation

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9
Q

What is motor learning

A

a set of process associated with practice/experience, a relatively permanent change in the capability to producing skilled action

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10
Q

what are the types of long term memories

A

declarative (explicit)

non-declarative (implicit)

  • associative (operant/classical): emotional response (amygdala) or skeletal musculature (premotor cortex, cerebellum)
  • non associative (habituation/sensitization): reflex pathway
  • procedural (habits/skills): striatum or other motor cortex
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11
Q

what are the types of long term memories

A

declarative (explicit)

non-declarative (implicit)

  • associative (operant/classical): emotional response (amygdala) or skeletal musculature (premotor cortex, cerebellum)
  • non associative (habituation/sensitization): reflex pathway
  • procedural (habits and skills) - striatum and other motor areas
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12
Q

what are the traits and strategies used in the early cognitive stage

A

traits

  • large number of errors
  • attention to small details
  • unable to screen out irrelevant information
  • slow movements, inconsistent and inefficient

strategies

  • use of repeated practice
  • use of demonstrations
  • ask learners to evaluate performance
  • use mental practice
  • complex task: practice in parts then integrate in whole task
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13
Q

what are the traits and strategies used in the autonomous stage

A

Traits

  • movements are accurate, consistent and efficient
  • continues to refine motor responses
  • movements are error free
  • minimal level of cognitive monitoring

Strategies

  • demonstrate self evaluation and decision making skills
  • provide occasional feedback
  • consistency of performance in variable environments
  • focus is on greater range of movement , speed, acceleration and use of skill in novel situation
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14
Q

what are the traits and strategies used in the autonomous stage

A

Traits

  • movements are accurate, consistent and efficient
  • continues to refine motor responses
  • movements are error free
  • minimal level of cognitive monitoring

Strategies

  • demonstrate self evaluation and decision making skills
  • provide occasional feedback
  • consistency of performance in variable environments
  • focus is on greater range of movement , speed, acceleration and use of skill in novel situtaion
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15
Q

types of covert practices

A
observation 
mental practice (imagery)
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16
Q

types of covert practices

A
observation 
mental practice (imagery)
17
Q

what is the minimum amount of practice needed by stroke patients?

A

NICE: 45min, 5 days/week

Dawson: 3hours. 5 days/week

18
Q

what is the minimum amount of practice needed by stroke patients?

A

NICE: 45min, 5 days/week

Dawson: 3hours. 5 days/week

19
Q

benefits of guided and discovery practice?

A

Discovery: learning enhances long term retention of learning

Guided: reduces fear, increases safety, used in early practice