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________________: the control of movement that is already acquired
motor control
___________________________: the acquisition and/or modification of movement, as well as reacquisition of movement skills lost through injury that result in permanent changes for producing skilled action
motor learning
Movement emerges from a complex interaction of perception, cognition, and motor ____________
output
Movement is created from an interaction of the _________________, the ________________, and the ___________________
individual; task; environment
Cognitive, sensory/perception, and Motor/Action make up the
individual
Mobility, postural control, and upper-extremity function make up the
task
Regulatory and nonregulatory make up the
environment
__________________: integration of sensory impressions into psychologically meaningful information
perception
Sensory provides ______________ about state of the body
information
senses are integral to ability to act effectively within an _______________
environment
Neuromuscular, Biomechanical, Coordination of muscle movements, combination of joint movements, variety of options to create a movement make up the _____________/_____________ Systems
motor/action
________________ systems:
•Attention, planning, problem solving, motivation, sequencing, and emotional aspects of motor control that underlie intent and/or goals
•Essential to motor control
cognitive
___________________ features:
• aspects of environment that shape movement itself; must be interacted with to complete the task
•e.g., size & weight of object to be picked up
regulatory
___________________ features:
•of environment may affect performance, but movement does not have to conform to these features
•e.g., noise or distractions
nonregulatory
________________ movement is constantly changing and unpredictable
ex: playing tennis
open
________________ movement is fixed and predictable
ex: picking up a cup
closed
_________________: undecided end point
ex: walking
continuous
________________: clear end
ex: sit to stand
discrete
________________: non-moving BOS
ex: grooming in sit or stand
stability
________________: moving BOS
ex: pushing a grocery cart
mobility
________________: presence of UE use
manipulation
___________________: absence of UE use
nonmanipulation
Closed or open:
In stand, reach for a can
closed
Closed or open:
In stand, removing an item while others slide forward
open
Closed or open:
Pushing cart down empty aisle
closed
Closed or open:
Pushing a cart down a busy aisle &/or changing surfaces
open
Stability or mobility:
In stand, removing an item while others slide forward
stability
Stability or mobility:
pushing a cart down a busy aisle &/or changing surfaces
mobility
Stability or mobility:
pushing cart down empty aisle
mobility
Stability or mobility:
In stand, reach for a can
stability
__________________: Set of interconnected statements that describe unobservable structures or processes and relate them to each other and to observable events
theory
______________ theory: movement comes from combination of reflexes; limitation: would always have to have a stimulus and all responses would be the same
reflex
_________________ theory: top down control; limitation: doesn’t explain when reflexes do take over
hierarchial theory
__________________ theory: idea of a central motor plan
motor programming theory
A limitation to the motor programming theory is that it does not consider the ________________ and task demands for which the nervous system adjusts
environment
___________________ theory application: moved rehab to looking at retraining relative to specific tasks
motor programming theory
_________________ theory: hypothesized that you cannot understand neural control of movement without understanding of the system you are moving and the external and internal forces acting on the body
systems
Principle of _____________________: when a system of individual parts comes together, its elements behave collectively in an ordered way
self-organization
_________________: variables that regulate change in behavior of entire system
control parameters
______________________ theory: new movement emerges because of a critical change in one of the systems’ control parameters – e.g., change the speed or the surface
dynamic systems
____________ theory: variability not considered result of error, but as necessary condition of optimal function
dynamic
In the systems theory, __________ amount of variability indicated high stable behavior
small
___________________: highly stable, preferred patterns of movement
attractor states
limitations of the _____________ theory include: possibly too much focus on the body mechanics, degrees of freedom aspects rather than the role of the nervous system
systems theory
Clinical implications to the systems theory include: Stresses understanding body as mechanical system and the output of the nervous system through the________________ of the body
biomechanics
In the systems theory, you must consider the interaction of both - output of the _____________________ through the biomechanical system
•e.g., asking a person to move slowly may actually interfere with the momentum needed for a movement
nervous system
_________________ theory: focus on how an organism adjusts its output based on the environment
ecological
The limitation of the ecological theory is that emphasis on nervous system to organism/environment interface vs. considering the function of the nervous system in the _______________
environment
Clinical implication of the ecological theory is that it provided needed emphasis on the influence of the _________________________
environment
Is there one theory that is best for motor control?
no
The best theory of motor control is one that ____________ strong elements from all theories presented
combine
•Shumway-Cook & Woollacott ___________________________: movement emerges from interaction between individual, task, and environment in which task is being carried out
•A dynamic interplay b/w perception, cognition, & action
systems approach
___________________: Provides framework that allows integration of practical ideas into coherent philosophy for intervention
scientific theory
____________________ evolves in parallel with scientific theory, as clinicians assimilate changes in scientific theory and apply them to practice
clinical practice
Neurologic Rehabilitation: Reflex-Based Neurofacilitation Approaches:
_______________: retraining motor control through techniques designed to facilitate and/or inhibit different movement patterns
neurofacilitation
Neurologic Rehabilitation: Reflex-Based Neurofacilitation Approaches:
____________: NDT (Neuro-developmental Treatment), PNF (Proprioceptive Neuromuscular Facilitation), Brunnstrom Apporach, Bobath Approach, Rood Approach, Sensory Integration (Ayres)
Brands
______________________ approach:
•Underlying Assumptions:
•Normal movement interaction among different systems, each contributing aspects of control
•Movement organized around behavioral goal and constrained by environment
•Movement problems result from impairments within one or more systems that contribute to movement & the ability of the other systems to/not to compensate
task-oriented
Clinical applications of the task-oriented approach....
•When retraining movement control, essential to work on identifiable ______________________vs. movement patterns alone
functional tasks
Clinical applications of the task-oriented approach....
•Assumes patients learn by actively attempting to solve problems inherent in a functional task rather than ____________ practice of motor movement
repetitive
Clinical applications of the task-oriented approach....
____________ to change is critical to recovery
adaptation
Clinical applications of the task-oriented approach....
Focus on learning a ___________ of ways to solve a task goal rather than a single-muscle activation pattern
variety