PT Interventions - Task Specific Training Flashcards
what is neuromuscular re-education
therapist promotes active, CHALLENGING YET ACHIEVABLE ACTIVITIES that are important to the client and related to their goals
- address BSF impairments in functional context
what is the task component of task-oriented training
functional activities important for daily living
- ex: transfers, balance, amb, reaching, ADLs
what is the training component of task-oriented training
happens in context or environment in which task occurs
- ie specificity of training
what is an important component of task-oriented training? what is this based on?
extensive practice
- based on motor learning & neuroplasticity principles
what is the goal of task-oriented training
facilitate optimal, active movement patterns and promote success
what are some ex of task oriented training (2)
wt shift to reach for something
transfers
what is the theoretic basis of task oriented training (4)
- interacting systems of CNS are organized around functional tasks
- neuroplasticity depends on activity and environment
- want it to be enriching - early activity
- motor learning principles
- consider stages of learning
- develop strategies via feedback/practice
why is early activity post injury important w task-oriented training
first 10wks are crucial
early activity to avoid learned non-use & capitalize on natural recovery phase
what is an example of learned non-use that we try to prevent w task-oriented training
place stimuli on side of neglect
- if don’t, person won’t learn to need that side of the body
what are the 3 motor learning stages
cognitive
associative
autonomous
what is the cognitive motor learning stage
what to do
- requires high level of processing
what is the associative motor learning stage
how to do
- refine thru practice
what is the autonomous motor learning stage
how to succeed
- performance largely automatic
when is it particularly important to give extrinsic feedback
if pt has reduced awareness or insight
what are 5 types of feedback
intrinsic
extrinsic
concurrent (during activity)
knowledge of result
knowledge of performance
what are 4 types of practice
blocked
random
part
whole
what is blocked practice
predictable - one chunk at a time
- become consistently successful in a predictable manner
practice progressions
blocked -> random
part -> whole task
what is random better for? why?
retention and learning of motor skill
- requires recall upon skill or knowledge at an unexpected point
what is random practice
variable expectations
what tasks are usually better for whole practice
continuous activity
- ex: gait
what are general principles of task-oriented approach to neurorehab (4)
- functional activities that are salient to pt
- potential for success “just right challenge”
- emphasize activity of affected/involved parts
- intensity of practice/dosing
what are types of task-oriented approaches (2)
repetitive fine motor exercises
- ex: grasping, releasing and placing objects, CIMT
task-related strengthening
- ex: high # reps of rolling, STS, scooting, walking -> results in hypertrophy of associated ms groups
what is CIMT
constraint-induced movement therapy
forced use or constraint induced therapy to counter learned non-use