The Motor Relearning Program (MRP) is a task-oriented treatment that emphasizes understanding typical movement patterns and retraining functional movements. Key components include task analysis, identifying missing components, utilizing feedback for movement correction, and practicing movements in varied situations to enhance real-life transference. The program is informed by theories of motor control and involves collaboration with patients and their families.

1. MOTOR RELEARNING
PROGRAM
DR. SUSAN JOSE

2. INTRODUCTION
• MRP is a task- oriented treatment approach based on the newer
theories of motor control such as-
• Motor programming theory
• Dynamic systems theory
• Ecological theory

3. PRINCIPLES
I. Task analysis-
• MRP is based on understanding of typical movements.
• Functional and meaningful movements are chosen for assessment and retraining.
• The therapist analyses the abnormal movements by comparing with typical
movement patterns.
II. Finding of missing components
• Find the cause of the missing component and work on it.
III. Part practice of the missing components

4. III. Use of feedback for correction of movements-
• Start with external feedbacks via the therapist.
• External feedbacks-
• Progress by reducing external feedbacks and allow patient’s own
internal feedbacks to correct the movement pattern.
• Internal feedbacks-
• Proprioception
• Vision
• Cognition
• Vestibular inputs

5. IV. Whole practice of the missing components.
• The whole movement pattern is practiced.
• Progress by – introducing variability in the task.
• Changing the environment, increasing the speed of the task etc..
• Eg- sit- stand from varying heights and speeds.

6. V. Transference to real life situations-
• Stimulating environments- adaptive equipments, using affected upper limb as
supportive hand.
• Ex- handrails, universal cuffs etc..
• Factors aiding transference-
• Involvement of relatives
• Positive reinforcements

7. Thankyou
Any queries?

8. Reference book
• A motor relearning programme for stroke: Janet Carr
• Motor Learning : Anne Shumway cook