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Implicit motor learning is
procedural, develops slowly, requires repetition, impacted by very little instructions
Explicit motor learning is
declarative, can occur in motor tasks, results in knowledge, largely impacted by specific instructions and repetition
Learning of a task happens best when
the difficulty matches the learner’s skill level and the complexity of the environment
As the task difficulty increases
immediate performance decreases due to challenge
Learning of a task requires
variability in the taks and feedback (implicit or explicit)
In PT, the benefits of “goal based exercise” are
activities to improve performance via neuroplasticity in a supervised environment
Stepping/gait training needs principles of
specificity, repetition, and intensity of motor training
Examples of high intensity training
stepping/gait training, interval training, circuit training
How can we create hight intensity during gait
stance control, limb advancement, propulsion, postural stability
Stance Control
absence of vertical limb or trunk collapse during stance
Limb Advancement
adequate foot clearance and positive step length BL
Propulsion
ability to move center of mass in specific limb advancement
Postural Stability
maintaining upright in sagittal and frontal planes, keeping center of mass within BOS
Motor priming
simulus prompts a change in behavior
Stimulation based priming
repetitive transcranial magnetic stimulation, transcranial direct current stimulation, peripheral electrical nerve stimulation
Motor imagery/action observation
mirror therapy, video directed, audio directed, therapist demonstrated
Movement based priming
repetitive movements: active or passive, unilateral or BL, aerobic exercise
Pharmacological based priming
amphetamines, dopaminergic agents, norepinepinephrine
Ways to measure intensity levels
Cardiovascular intensity, Rate of percieved exertion, rate of perceived stability, success vs error rate
Cardiovascular intensity
HR max
Rate of perceived exertion
scale of how much you are working
Rate of perceived stability
scale of how stable you feel
Functions of the diffuse modulatroy networks
These networks are used for system activation in the motor control model for neuromodulation. Analogous to car radio controls for different settings
Common features of the different systems of the modulatory networks
Small sets of neurons are at the core of each system, they arise from the central core of the brain, typically brainstem, the axons from each neuron contact over 100,000 postsynaptic neurons, some release NTs into the extracellular fluid to diffuse multiple neurons postsynaptically
Noradrenergic System releases which neurotransmitter
norepinephrine
Noradrenergic System is involved in the regulation of
cognitive functions, attention, arousal, sleep/wake cycle, learning/memory, anxiety/emotions, pain, mood, and brain metabolism
What activation system is used for the arousal of the forebrain
ascending reticular activation system
Locus coeruleus to
entire cerebral cortex, thalamus, cerebellum, and SC (50% of all noradrenergic neurons) and is best activated by new, unexpected, non
What are the only nonadrenergic neurons that innervate the cerebral cortex
the LC neurons
When is the nonadrenergic system most active
when something “interesting” happens externally
Serotonergic system releases which neurotransmitter
serotonin
In the Serotonergic system the neurons are located in the
9 raphe nuclei in brainstem
Medullary nuclei projects to
the spinal cord project to modulated pain related sensory signals
Pons/midbrain nuclei projects to
the rest of brain
The serotonergic system is most active during
wakefullness and activity
Part of the ascending reticular activiating system is for arousal of forebrain but it is also involved in
control of mood and emotional behavior, and perception of pain
Drugs like LSD act as an
agonist to the raphe receptors, decreasing firing rates of this system, and also acting as an agonist to the cerebral receptors
What system when distorted makes you hallucinate and form perceptions of things that don’t exist
serotonergic system
Dopaminergic system releases which neurotransmitter
dopamine
Two closely related groups of DA cells are part of the diffuse modulatory systems
Substantia nigra to striatum and VTA (ventral tegmentum areas) of midbrain to frontal cortex and limbic system
Substantia nigra to striatum
facilitates and initiation of voluntary motor responses to environmental changes
VTA (ventral tegmentum areas) of midbrain to frontal cortex and limbic system
prolongs the effect os NE and DA to intensify the experience, while also reinforcing the reward system
Drug stimulants like cocaine and amphetamines work to
block catecholamine reuptake mechanism
Cholinergic system releases which neurotransmitter
acetylcholine
What are the two networks of the cholinergic system
basal forebrain complex and pontomensecephalo tegmental complex
Basal forebrain complex
neurons are scattered into several medial and ventral pathways to the BG
What are the first cells to die in alzimers
the cells from the basal forebrain complex
Pontomesencephalo
tegmental complex to dorsal thalamus
The cholinergic system controls
Controls selective attention of activities and cognitive processing speed, Hallmarks of AD, PD, and Lewy
Connectome project
Neuro research funded over the last few decades that looks to construct a map of the complete structural and functional neural connections in individuals
Resting brain networks are
default network
The importance of distributed functional networks and synchronized activity within between networks to
mediat cognitive functions
Coherent activity in large scale brain networks occurs
not only during task performance but even when at rest
Sense of self
distracts EF of brain from working, allows your wandering mind and daydreaming of your internal exploration
Medial prefrontal cortex
Imagining, thinking about yourself, figuring out what others may think, recognizing that you have a different belief system than others