2. BACKGROUND
▫ Negative expectations to stroke outcome
▫ Dissatisfaction with facilitation approach and
functional carryover to ADLs
▫ Inability to provide rationale for management
▫ Developments in the literature of the movement
related sciences
3. MRP
• Principles
▫ Neuroplasticity
▫ Elimination of unnecessary muscle activity
▫ Feedback and practice
▫ Importance of interrelationship between postural
adjustment and movement
▫ Real life activities
▫ Training motor control not muscle strength
4. MRP
▫ Progression from cognitive control over muscle
and movement component to automatic activities
▫ Environment for recovery and learning and
motivation
▫ Problem solving process
Recognition
Analysis
Decision making
Action taking
Re-evaluation
5. Steps in MRP
• Analysis of function
• Practice of missing component
• Practice of activity
• Transfer of learning and the learning
environment
7. Equipment
▫ Low bed
▫ Several small steps (block)
▫ Stool
▫ Common objects for retraining hand function
▫ Calico splint
▫ Single walking stick if neccessary
8. Retraining Methods
▫ Normal function
▫ Essential component
▫ Common problems and compensatory strategies
▫ Practice of components (especially missing ones)
▫ Maintenance of length of muscles
▫ Transference to daily life
9. Method of Recording Assessment
• Motor Assessment Scale
▫ To keep abreast of developments in the movement
sciences
▫ To analyze the patients motor performance
▫ To explain clearly to the patient by speech and
demonstration
▫ To monitor patients performance and give
accurate and usable feedback
10. MAS
▫ To recognize and discourage compensatory
behavior
▫ To re-evaluate throughout each session of her own
and the patients performance
▫ To progress the patients level of performance as
soon as he has grasped the idea of what he is
practicing
▫ Opportunity to practice throughout day
▫ To provide environment for motivation towards
recovery of both mental and physical abilities
