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MOTOR_RELEARNING_PROGRAMME[1] for stroke.pptx
- 1. MOTOR RELEARNING PROGRAMME PRESENTEDBY : DR. ADYATA DAVE
- 2. MOTOR RELEARNING PROGRAMME2 Introduction The Motor Relearning Programme (MRP) was developed by Janet carr and Robert Shepherd, Australian Physical therapists, from their clinical experience and extensive review of contemporary motor control and motor learning literature. It is a Task – Oriented Approaches to improve motor control , focusing on the relearning of daily activities. Carr and Shepherd believe that treatment directed toward active training of motor control relevant to daily activities is to preferred and should begin as soon as the person’s medical condition is stable.
- 3. MOTOR RELEARNING PROGRAMME3 Motor learning is a complex process occurring in the brain in response to practice or experience of a certain skill resulting in changes in the central nervous system. It allows for the production of a new motor skill. It often involves improving the smoothness and accuracy of movements and is necessary for developing controlled movement and calibrating simple movements like reflexes. Retraining of motor learning requires understanding of normal movement & analysis of motor dysfunction Introduction
- 4. MOTOR RELEARNING PROGRAMME4 Introduction The Motor Relearning Programme assume that the brain has the capacity for reorganization and adaptation. Based on 3 factors : 1.Elimination of unnecessary muscle activity 2.Feedback 3.Practice
- 5. MOTOR RELEARNING PROGRAMME5 Steps of MRP Analysis of Task: Observation, Comparison & Analysis Practice of Missing Component: Explanation (for identification of Goal), Instruction, Practice (+ verbal & visual feedback and manual guidance) Practice of Task: Explanation (for identification of Goal), Instruction, Practice (along with verbal & visual feedback and manual guidance), Progression by increasing the complexity, add variety, decrease feedback & guidance, Re-evaluation and encourage flexibility
- 6. MOTOR RELEARNING PROGRAMME6 Steps of MRP Transference of Learning: Opportunity to practice, Consistency of practice with positive reinforcement , Organisation of self-monitored practice, Structured & stimulating learning environment , Involvement of relatives & staff.
- 7. MOTOR RELEARNING PROGRAMME7 Sections of MRP There are seven sections representing the essential functions of everyday life: Upper limb function Oro-facial function Sitting up from supine Sitting Standing up & sitting down Standing Walking
- 8. MOTOR RELEARNING PROGRAMME8 Sections of MRP Upper Limb Function: Reaching activity, Grasp, Release and Manipulate objects Oro-facial Function: Eating, Swallowing, Facial expression, Ventilation, Speech Sitting up from Supine: Turning to the side, Flexion of neck and shoulder along with protraction Sitting: Body alignment Standing up & Sitting down: Foot placement, Forward bending of the trunk with hip flexion, Extension of neck, spine and Knee flexion while sitting
- 9. MOTOR RELEARNING PROGRAMME9 Sections of MRP Standing: Postural adjustment, Feet position, Erect trunk, Hip in front of ankles Walking: Pattern, Limb placement, Gait parameters, Arm swing
- 10. MOTOR RELEARNING PROGRAMME10 Sections of MRP: Oro-facial Function Step 1: Observation of alignment & movement of lips, jaw, tongue, eating and drooling Analysis of oro-facial muscles Step 2&3: Practice of Oral movements Step 4: Feedback and transference of movement for daily activity
- 11. MOTOR RELEARNING PROGRAMME11 Effects and Uses of MRP Helps the patient to recognize & analyse the problem Patient selects the most essential missing component of the task to practice and build it slowly Helps to monitors the patients’ performance through self evaluation of the task practiced Provides positive feedback to the patients on their movements Provides an enriched environment in which the patient will be motivated towards recovery of their mental & physical abilities
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