3. Understanding motor learning applied to rehabilitation
The ability to walk may be compromised after damage to structures of the neural system due to a spinal cord injury (SCI) or a stroke. Frequently, patients in rehabilitation have an altered neural control leading to an inaccurate, slow or inefficient performance of the movement (Bastian, 2008). Thus, a main goal in the walking rehabilitation process is to learn how to perform a movement again, recovering motor function, by incorporating motor learning principles into this process (Sawers et al., 2012). Learning has been defined as “…a ‘relative permanent’ change, resulting from practice or a novel experience in the capability for responding” (Guthrie, 1952). Additionally, some authors consider motor learning to be a “loose” term that includes motor adaptation, skill acquisition, and decision-making (Kitago & Krakauer, 2013).
In a broad view the learning process can be described in five main phases: fast, slow, consolidation, automatic, and retention. During the fast stage, a major increase in performance occurs. In the slow stage, the gains in performance occurs via practice. After an interval time period, consolidation is observed without additional practice. Then, in the automatic phase, minimal
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A wide variety of human motor skills performed every day, such as riding a bicycle, playing an instrument or driving a car, rest on the ability to process elements of a sequence and execute a coherent sequence of actions (Keele et al., 2003; Seidler, 2010).Learning to perform a sequence of events allows the subject to predict the next movement and prepare for the next action, which can be very useful for the daily functions (Goschke & Bolte, 2012) or in motor rehabilitation approaches (Kitago & Krakauer,
Data from baseline, performance, retention, and transfer sessions was recorded on paper by the learner, and then transferred into Microsoft Excel and Microsoft Word for further analysis. Results were put into a formula and answers were plotted on graphs to observe student learner. Standard deviation was also calculated to observe consistency of student learning.
There are several factors that have and still do influence on my own individual learning process. However some have impacted greater than others and they are as followed:
The purpose of this research paper is to discuss how we learn. How does learning correlate with the hindbrain, midbrain, and forebrain. Also, I discussed how the different structures work in relation to the learning process. Furthermore, I have discussed how disease and injury may affect learning. I used several different resources to gather my information including: educational video, scholarly journals, and my textbook.
Rehabilitation, what is rehabilitation? Rehabilitation is the action of restoring someone to a normal life through training and therapy after incarcerated, addiction or illness. Rehabilitation can be used for an offender who has committed a crime and is incarcerated, someone who is struggling with addiction or illness. Rehabilitation was originated in 1779 by the British Government as part of the Penitentiary Act, rehabilitation would consist of punishment along with treatment for the offenders. (Benjamin Disraeli 2004). The purpose of rehabilitation is to treat the offender in order for the offender to return to society and be able to contribute, rehabilitation is also a punishment for breaking a law.
Stroke is a leading cause of adult disability and patients face multiple challenges, such as weakness/paralysis on one side of the body, social disability, inability to walk and self-care, the decline in community participation, and the decline in cognitive and emotional functioning. These challenges impede them from independently performing their daily activities related to work, school, parenting, or leisure. Evidence Based Practice shows that the best way to treat individuals with stroke is through the use of the mental practice. Mental practice is a training method during which a person cognitively rehearses a physical skill in the absence of overt, physical movements for the purpose of enhancing motor skill performance. It is a practice
There are numerous approaches to stroke rehabilitation, some of which are still in the early stages of development. Behavioral performance in any area, such as sensory-motor and cognitive function, is most likely to improve when motor activity is willful, repetitive and task specific.
The information in this literature review was collected from an expert interview and the search databases Science Direct, PubMed, and Google Scholar. The expert for the expert interview was selected based on experience with designing prosthetics for individuals that had lost their hand and potentially part of their arm (Birdwell, 2016). The databases were searched using keywords “spinal cord injury”, “hand movement”, and “fine motor movement”. In PubMed the selection was also narrowed down by selecting only studies done on humans. New terminology was searched through science direct due to the built in function that allows for key words from the article to be selected for further information from multiple books or journals.
The purpose of this study was to identify the effect that mental practice would have on learning a sequential task for the lower limb. This was a single case study regarding an individual with a hemiparesis from a stroke. The study took place in a research laboratory of a university-affiliated rehabilitation center. The participant was a 38-year-old man who had suffered a left hemorrhagic subcortical stroke four months prior to the experiment (Jackson, Doyon, Richards, & Malouin, 2004). The subject was required to practice a serial response time task with the lower limb in three distinct training phases over a period of five weeks: two weeks of physical practice, one week of combined physical and mental practice, and then two weeks of mental practice alone (Jackson et al., 2004). The main outcome measure included the Kinesthetic and Visual Imagery Questionnaire (KVIQ). The KVIQ includes a series of 10 gestures and is adapted for older patients and patients with motor deficits. In this assessment, the patients rate their ability to elicit mental images of the action on two 5-point scales (5 = high imagery; 1 = low imagery). One scale rates the clarity of the image, and the other rates the intensity at which they can feel themselves performing the movement. Utilizing physical practice alone, the patient’s average response time did improve during the first five days, but then failed to show further improvement during the remaining days of physical practice. The combination of mental and physical practice yielded additional improvement; whereas, the following two weeks of mental practice alone resulted in minimal improvement in performance (Jackson et al., 2004). The findings from this case-study showed that when mental and physical practices are combined,
Individuals learn in different ways, whether it be verbal, auditory, kinaesthetic, visual or logical (Brady, 2013). A range of methods incorporating each learning style needs to be considered.
Rehabilitation can have two different meanings- to bring (someone or something) back to a normal healthy conditions after an illness, injury or drug problems; or to teach a criminal in prison to live a normal and productive life. Approaches to treatment range from individual to group methods. Correctional officers must discover what works for which offender in what context.
According to the article by Dr. Rita Smilkstein “Natural Human Learning Process takes place in six different stages.” In order for someone to learn they first have to have some form of motivation-- they to have an interest to learn what it is that they need to learn everything starts with motivation. Then they have to start practicing, while practicing you will make errors but you will also learn from your errors. Then comes advance practice, with advance practice you will become more confident, and feel like
Throughout the years, many processes have been created to form the rehabilitation process of criminal justice. This process has reached out to many offenders and their families by allowing them to return to the community as changed individuals. Rehabilitation has many different process, but most, if not all have been proven successful in returning offenders to the community as changed individuals.
There are many physical advantages to gross motor skill development that play a role both in childhood and throughout the rest of that individual’s lifetime. Motor skills that are developed in infancy are essential steps to continue to build motor skills throughout childhood (Burns et al., 2017). In order to have the best physical potential to be able to carry out daily activities, gross motor skills are where this all begins. To have optimal function, an individual must learn how to control their movements with poise and rhythm.
These physical behaviours are learned through repetitive practice. A learner’s ability to perform these skills is based on precision, speed, distance, and technique. Learners’ general objectives would be to writes smoothly and legibly; accurately reproduces a picture, operates a computer skilfully,
In this essay I will discuss theoretical principals of rehabilitation of a particular patient I cared for while on clinical placement. It will focus on the role of the multidisciplinary team involved in this rehabilitation process post acute myocardial infarction and the education and support given to the patient and her family during the discharge planning process. Also I will be including statistics and evidence of pathophysiology. The National Service Framework for Older People (Department of Health, 2001) sets out eight standards including standard three about intermediate care services that promote independence and provide effective rehabilitation services. Active rehabilitation is seen to reduce the risks of hospital readmission,