Chp 13 and 14 Flashcards

1
Q

What is a motor program?
What is a motor plan
What is motor control

A

What is motor control?, an area of study dealing with neural, physical and behavioral components of movement
What is a motor plan?, plan for purposeful movement made up of component motor programs
What is a motor program?, abstract representation that results in coordinated movement

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2
Q

Model of information processing stages

A

Stimulus selected, Stimulus ID (hearing a song reconginizing what the object is, feeling what the object is ETC) Response selection Response Programming, Movement output

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3
Q

Theories of Motor Control

A

Reflex theory - Movement is the result of a stimulus-response sequence of events or reflex based. Complex movements where nothing more than a chaining together of reflexes
Hiearchy theroy- High control centers that organize the movement like in the brain and lower control centers like the reflex pathways and reflex pathways take over when the higher centers are damaged. “top down approach”
Systems theory, Bernstein-cooperative actions of many interacting systems
Distributed control- large areas of the CNS may be engaged for
Degrees of freedom- number of independent motions that the CNS is responsible for,
Coordinative structures- used to simplfy control and used for coordinative patterns and synergys

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4
Q

Motor Programming Theory

A

abstract representation that, when initiated, results in the production of a coordinated movement sequence”, O’Sullivan & Schmidt

Allows for movement to occur in the absence of sensation or when the sensory info is not available due to the speed of the movement

ie. generalized schema: invariant characteristics, parameters Shcema - motor program which provides the info for a motor plan

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5
Q

what is motor learning

A

set of internal processes associated with practice or experience leading to relatively permanent changes in capabilities for skilled behaviors” O’Sullivan & Schmidt

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6
Q

How do we define Learning, Performance, rentention, generalizability, resistance to contextual change

A

Performance- result from practice or experience and are a frequesntly measurable thing
Learning- can measure or say that it wasn’t taught and can’t be affected by things such as medication, lack of sleep, poor motivation, or anxiety
Retention- the ability to demonstrate the skill over a certain period of time
Generalizability – ability to transfer one skill to another task. For instance transfering from a W/C to a car then trying W/C to a bed
Resistance to contextual change, transfer- once the skill is learned you should be able to do it in a variety of enviorments for example ( if you walk inside then you can then walk outside on uneven ground

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7
Q

Theories of Motor Learning

A

Historically,
Adams, closed loop theory/control (perceptual trace, reference of correctness)
Schmidt, schema theory (rule based with slow movements FB based and fast movements Program based)

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8
Q

Stages of Motor Learning & Training Strategies, review Table 13.1, p 476-7

A

Fitts & Posner
Cognitive, develop a map or plan, what to do
Associative, refine spatial & temporal aspects, coordinated pattern emerges, how to do
Autonomous, perform in both predictable environments closed skills and unpredictable open skills, how to succeed

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9
Q

4 categories of Motor skills this again :/ probadly going to be on test

A

Mobility
Static postural control – stability
Dynamic postural control – controlled mobility
Skill

	review Table 13.2 p 481
                 Table 13.3 p 482 (transition lab)
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10
Q

So what is Recovery of Function?

A

Reacquisition of movement lost through injury, O’Sullivan & Schmidt
Which maybe compensatory in nature
Neural Plastisicity, ability of the brain to change & repair itself

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11
Q

Types of Recovery and Neuroplascity

A

Vicariance, focuses on the use of different and underutilized areas
Redundancy, fail-safe system/unmasking
Functional substitution, preprogrammed

			2 types of recovery, Spontaneous= Diachisis, recovery immediately after temporary blocking factors Function-induced recovery= reorganize due to changes in activity (constraint-induced movement therapy Box 13.1, BWS) and environment
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12
Q

What influences recovery of function?

A

Age
Slow vs fast occurring injury
Enriched environments
Specific training vs non specific training

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13
Q

Frameworks for Intervention

A
Functional-task oriented training= behavioral shaping and motor learning principles are used Box 13.2
Neuromotor Development Training
 NDT Bobath’s, 
PNF Kabat,Knoot,Voss, 
Neuromuscular/Sensory Stim Tech Rood
Movement Therapy, Brunnstrom
Compensatory training
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14
Q

Neurodevelopmental treatment (NDT), Bobath’s Appendix A p512

A

Primary problem abnormal tone & coordination
Primary cause of control problems was release of abnormal postural reflexes (primitive spinal cord & brainstem reflexes)
Loss of higher level postural reactions (righting, equilibrium, protective extension)
Use developmental sequence to promote normal selective movements
Handling and key points of control are used to promote automatic higher level postural reactions
Dynamic reflex inhibiting patterns are used to inhibit excessive tone
Sensory stim used to facilitate normal movements
Compensatory training strategies are used

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15
Q

Movement therapy, Brunnstrom

A

Uses structured activities that promote normal function
Described recovery stages 7 stereotypical patterns of abnormal synergistic control
Gain basic limb synergies before out of synergy combinations (? Isolated control)
Uses sensory stimulation techniques

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16
Q

Proprioceptive Neuromuscular Facilitation (PNF), Kabat, Knoott, VossAppendix B p 514

A

Incorporates spiral & diagonal functional movement patterns that are based on normal movements
Proprioceptive techniques-facilitate movement (stretch, max resistance)
Use of precise manual contacts
Developmental emphasis was added
practices individual and combinations of patterns
Motor learning principles are incorporated

17
Q

Sensory Stimulation, RoodAppendix C p 517

A

Stimulation was organized into Phasic or Tonic categories and applied based upon stage of control observed
Mobility, Stability, Mobility Superimposed on Stability, & Skill
Used Approximation & Steady Resistance (tonic stimuli) = STABILTY
Used Quick Ice & Quick Stretch (phasic stimuli) = MOBILIZING ACTIONS
Uses either facilitory or inhibitory stimuli

18
Q

FUNCTIONAL TASK ORIENTED TRAINING APPROACH

A

Motor control motor learning approach
System theory & motor learning theory
“Interacting systems within the CNS are organized around essential functional tasks and the environment in which the task is performed”, O’Sullivan & Schmitz
Practice tasks that provide client with difficulty and practice in varying environments
Use cognitive, perceptual, motor learning, biomechanical strategies
Focuses on Active participation

19
Q

Tone & Reflex Integrity how t decrease tone?

A

Decrease tone, prolonged icing, prolonged stretching, inhibitory pressure, neutral warmth, slow vestibular stim, rhythmic rotation = precede ROM/ACTIVE EXERCIES
Use constant firm manual contacts
Pressure splints, inhibitory serial casting
NMS, intrathecal baclofen , chemical blocks
biofeedback

20
Q

how to increase tone

A
Increase tone
Quick stretch, tapping, resistance, approximation, positioning
Strengthen exercises
Supportive devises
Posture stability control
Sensory stim
NMES/functional training
21
Q

Muscle Performance: Strength, Power, Endurance

A

Performance= capacity to do work (force x distance)
Strength= muscles ability to produce force to overcome one max effort
Power= work produced per unit of time (strength x speed)
Endurance= ability to contract muscle repeatedly over time
Specificity principle
PRE’S, PNF, FUNCTIONAL TRAINING PROGRAM, MUSCLE ENDURANCE EQUIPMENT

22
Q

Postural Control & Balance

A
Postural alignment & weight distribution
Limits of stability (lab experience)
Functional balance strategies
Manual perturbation, force displacing the COM
Moveable surface that displaces BOS
Sensory organization
Somatosensory (proprioceptive/tactile), visual, vestibular
Safety & fall prevention
Maintain BOS
Lower COM
Environment
23
Q

Gait & Locomotion requires what 3 types of training

A

Requires functioning of many interacting systems
Task specific training
BWSTT

24
Q

Locomotor Training Ch 14 p 523 Successful walking includes what 5 things

A
Support of body mass
Production of locomotor rhythm
Dynamic balance control
Direction/Propulsion
adaptability
25
Q

Lab exercisesLocomotor training Box 14.1 p 524Figure 14.6 p 532

A
Pre tasks
Parallel bars
Indoor overground  Box 14.2
Outdoor overground
BWST
Indoor overground with BWS
26
Q

Canes coming to standing and return to sitting ‘

Crutches

Walkers

A

coming to standing - patient moves forward in chair can is positoned on UL and use as arm rest.

sitting down - patient turns on UL backs up to fell the chair at back of knees reaches for armrest standard cane patient uses cane as arm rest

Crutches -
Come to standing - Pt. moves forward in the chair cruthces placed in a vertical position on the affected side one arm rest of crutch and the other arm rest of chair and push up then patient leans forward and push crutch under unaffected then under affected arm and maintains a tripod position

Return to sitting- patient turns in a small circle ditto to the cane procedure

Walkers
come to standing same way excpet use both arm rest as there is no armrests then pt. slowly reaches for walker one hand at a time

Return to sitting-
ditto as before

27
Q

Stair Climbing

A

Box 14.5 “Up with the good down with the bad”?

28
Q

Summary: Principles of Neural Adaptation“Neuroplasticity”

A

“With learning, the distributed cortical representations of inputs & brain actions “specialize” in their representations of behaviorally important inputs & actions for skill learning” O’S & S 2001

Neurons grow based on repetitive excitation from behaviorally important stimuli
Which leads to specificity of temporal and spatial dimensions
Leads to temporal coordination

Synapses are strengthened by selecting behaviorally important inputs

Skill learning is massive

Enduring cortical plasticity changes appear to be accounted for by local changes in neural anatomy

Cortical plasticity processes in child development represent mutli -staged learning

Cortical field specific differences in input create different representational structures

Temporal dimensions of behaviorally importa

Processing time is subject to learning based plasticity

Learning is modulated as a function of behavior state

Constraints limit the magnitude of plasticity