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KNPE 261 > Week 8.2 - Motor Learning in Clinical Populations > Flashcards

Week 8.2 - Motor Learning in Clinical Populations Flashcards

1
Q

memory trace

A

controls initial definition of the action

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2
Q

perceptual trace

A
  1. generated by the memory trace once the action is initiated
  2. compares feedback to the reference of correctness (which stored in memory)
  3. carries out the action
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3
Q

would adam’s closed loop theory lead to better or worse learning when providing KR every trial?

A

better learning because providing feedback all the time

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4
Q

would adam’s closed loop theory lead to better or worse learning with regard to variable practice?

A

worse learning because you are not strengthening the perceptual trace because you are constantly changing the parameters

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5
Q

recall schema

A

stores the relationship between the size of the parameter and movement outcome
- relationship is refined through practice
- contains information about the task conditions and environment

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6
Q

regression equation

A

explains a good variance of the data (the line of best fit)

Y=a+BaX1+B2X2+B3X3

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7
Q

factors that affect the data in a linear regression

A

beta-weights
- things about environment, task or individual

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8
Q

recognition schema

A

relationship between the initial conditions, environmental conditions and sensory consequences

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9
Q

sensory consequences

A

what is this movement supposed to feel like (efference copies)

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10
Q

efference copies

A

copy of motor command = predict what the action is supposed to feel like

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11
Q

steps to schmidt’s schema theory

A
  1. recall schema specified parameters depending on initial conditions and intended outcomes
  2. recognition schema specifies expected sensory consequences and adjusts relationships once movement outcome and KR is received
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12
Q

movement disorders

A

conditions characterized by impaired voluntary movements, the presence of involuntary movements or both

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13
Q

characteristics of movement disorders

A
  1. impaired velocity (ex. slowing)
  2. involuntary movements (ex. twitch)
  3. abnormal posture (ex. dystonia)
  4. presence of tremor
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14
Q

the two broad categories movement disorders are classified in

A
  1. hyperkinetic disorders
  2. hypokinetic disorders
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15
Q

hyperkinetic disorders

A

excessive movement

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16
Q

hypokinetic movement

A

reduction in ability to perform movement

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17
Q

motor dysfunction

A

movement disorder type symptoms

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18
Q

tests of motor control

A

often used as diagnostic tools
1. involve reaches to body positions (cerebellar dysfunction)
2. involve dual-task paradigms
3. involves walking in a straight line

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19
Q

goals of clinical research in designing time efficient tasks

A
  1. inexpensive
  2. easy to perform
  3. easily interpretable
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20
Q

causes of motor dysfunction

A
  1. abnormalities in neural processes
  2. almost all movement disorders have a neurological origin
    - degenerative diseases
    - inflammation that affects nervous system tissue
    - vascular disorders that affect nervous tissue
    - trauma
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21
Q

can people with motor dysfunction learn new motor skills?

A
  1. most studies focus on adaptation
  2. many find impaired performance in acquisition of new tasks
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22
Q

stroke

A

focal brain ischemia or hemorrhage leading to acute neurological injury

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23
Q

ischemia

A

blood clot/blockage resulting in limited blood flow in brain

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24
Q

hemorrhage

A

bursting of clot/excess blood flow in brain

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25
Q

motor dysfunction with stroke

A

the development of acute and long-term movement disorder is uncommon in stroke (less than 1% of patients)

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26
Q

what are most movement disorders linked to?

A

vascular supply of the basal ganglia

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27
Q

when is motor dysfunction fairly common?

A
  1. spasticity and flaccidity
  2. weakness (paresis)
  3. mobility disorders
28
Q

spasticity and flaccidity

A

changes in muscle tone

29
Q

weakness (paresis)

A

changes in force output, strength, and control

30
Q

mobility disorders

A

impaired balance and sensation

31
Q

systemic reviews dedicated to motor learning in stroke

A
  1. few studies use retention and transfer designs
  2. most use adaptation paradigms
32
Q

vandermeeren at al (2020) study

A

assessed motor learning in acute strokes

33
Q

vandermeeren at al (2020) results

A
  1. participants with stroke showed improvements in acquisition
  2. improvements in performance in CIRCUIT task was maintained in retention and transfer
  3. individuals with stroke can learn new motor skills with the paretic arm (may be task specific and can occur right after injury)
34
Q

mooney et al (2020) study

A

motor learning during stroke recovery

35
Q

mooney et al (2020) results

A
  1. participants improved performance and showed learning (no decrements in short and long-term retention)
  2. absolute scores were lower in patients compared to healthy control
36
Q

transcranial magnetic stimulation (TMS)

A

suggests that inhibitory motor networks function differently in patients vs control

37
Q

chronic motor disorders

A
  1. include traumatic and neurodegenerative disorders
  2. could involve systemic changes in both peripheral nervous system and central nervous system
38
Q

traumatic and neurodegenerative disorders associated with chronic motor disorders

A
  1. multiple sclerosis
  2. muscular dystrophy
  3. parkinsons
  4. spinal cord injury
  5. neuropathies
39
Q

muscular dystrophies

A

group of inherited primary diseases of muscle
1. progressive, chronic weakness
2. pathological by degeneration of muscle fibres
3. necrosis
4. connective tissue infiltration

40
Q

genetic disease

A
  1. easily recognizable clinical phenotype
  2. covers a wide range of possible pathologies
41
Q

malheiros et al (2016) study

A

how DMD group and TD group performs the same maze over 5 trials

42
Q

malheiros et al (2016) results

A
  1. DMD patients had lower movement times in transfer compared to beginning of training
  2. group differences remained stable during the training protocol
43
Q

motor learning and muscular dystrophy

A

the sparse evidence suggests the ability to learn motor tasks is not impaired by muscular dystrophy

44
Q

why may the ability to learn motor tasks not be impaired by muscular dystrophy?

A

central motor networks may still be intact and memory systems related to action may remain unaffected

45
Q

multiple sclerosis (MS)

A

chronic inflammatory demyelinating disease of the CNS
- most common cause of non-traumatic disability in young adults

46
Q

etiology of multiple sclerosis

A
  1. genetic
  2. inflammation
  3. infection
  4. autoimmune
    - research into relationship with gut health
47
Q

clinical features of multiple sclerosis

A

recurring episodes of demyelination and inflammation in the CNS

48
Q

affects of multiple sclerosis

A
  1. ambulation and postural control (most severe forms requires assistive devices)
  2. vision
  3. sensation in limbs
49
Q

how do patients often describe multiple sclerosis?

A

a missing connection between the brain and the affected areas

50
Q

tablerion (2020)

A

completed a recent systematic review on motor learning in multiple sclerosis

51
Q

systemic review results by tablerion (2020)

A

found that upper-limb motor skill learning is conserved in people with MS - review was TERRIBLE

52
Q

hatzitaki et al (2006) study description

A

participants performed visuomotor tracking task by controlling shifts in posture
- completes 3 blocks of 5 training trials

53
Q

hatzitaki et al (2006) results

A

participants with MS failed to reduce variability and retain movement control after learning

54
Q

re-establishing the connection in MS

A

spinal stimulation

55
Q

spinal stimulation

A

reconnect brain and spinal netowrks

56
Q

findings in multiple sclerosis

A

greater variability in patients with MS
- this topic lacks evidence

57
Q

brain-behaviour relationships

A

could be established using patient populations

58
Q

learning paradigms with a patient population

A

allowed us to understand the role of the cerebellum in motor learning

59
Q

topka et al (1998) study description

A

looked at savings score of normal participants vs cerebellar degeneraton patients

60
Q

topka et al (1998) results

A
  1. patients with cerebellar degeneration were able to improve performance through training
  2. patients showed similar “savings” to healthy control
61
Q

cerebellum

A

may play more of a role in movement execution and motor program refinement than learning processes

62
Q

motor control as a tool for diagnosis

A

by examining different parts of a trajectory, you can gain insight into underlying mechanisms

63
Q

developmental disorders in children

A

welsh and elliott (2000) conducted a study looking at simple reaching movements in children with DS and normal children

64
Q

welsh and elliott (2000) results

A
  1. normal individual has similar acceleration vs. deceleration phases
  2. DS was very unsymmetrical and had wonky deceleration phase
65
Q

what was impaired in individuals with DS?

A
  1. control (discontinuations in deceleration)
  2. corrections may be done cause participant didn’t have an initial plan (didn’t pre-plan)

KNPE 261 (10 decks)

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