Motor relearning is a frequently used mode of retraining neurologically assaulted patients.lets explore the principles and examples of relearning movement.

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