Motor Relearning Programme Sheppard & Carr

What are the 4 Basic Principles of Motor Relearning Programme (Sheppard & Carr)?

- Restoring motor ability involves learning, and all individuals, regardless of disabilities respond to the same learning principles.

- Motor control is executed in both anticipatory and ongoing modes, postural adjustments, and limb movements are interrelated.

- Execution of a specific motor task is best relearned by practice of that specific motor task, in various environmental contexts.

- Sensory input related to motor tasks modulates motor execution (positive or negative).

What is the Main Outcome of Motor Relearning Programme (Sheppard & Carr)?

Learned motor behaviors exemplary of typical movement patterns.

Intervention - Step 1: Analysis of task (evaluation)

- Observation

- Comparison

- Analysis

Intervention - Step 2: Practice of Missing Components

- Explanation (identification of goal)

- Instruction

- Use of affected extremity to carry out movement.

- Discourage compensation.

- Practice and visual/verbal feedback and manual guidance.

Intervention - Step 3: Practice Task

- Explanation (identification of goal)

- Instruction

- Practice and visual/verbal feedback and manual guidance.

- Re-evaluation

- Encourage flexibility (master of a selection is not necessary before going onto another section).

Intervention - Step 4: Transference of Skills

- Opportunity to practice in context.

- Consistent of practice.

- Organization of self-monitored practice.

- Structured learning environment.

- Education/training of caregivers.

What are the 6 Intervention Techniques?

- Explanation

- Instruction

- Demonstration

- Manual Guidance (passive movement and spatial/temporal constraint)

- Feedback

- Practice

What is the Role of OT in Motor Relearning Programme (Sheppard & Carr)?

- OT must problem solve during treatment

- Goal is to not evoke a response..but to learn a skill!

5 Stages of the Role of OT in Motor Relearning Programme (Sheppard & Carr)

- Recognition

- Analysis

- Decision-making

- Action-taking

- Re-evaluation