Week 5: Motor Control Theory, Neuroplasticity Flashcards
Difference between task and occupation?
Task is small portion of an occupation such as cutting with a knife and fork within occupation of self feeding. Appreciating TOA is associated with understanding potential impact that the task may have upon occupational engagement
Ability to receive sensory info and interpret that info while engaged in OP
Sensory perceptual skills
The skilled motor behaviors displayed by individual in interacting with objects, tasks, and environments while engaged in OP
Motor and praxis skills
Client’s ability to express, manage, and identify feelings while engaged in OP
Emotional regulation skills
Ability of client to plan, organize, and monitor OP
Cognitive skills
Client’s actions and behaviors in communicating and interacting with others
Communication and social skills
Client factors related to body and structure function important bc…
Client factors related to body and structure function important bc they inform OT process and contribute to understanding how these functions (or lack of) contribute to eval process and development of intervention plan
Client Factors
Values Beliefs Spirituality Body Functions Body Structures
anatomical structures of body
body structures
include physiologic functions of boy such as sensory, mental, cardiovascular, respiratory
body functions
personal search for understanding
spirituality
cognitive assignment of truth
beliefs
principles, qualities deemed important
values
Ability to make dynamic changes in/responses of body and limb to complete purposeful activity
Motor Control Theory
task-oriented approach (TOA)
TOA is one of many approaches to eval and intervention that has understanding of various concepts such as:
Ecologic approach to functional task - emphasizes interactions among person, environment, and task performance
TOA directs OTs to address performance skill deficits while incorporating current understanding of neuroscientific concepts
Difference between task and occupation?
Task is small portion of an occupation such as cutting with a knife and fork within occupation of self feeding. Appreciating TOA is associated with understanding potential impact that the task may have upon occupational engagement
Client factors differ from performance skills bc..
Client factors differ from performance skills in that they represent responses to system control (can be measured and quantified include strength, ROM, visual acuity, muscle tone, attention)
Represent bodily functions and what the body does rather than what the person does (actual body structures and basic body functions, and what client can utilize to perform particular task)
Merely assessing available client factors is not predictive of occupational performance
include motor, praxis, sensory perceptual, emotional regulation, cognitive and communication/social skills required to perform task
Must be assessed while client is engaged in occupation
Performance skills
ability to make dynamic changes in/responses of body and limb to complete purposeful activity
motor control theory
T/F: Repetition alone as part of neuromuscular rehab is sufficient to create or reinforce cortical reorganization.
False. Repetition alone as part of neuromuscular rehab is insufficient to create or reinforce cortical reorganization. Rather, intense task-oriented training of sensorimotor cortex is believed to lead to cortical organization
T/F: Motor learning concepts indicate that degree to which a task is learned is positively correlated with depth of the well in which it is kept; more ingrained task is to person, more challenging it may be to change movement or behavior.
true
___is motor control term that pertains to anything that shifts a motor behavior from one manner of performance to another
Control parameter is motor control term that pertains to anything that shifts a motor behavior from one manner of performance to another
Can be internal to person (like strength, vision) or external (location of object, lighting)
ex) task of washing back; length of arm, size of back, and habits from training serve as control parameters
1) use it or lose it
2) specificity
3) use it and improve it
4) repetition matters
5) age matters
6) intensity matters
7) time matters
8) salience matters
9) transference
10) interference
10 principles of neuroplasticity
T/F: Client may need to improve biceps strength to complete hand to mouth pattern yet improving bicep strength to a point where strength is sufficient to facilitate movement does guarantee that task can be completed successfully.
False. Client may need to improve biceps strength to complete hand to mouth pattern yet improving bicep strength to a point where strength is sufficient to facilitate movement does not guarantee that task can be completed successfully. Focus should be on performance skills and patterns
less than 5 pounds of grip strength, impaired sensation of dorsal aspect of left hand, does not visually attend to environment with left peripheral visual field
client factors
grasp onto objects such as eating utensil with insufficient strength when he attempts to use his left hand to hold fork while cutting foods with knife in right hand. Unable to judge water temperature from faucet on left and before shaving. Does not always attend to left side of his environment when cooking.
performance skills
he requires assistance and verbal cues to complete his morning routine with good quality
occupational performance
