Motor Learning: Motor Control and MCM Flashcards

1
Q

Motor learning: Definition

A

Set of CNS processes w. practice and experience leading to permanent change in capability for skilled action.

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2
Q

Cook and Woollacott describe motor learning as…

A

Search for task solution when individual interact w. task and environment

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3
Q

3 Parts of Motor Learning!

A

Person, Environment, Task (PET abbrev)

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4
Q

Gentile taxonomies: Are skill’s regulatory features stationary or in motion: Examples

A

Walking on solid ground vs on moving bus

Catching a football vs catching a football with regulatory components like receivers and opponents.

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5
Q

Gentile taxonomies: Are skill’s regulatory features stationary or in motion: Closed vs open skills

A

Closed- achieve the same thing every time, like throwing a basketball from the free throw line (same distance)
Open- Everything is changing like playing in a soccer field with people

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6
Q

Gentile’s two other taxonomies

A

Is there inter-trial variability

Will an object be manipulated while performing skill

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7
Q

Explicit knowledge aka

A

Declarative- knowledge you can explain how to do, like a new skill you learned

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8
Q

Implicit knowledge aka

A

Non-declarative - something you know instinctual, like typing regularly and not thinking about where the G key is to type.

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9
Q

Fitt’s stages of motor learning

A
  1. Cognitive – many errors (errors to hit the ball right)
  2. Intermediate/associative – understand interrelatedness, modification, self-detection of error (modify until they can hit the ball right)
  3. Autonomous – consistency, learning slows, decreased attention demands (add distractors) (Hitting ball right regularly, learning slows, distractors can be added)
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10
Q

Gentile’s stages of motor learning

A

Gentile: 1. Getting idea of movement – learning regulatory features, getting idea of movement (baby rolling for first time, then knows what components of skill needed)
2. fixation/diversification (baby gets to roll the same way every time and diversify if it is an open skill like a change of the floor)

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11
Q

Bernstein’s stages of motor learning

A
  1. Novice stage- (freezing DOF) (baby stiff during walking w. big effortful movements)
  2. Advanced stage- (release and explore) (baby release DOF by twisting torso)
  3. Expert stage- (reorganize and manipulate; exploit passive forces) (Adjust DOF with different terrain, exploit passive forces like gravity to make walking easier!!)
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12
Q

Motor learning intervention: Similarity of practice conditions to real-world conditions: examples of a child learning to walk

A
  • When you touch a child, you are in that child’s environment. You physically cue the child to walk, then get child to wean away from your physical aide.
  • Child’s learning helps when watching another child learning to walk so that child can mimic and learn the problem solving process.
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13
Q

Verbal instruction: Internal focus

A

Telling a child a command, “lift your leg up”

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14
Q

Verbal instruction: External focus

A

Have the child try to ambulate steps by him/herself to problem solve.

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15
Q

Which is preferable, Internal or External Focus

A

External focus. Only use internal cues if child still struggles with problem solving.

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16
Q

Verbal instruction: visualization for children

A

Have children visualize for mental practice

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17
Q

Feedback: Knowledge of Results

A

Tell person how they did, “you are successful”

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18
Q

Feedback: Knowledge of performance

A

Tell child how to improve. Almost like internal cuing.

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19
Q

Who requires more feedback, children or adults

A

children!

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20
Q

Blocked vs random variability of practice

A

Contextual interference enhances learning

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21
Q

Practice specificity

A

Task specificity, avoid consistent modes of feedback to prevent reliance (mirrors)

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22
Q

Massed vs Distributed practice: which is preferable

A

More practice sessions, shorter duration (distributed) better than fewer sessions, longer duration (massed).

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23
Q

Massed vs Distributed practice: rest periods rely on what

A

fatigue factor- continuous vs discrete skills

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24
Q

Complexity includes…

A

parts of skills, amt attention demanded

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25
Q

Organization includes…

A

temporal and spatial relationship of skills

26
Q

Whole practice

A

low complexity, high organization

27
Q

Part practice

A

high complexity, low organization

28
Q

Mental practice best when combined or performed preceding

A

physical practice

29
Q

Pediatric rehab requires (4)

A

Practice, task-orientated training (top down), salience of task, opportunities for exploration (for problem solving)

30
Q

Central Pattern Generators (CPGs): What are they?

A

Interneuronal networks in either the spinal cord or brain stem that can order the selection and sequencing of motor neurons independent of descending or peripheral afferent neural input

31
Q

Central Pattern Generators (CPGs): How does it modulate movement?

A

Peripheral afferents give info to CPG to modulate output and adapt behavior to movement.

32
Q

Central Pattern Generators (CPGs): Examples

A

Repetitive movments like Stepping reflex, writhing , walking

33
Q

Central Pattern Generators (CPGs): How to use them in rehab?

A

Supported treadmill training to activate the CPGs.

34
Q

Central Pattern Generators (CPGs): What happens when it doesn’t have external stimulus?

A

It returns to prior state.

35
Q

Motor Programs

A

movement representation in brain: abstract rules that can be used to activate a given set of muscles/joints

36
Q

Generalized motor programs: more flexible for adjustment based on (2)

A

environmental demands, feedback

37
Q

Principle of Abundance: What is it?

A

Use and adjustment of all degrees of freedom for the most efficient solution with functional synergies.

38
Q

Principle of Abundance: Good variability

A

Allows for flexibility based on varied environment

39
Q

Principle of Abundance: Bad variability

A

Hinders coordination and renders quality as “clumsy”

40
Q

Sensorimotor/Neural Variables: Motor weakness (paresis): Contributions (3)

A
  • # motor units recruited
  • Type of units recruited
  • Discharge frequency (how frequent info is coming from peripheral nerve to muscle)
41
Q

Sensorimotor/Neural Variables: Abnormal synergies

A

Loss of ability to selectively control movement- mass movement

42
Q

Sensorimotor/Neural Variables: Co-activation: Co-activation

A

Primary/primitive form of coordination

43
Q

Sensorimotor/Neural Variables: Abnormal Muscle tone: Spasticity causes

A

Damage to descending tracts leads to increased alpha motor neuron excitability

44
Q

Sensorimotor/Neural Variables: Abnormal Muscle tone: Hypotonicity causes (3)

A

Cerebellar deficit, spinocerebellar lesions, syndromes

45
Q

Sensorimotor/Neural Variables: Coordination deficits: Cause

A

Lack smoothness of movement, poor trajectory for accuracy (cerebellar)

46
Q

Sensorimotor/Neural Variables: Sensory system Deficits (4)

A

Somatosensory, Visual, vestibular, Perceptual/spatial

47
Q

Sensorimotor/Neural Variables: Developmental Consideration

A

– Differentiation and refinement of neural networks
– Changes in sensory perception, neural conduction characteristics,
motor unit properties, force producing capacity

48
Q

Mechanical Variables: Characteristics of musculoskeletal system

A
  • Elasticity, length, mass of muscle
    – Fiber type composition
    – Shortening, accumulation of connective tissue and fatty
    deposits in tendons
    – Bony changes, joint changes, joint capsular changes, fascial
    changes
49
Q

Mechanical Variables: Developmental Considerations

A

• Relative distribution of mass over development changes COM,
alters inertial forces
• Growing body

50
Q

Cognitive/Psychological Variables: Conscious and subconscious

A

– Reasoning
– Memory
– Motivation
– Arousal
– Selective use of feedback, practice and memory
– Selectively attending to information in environment/task

51
Q

Cognitive/Psychological Variables: Developmental Considerations:

A

• Cognitive stage of child

52
Q

Task Requirements/Environment

A
Any variable that may contribute to or alter
movement
• Biomechanical requirements
• Meaningfulness
• Predictability
• Physical properties
• Distractors
53
Q
Specific Recommendations To Focus:
PT Examination (3)
A

1.Functional skill ability (postural stability, gait,
reach to grasp)

  1. Strategies used to achieve these goals
    (organization of movement and perceptual
    information)
  2. Impairments constraining these strategies
54
Q

Specific Recommendations To Focus: PT

Intervention (4)

A
  1. Goal directed, functional training
  2. resolve, reduce or prevent impairments limiting
    function
  3. Help patient develop effective strategies
  4. Help patient generalize strategies to different
    tasks and environments: encourage variability in
    solutions
55
Q

MCM: Where in Movement Continuum Does Problem Interfere?: Initial conditions

A

environment, posture, ability to

interact (cognition)

56
Q

MCM: Where in Movement Continuum Does Problem Interfere?: Preparation

A

movement organization: stimulus
identification, response selection, response
programming (if baby is trying to reach for the stimulus, or command like telling the baby to come to you)

57
Q

MCM: Where in Movement Continuum Does Problem Interfere?: Initiation

A

timing, direction, smoothness

58
Q

MCM: Where in Movement Continuum Does Problem Interfere?: Execution

A

amplitude, direction, speed, smoothness (baby is over or under reaching)

59
Q

MCM: Where in Movement Continuum Does Problem Interfere?: Termination

A

timing, stability, accuracy (A child with bad termination is unable to stop itself from running from a wall)

60
Q

MCM: Where in Movement Continuum Does Problem Interfere?: Outcome

A

Was the goal achieved?