Portable Goblin Post Office

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Portable Goblin Post Office by Gabor J. Barton and Malcolm B. Hawken

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Portable Goblin Post Office

  1. 1. 11/09/2013 Management of cerebral palsy  Brain lesion – primary/secondary/tertiary problems  Three pillars of motor learning: Portable Goblin Post Office: How to enjoy physiotherapy Gabor Barton MD PhD Reader in Biomechanics Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, United Kingdom Specific focus: core control  Repetition  Feedback   Motivation Many names (Rizzo, 2002)  Core stability / Core control / Lumbar stabilisation / Core strengthening  • Facilitation Many definitions  “…the ability of the lumbopelvic hip complex to prevent buckling and to return to equilibrium after perturbation.” (Willson, 2005)  “…muscular control required around the lumbar spine to maintain functional stability” Assessment? Training? Proximal stability for distal mobility (Kibler et al., 2006) C Computer A Assisted R Rehabilitation EN ENvironment CAREN - Game play Control scheme #1 (Akuthota and Nadler, 2004)   Cerebral Palsy Unimpaired Control  U/D  B R Focus on stepping and pelvic tilt Making a step while controlling the pelvis  Variable priority multiple L tasks train best for novel multiple tasks (Silsupadol et al., 2005) F 1
  2. 2. 11/09/2013 Control scheme #2 Pelvic tilt   U/D L  Unimpaired Control Isolated pelvic movement to avoid cheating with trunk flexion Trunk must remain upright B R Cerebral Palsy Focus on tilt and rotation F Barton et al. (2006) Carpet trajectory Cerebral Palsy Straightness of trajectory  Deviation from the “ideal” trajectory Unimpaired Control (mean distance) http://mathworld.wolfram.com/ Point-LineDistance2-Dimensional.html Barton et al. (2006) GPO controls  Control scheme #1  Vertical game task Trunk tilt Up/Down Pelvic tilt 2
  3. 3. 11/09/2013 GPO controls  Control scheme #2 GPO controls  Horizontal game task  Control scheme #3  Diagonal game task Right/Left Trunk tilt Trunk rotation Trunk rotation Pelvic tilt Pelvic rotation Pelvic rotation GPO controls  GPO controls Randomised order  Forward speed  Automatic adjustment (Taylor and Creelman, 1967) Performance := Maximum settled speed GPO controls  Postures Kneel sitting High kneeling Standing 3
  4. 4. 11/09/2013 Audience participation  Portable Goblin Post Office  Laptop, TV, Xsens MTx, D-Flow, GPO 4

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