This document discusses several theories of motor learning:
1. Fitts and Posner's three-stage model of motor learning involving cognitive, associative, and autonomous stages.
2. Gentile's two-stage model involving understanding task dynamics and refining movements.
3. The systems three-stage model involving constraining degrees of freedom as a novice, releasing constraints as advanced, and optimal efficiency as an expert.
4. Schmidt's schema theory involving recall and recognition schemas updated through practice.
5. Ecological theory framing motor learning as coordinating perception and action based on task and environmental constraints. The document provides examples and clinical implications of applying each theory.
Motor learning is the understanding of acquisition and/or modification of movement.
As applied to patients, motor learning involves the reacquisition of previously learned movement skills that are lost due to pathology or sensory, motor, or cognitive impairments. This process is often referred to as recovery of function.
Understanding the various theories of motor control- reflex-hierarchal theory, ecological theory, dynamic systems theory and it's clinical application; also forming the basis of neurological rehabilitation techniques like Task-orient approach, Constraint induced movement therapy (CIMT), NDT (Neurodevelopmental Facilitation).
Basic Introduction about Joint Mobilisation and Manipulation, This article gives clear notes for the students to understand the Mobilisation techniques.
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
Motor learning is the understanding of acquisition and/or modification of movement.
As applied to patients, motor learning involves the reacquisition of previously learned movement skills that are lost due to pathology or sensory, motor, or cognitive impairments. This process is often referred to as recovery of function.
Understanding the various theories of motor control- reflex-hierarchal theory, ecological theory, dynamic systems theory and it's clinical application; also forming the basis of neurological rehabilitation techniques like Task-orient approach, Constraint induced movement therapy (CIMT), NDT (Neurodevelopmental Facilitation).
Basic Introduction about Joint Mobilisation and Manipulation, This article gives clear notes for the students to understand the Mobilisation techniques.
Concept given by Shacklock (modern concept) and Butler (old concept), a method of assessment as well as treatment of peripheral neurological system by physiotherapists.
Part-I: The current slideshow: theoretical aspect of neurodynamics.
Part-II: Assessment of peripheral nervous system on the basis of neurodynamic concepts: Date: 01/04/2020
Part-III: treatment part: Date: 03/04/2020
Part-IV: Self neurodynamics: 05/04/2020
Brunnstrom Approach
Brunnstrom's Approach (SIGNE BRUNNSTROM)
Objectives: ➢ Discuss the concepts and principles underlying Brunnstrom’s approach ➢ Brunnstrom recovery stages ➢ Treatment principles & techniques
★ Brunnstrom’s approach was developed by the physical therapist from Sweden in the early 1950’s
★ Brunnstrom used motor control theory and observations of the patients'
★ Procedure: In a “trial & error” fashion ★ Later modified: in light of neurophysiological knowledge
Introduction: Reflex Theory Movement is controlled by stimulus-response. Reflexes are the basis for movement: reflexes are combined into actions that create behavior. Hierarchical Theory Characterized by a top-down structure, in which higher centers are always in charge of lower centers.
● When the CNS is injured, as, in a cerebrovascular accident, an individual goes through an “evolution in reverse”. Movement becomes primitive, reflexive, and automatic.
● Changes in tone and the presence of reflexes are considered a normal process of recovery.
● Movement recovery tends to be stereotypic.
● Patients exhibit only a few stereotypic movement patterns: Basic Limb Synergies.
● Based on observations of recovery following a stroke, this approach makes use of associated reactions, tonic reflexes, and the development of basic limb synergies to facilitate movements.
● The use of such a procedure is temporary.
Basic Limb Synergies:
● Normal synergistic movements are purposeful movements with maximum precision and minimum waste of energy.
● Basic limb synergy (BLS) does not permit the different combinations of muscles.
● BLS is considered primitive, automatic, and reflexive due to loss of inhibitory control from higher centers.
● Mass movement patterns in response to a stimulus or voluntary effort both Gross flexor movement (Flexor Synergy) Gross extensor movement (Extensor Synergy) Combination of the strongest component of the synergies (Mixed Synergy)
● Appear during the early spastic period of recovery
Upper Limb Flexor Synergy: Scapula: Retraction / Elevation Shoulder: Abduction and External rotation Elbow: Flexion Forearm: Supination Wrist and Finger: Flexion Lower Limb Extensor Synergy: Pelvis: posterior tilt Hip: Extension, Adduction & Internal rotation Knee: Extension Ankle: Plantarflexion Toes: Flexion Upper Limb Extensor Synergy: Scapula: Protraction / Depression Shoulder: Adduction and Internal rotation Elbow: Extension Forearm: Pronation Wrist: Extension Finger: Flexion Lower Limb Flexor Synergy: Pelvis: anterior tilt Hip: Flexion, Abduction & External rotation Knee: Flexion Ankle: Dorsiflexion Toes: Extension
Upper Limb Mixed Synergy: Scapula retraction Shoulder add.+IR Elbow flexion Forearm pronation Wrist & fingers flexion Lower Limb Mixed Synergy: Pelvis post tilt hip add.+IR Knee extension Ankle & toes plantarflexion
Rubrospinal tract Vestibulospinal tract
Associated Reactions
Primitive Reflexes
Retraining of motor control basing on understanding of normal movement & analysis of motor dysfunction.
Emphasis of MRP is on practice of specific activities, the training of cognitive control over muscles & movt. Components of activities & conscious elimination of unnecessary muscle activity.
In rehabilitation programme involve – real life activities included.
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
The intention of this Slideshow presentation is to show the therapists the benefit of adding this modality into a typical massage session. Define, benefits, techniques, and end results are shown and demonstrated.
Myofascial release refers to the manual
technique for stretching the fascia and
releasing bonds between fascia and
Lintegument, musles,and bones, with the goal of
eliminating pain, increasing range of motion
and balancing the body.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
The discipline of Motor Control is the study of human movement and the systems that control it under normal and pathological conditions.
Depends upon -
Environmental result of the movement (Outcome)
Movement pattern
Neuromotor processes underlying movement
Presentation slides from our recent workshop on Myofascial Release. This workshop was delivered from our St John Street Clinic in Manchester on Saturday 17th March.
Brunnstrom Approach
Brunnstrom's Approach (SIGNE BRUNNSTROM)
Objectives: ➢ Discuss the concepts and principles underlying Brunnstrom’s approach ➢ Brunnstrom recovery stages ➢ Treatment principles & techniques
★ Brunnstrom’s approach was developed by the physical therapist from Sweden in the early 1950’s
★ Brunnstrom used motor control theory and observations of the patients'
★ Procedure: In a “trial & error” fashion ★ Later modified: in light of neurophysiological knowledge
Introduction: Reflex Theory Movement is controlled by stimulus-response. Reflexes are the basis for movement: reflexes are combined into actions that create behavior. Hierarchical Theory Characterized by a top-down structure, in which higher centers are always in charge of lower centers.
● When the CNS is injured, as, in a cerebrovascular accident, an individual goes through an “evolution in reverse”. Movement becomes primitive, reflexive, and automatic.
● Changes in tone and the presence of reflexes are considered a normal process of recovery.
● Movement recovery tends to be stereotypic.
● Patients exhibit only a few stereotypic movement patterns: Basic Limb Synergies.
● Based on observations of recovery following a stroke, this approach makes use of associated reactions, tonic reflexes, and the development of basic limb synergies to facilitate movements.
● The use of such a procedure is temporary.
Basic Limb Synergies:
● Normal synergistic movements are purposeful movements with maximum precision and minimum waste of energy.
● Basic limb synergy (BLS) does not permit the different combinations of muscles.
● BLS is considered primitive, automatic, and reflexive due to loss of inhibitory control from higher centers.
● Mass movement patterns in response to a stimulus or voluntary effort both Gross flexor movement (Flexor Synergy) Gross extensor movement (Extensor Synergy) Combination of the strongest component of the synergies (Mixed Synergy)
● Appear during the early spastic period of recovery
Upper Limb Flexor Synergy: Scapula: Retraction / Elevation Shoulder: Abduction and External rotation Elbow: Flexion Forearm: Supination Wrist and Finger: Flexion Lower Limb Extensor Synergy: Pelvis: posterior tilt Hip: Extension, Adduction & Internal rotation Knee: Extension Ankle: Plantarflexion Toes: Flexion Upper Limb Extensor Synergy: Scapula: Protraction / Depression Shoulder: Adduction and Internal rotation Elbow: Extension Forearm: Pronation Wrist: Extension Finger: Flexion Lower Limb Flexor Synergy: Pelvis: anterior tilt Hip: Flexion, Abduction & External rotation Knee: Flexion Ankle: Dorsiflexion Toes: Extension
Upper Limb Mixed Synergy: Scapula retraction Shoulder add.+IR Elbow flexion Forearm pronation Wrist & fingers flexion Lower Limb Mixed Synergy: Pelvis post tilt hip add.+IR Knee extension Ankle & toes plantarflexion
Rubrospinal tract Vestibulospinal tract
Associated Reactions
Primitive Reflexes
Retraining of motor control basing on understanding of normal movement & analysis of motor dysfunction.
Emphasis of MRP is on practice of specific activities, the training of cognitive control over muscles & movt. Components of activities & conscious elimination of unnecessary muscle activity.
In rehabilitation programme involve – real life activities included.
A type of manual therapy in which the muscle or the joint is altered and placed in a position of comfort for certain duration after which the pain disappears completely or gets reduced. this slide show explains about the principles, mechanism and Phases of PRT
The intention of this Slideshow presentation is to show the therapists the benefit of adding this modality into a typical massage session. Define, benefits, techniques, and end results are shown and demonstrated.
Myofascial release refers to the manual
technique for stretching the fascia and
releasing bonds between fascia and
Lintegument, musles,and bones, with the goal of
eliminating pain, increasing range of motion
and balancing the body.
Muscle energy technique, a manual therapy technique with a long term history and 8 variations which can be used in various condition to treat muscle as well as joints. This slide show consists of detailed history, variations/types and summary of MET in detail.
Brian Mulligan described novel concept of the simultaneous application of therapist applied accessory mobilizations and patient generated active movements
The discipline of Motor Control is the study of human movement and the systems that control it under normal and pathological conditions.
Depends upon -
Environmental result of the movement (Outcome)
Movement pattern
Neuromotor processes underlying movement
Presentation slides from our recent workshop on Myofascial Release. This workshop was delivered from our St John Street Clinic in Manchester on Saturday 17th March.
Motor Learning is required for motor recovery after an injury to the motor system. This slides discussed the forms of motor learning and the theories of motor learning.
You will know what a motor control is
What are the theories and clinical implications of motor control
Physiology of motor control
Latest evidence on motor control in a musculoskeletal condition
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Dr. Shweta Kotwani; Pediatric Physical Therapist
BPTh (MUHS); MPT (Neuro,MUHS); LASHS-U.K. Fellowship Dip.(Peds.Rehab.; Clinical Neuro.Sc.)
Understanding the stages of motor learning, Principles of motor learning,Strategies to enhance motor learning
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1. THEORIES OF MOTOR
LEARNING
Dr. Shweta Kotwani; Pediatric Physical Therapist
BPTh (MUHS); MPT (Neuro,MUHS); LASHS-U.K. Fellowship Dip.(Peds.Rehab.; Clinical
Neuro.Sc.)
2. OBJECTIVES
• Theories related to stages of motor learning skills
1. Fitts and Posner Three Stage Model
2. Gentile’s Two-Stage Model
3. Systems Three-Stage Model
• Schmidt’s Schema Theory
• Ecological Theory
3. Fitts and Posner Three-Stage Model
• Cognitive stage
• Associative stage
• Autonomous stage
Cognitive Associative Autonomous
Levelofattention
The changing attentional demands
associated with the three stages of
motor skill acquisition outlined by
Fitts and Posner (1976)
4. Fitts and Posner Three-Stage Model
• Clinical Implications-
• Mrs. J learns to reach a glass in the following way-
1. First learning to reach for the glass- task requires great deal of attention
and conscious thought. Initially Mrs. J would make a lot of errors and spill
a lot of water, while she experimented with different strategies to
accomplish the task.
2. Second stage- her movements towards the glass would become refined
as she developed an optimal strategy. The task would not require full
attention.
3. Third stage- able to reach for glass while carrying on a conversation or
being engaged in other tasks.
5. Gentile’s Two-Stage Model
• Gentile (1972, 1987) describes the goal of the learner in each stage
1. Goal of the learner is to develop an understanding of the task dynamics.
At this stage they are just getting the idea of the requirements of the
movement. Understanding the goal of the task, developing movement
strategies appropriate to achieve goal. Important feature of this stage is
learning to distinguish relevant or regulatory, features of the
environment from those that are non-regulatory
2. Second stage-fixation/diversification stage- goal of the learner is to
refine the movement. It includes both developing the capability of
adapting the movement to changing task and environmental demands
and performing task consistently and efficiently.
6. Gentile’s Two-Stage Model
• Open vs Closed Skills
• Closed skills- minimal environmental variation, require a consistent
movement pattern with minimal variation. Closed skills require
refinement of a single or limited number of movement patterns
(movement consistency)
• Open skills- changing environmental conditions and therefore require
movement diversification. Open skills require a diversity of movement
patterns (movement diversity)
8. Systems Three-Stage Model
1. Novice Stage- Learner simplifies the movement in order to reduce the degrees of freedom. It
is accomplished by constraining or coupling multiple joints, so they move in unison and fixing
the angles of many of the joints involved in the movement. There are at the cost of efficiency
and flexibility in response to changing task or environmental demands.
2. Advanced Stage- Performer begins to release additional degrees of freedom, by allowing
movements at more joints involved in the task. Simultaneous contraction of agonist and
antagonist muscles at a joint would be reduced and muscle synergies across a number of
joints would be used to create a well coordinated movement. That is more adaptable to task
and environmental demands.
3. Expert Stage- Individual has now released all the degrees of freedom necessary to perform
the task in the most efficient and coordinated way. The person uses passive forces
increasingly in movement control, allowing less expenditure of active forces and more
efficient use of energy, thus reducing fatigue. Individual has learned to take the advantage of
the mechanics of the MSK and ENVT and to optimize the efficiency of movement.
9. Systems Three-Stage Model
• Eg. A person first learning to use a hammer may co-contract agonist
and antagonist muscles at the wrist joint to stiffen this joint and
primarily control hammer movement at the elbow.
• Learner can perform the task reasonably accurately at this stage, but
the movement is not energetically efficient, and the performer is not
able to deal flexibly with environmental changes.
• As the task is gradually mastered, the learner begins to release the
degrees of freedom at the wrist and learns to coordinate the
movements at the two joints, which allows for more movement
efficiency, freedom, and skill.
10. Schimdt’s Schema Theory
• The term schema originally referred to an abstract representation
stored in memory following multiple presentations of a class of
objects.
• Eg. After seeing many different types of dogs, it is proposed that we
begin to store an abstract set of rules for general dog qualities in our
brain, so that whenever we see a new dog, no matter what size, color
or shape, we can identify it as a dog.
• The information is stored in STM only long enough to be abstracted
into two schemas, the recall schema (motor) and a recognition
schema (sensory)
11. Schimdt’s Schema Theory
• The recall schema- used to select a specific response.
• Each time a person makes a movement with a particular goal in mind,
he or she uses a particular movement parameter, such as a given
force and then receives input about movement’s accuracy.
• Each new movement adds a new data point to the internal system to
refine the rule.
• After each movement, the sources of information are not retained in
recall schema, but only the rule that was created.
12. Schimdt’s Schema Theory
• The recognition schema is used to evaluate the response.
• The sensory consequences of previous similar movements are
coupled with the current initial conditions to create a representation
of the expected sensory consequences.
• This is then compared to the sensory information from the ongoing
movement in order to evaluate the efficiency of the response.
• Thus, according to this theory, learning consists of the ongoing
process of updating the recognition and recall schemas with each
movement that is made.
13. Schimdt’s Schema Theory
• Clinical Implications-
• Mrs. J is learning a new movement task such as reaching for a glass of milk with
her affected limb, optimal learning will occur if this task is practiced under many
different conditions.
• This will allow her to develop a set of rules for reaching (recall schema) which
then could be applied when reaching for a variety of glasses and cups.
• As she practices reaching and lifting, sensory information about the initial
conditions and consequences of her reaches will be used to form a recognition
schema, which will be used to evaluate the accuracy of future reaches.
• Mrs. J will become more capable of generating appropriate reaching strategies for
picking up an unfamiliar glass, with less likelihood of dropping or spilling the
drink.
14. Ecological Theory
• Newell suggests that motor learning is a process that increases the
co-ordination between perception and action in a way that is
consistent with the task and environmental constraints.
• According to this theory, perceptual information has a number of
roles in motor learning. In a prescriptive role, perceptual information
relates to understanding the goal of the task and the movements to
be learned.
• Another role of perceptual information is as feedback, both during
the movement-knowledge of performance and on completion of
movement-knowledge of results.
15. Ecological Theory
• Perceptual information can be used to structure the search for a
perceptual/ motor solution that is appropriate for the demands of the
task.
• Thus, in this approach, motor learning is characterized by optimal
task-relevant mapping of perception and action, not by a rule based
representation of action.
16. Ecological Theory
• Clinical Implications-
• Mrs J is relearning a movement with her affected arm, such as reaching for
a variety of glasses that contain a variety of substances within them results
in learning to match the appropriate movement dynamics for the task of
reaching.
• Perceptual cues such as the color of the glass, are non-regulatory cues,
which are not essential to the development of optimal movement
strategies for grasping.
• If a perceptual cue suggests a heavy glass, she will need to grasp with more
force. If the glass is full, the speed and trajectory of the movement must be
modified to accommodate the situation.
• If Mrs J is unable to recognize these essential sensory cues, a motor
strategy that is less than optimal will be generated.
• That is, she may spill the fluid within the glass or the glass may slip.
17. References
• MOTOR CONTROL, Translating Research into Clinical Practice; Fourth
Edition; Anne Shumway-Cook, Marjorie H. Woollacott.