motor relearning and task oriented approach

what is motor relearning programme?

the British version of the task oriented approach, says that motor recovery is based on active participation of the client in a functional task

what is the first guideline of motor relearning programme?

identifying the missing concepts using a top down movement analysis, so that we can break down each step of the activity to know what client does typically versus atypically

what is guideline 2a of the MRP

training specific muscle activity, now that we know from the first step what is atypical based on our knowledge of typical, we are going to do something about it in the IP so working on ROM or strength or coordination in effected body parts

what is guideline 2b in the MRP

maintaining muscle integrity and improving muscle imbalances through stretching, splinting, or positional devices that promote orientation to midline and proper posture

what is guideline 2c in the MRP

eliminating unnecessary activities, making sure that things that should not be fired and wired together such as uncontrolled or excessively strong muscle contractions do not occur

what is guideline 3 in the MRP

using appropriate instruction, like using visual demonstrations, kinesthetic guidance with hand over hand guidance, repetition, or showing videos of the client to them

what is guideline 3b in the MRP

using appropriate feedback

what is extrinsic feedback

includes successful performance including knowledge of performance/movement (how it felt to do the process) and knowledge of results (what they just did basically repeated)

what is intrinsic feedback

internally generated and associated with self perception, like asking how pt thinks they did

how should OTs provide feedback to clients

in the start frequent step by step feedback is necessary, then is reduced to allow for multiple trials before giving extrinsic feedback

what is guideline 4 in the MRP

practicing to enhance learning, in diff ways like massed versus distributed, blocked versus random, guided versus discovery

what is the difference between a task and activity

tasks are parts of activities, when beginning to use MRP to relearn an activity we can chunk into tasks and learn those individually then blend them together

what is the task oriented approach

american version of the MRP

what is principle 1 of the task oriented approach

determining a persons capabilities and addressing barriers like postural imbalances, sensory awareness deficits, self-efficacy issues, neuromotor and biomechanical functions

what is principle 2 of the task oriented approach

training task specific skills and strategies by matching persons capabilities with task demands,  we are able to determine this through performing a task analysis

what are principles 3 and 4 of task oriented approach

providing the proper feedback and instruction

providing intense and contextual practice

*Same as MRP