Lecture 2 - Motor Learning Strategies Flashcards
When starting to develop strategies for your patients plan of care what 4 things do you need to consider and/or determine?
- the patients current status
- the goals
- the ICF model
- the stages of motor learning
Describe the 4 categories of the ICF model?
health condition - disease, disorder, injury
impairments - problem in body function
activity limitations - difficulty executing task/actions
participation restrictions - problem in involvement of life situations and social interactions
Most neuro rehab is focused on this category of the ICF model.
activity limitations
________ training frequently forms the basis of the physical rehabilitation plan of care.
functional
What is described as activity-based and task oriented training/interventions?
functional training
Functional training should be ________ and shape to the patients capabilities and integrate active _______ strategies.
intensive; learning
What are the 3 (stages or phases) motor learning strategies?
- cognitive phase
- associated phase
- autonomous phase
The goal of the cognitive stage is to?
facilitate task understanding and organize early practice
The goal of the associated stage is?
motor strategies/movements are refined with high levels of practice
The autonomous stage is characterized by?
motor performance that is largely automatic, after considerable practice
During this stage of motor learning the PT should highlight the purpose of the skill and model the skill exactly as it should be done so the learner can develop a _________ of ___________.
reference of correctness; cognitive stage
During this stage of motor learning the PT should point out similarities to other motor programs and use _______ movements to assist the patient through the task.
guided movements; cognitive stage
When should feedback be given, what type of practice, and environment should the PT plan to use if the patient is in the cognitive stage of motor learning?
feedback - precise feedback on every trial, visual is important
practice - blocked (repeated) of same task
environment - structured (closed)
During what stage of motor learning do you want to allow for trial and error learning AKA _________ learning.
discovery learning; cognitive stage
At what stage of motor learning are guided movements not productive?
in associated stage
When should feedback be given, what type of practice, and environment should the PT plan to use if the patient is in the associated stage of motor learning?
feedback - for consistent errors
practice - variable practice order
environment - progress towards open, changing environments
In what stage should the PT focus on proprioceptive feedback that encourage the patient to “feel the movement?”
associated stage
At what stage of motor learning should you decrease the external feedback; verbal and visual.
associated stage
At what stage of motor learning should the PT allow the patient to self-evaluate?
autonomous stage
At what stage of motor learning should the PT consider using distractors and _____-_______ situations?
multi-tasking; autonomous stage
When should feedback be given, what type of practice, and environment should the PT plan to use if the patient is in the autonomous stage of motor learning?
feedback - only occasional feedback on evident errors
practice - focus on competitive aspects of skills as appropriate
environment - variable environments and varied tasks
Many patients don’t get to this stage therefore, the PT needs to get the ______ and/or _____ involved to help the patient.
family, staff; autonomous stage
Proprioceptive, visual, vestibular, and cutaneous signals are types of _________ ________.
intrinsic feedback
Visual (mirror/model), auditory (verbal cues), tactile cueing and biofeedback are types of _________ ________.
extrinsic feedback
