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MOTOR LEARNING
• Motor learning has been defined as “a set of internal processes
associated with practice or experience leading to relatively permanent changes in the capability for motor skill.” Measure of Motor learning Performance ➔Determine overall quality of performance , level of automaticity , level of efforts , speed of decision making • Improvements in performance result from an understanding of the task and practice • For example, with practice an individual should be able to develop appropriate sequencing of movement components with improved timing and reduced effort and concentration. Measure of Motor learning
**Performance, however, is not always an accurate reflection of
learning, why ? Measure of Motor Learning
Retention ➔The ability of the learner to demonstrate the skill
over time and after a period of no practice (retention interval). Retention provides a better measure of learning. • Performance after a retention interval may decrease slightly, but should return to original performance levels within relatively few practice trials. This is referred to as a warm-up decrement in performance. Measure of Motor Learning • Adaptability ( Generality )➔The ability to adapt and refine a learned skill to changing task and environmental demands is termed adaptability. Eg-Transfer from wheelchair to platform mat can apply that learning to other types of transfers (e.g., wheelchair to car, wheelchair to tub). • Resistance to contextual change ➔ This is the adaptability required to perform a motor task in altered environmental situations. Thus, an individual who has learned a skill (e.g., walking with a cane on indoor level surfaces) should be able to apply that learning to new and variable situations (e.g., walking outdoors, walking in a busy mall). • Think about more physical therapy examples Feedback in Motor learning • Intrinsic Feedback ➔Sensory information acquired during the performance of the task . Eg- Proprioceptive, visual, vestibular, and cutaneous signals . • Augmented Feedback ➔Externally presented feedback that is added to that normally acquired during the task performance eg. Verbal Cueing, visual, auditory, and tactile cues are forms of extrinsic feedback (e.g., verbal cues, manual cues, biofeedback devices such as the electromyogram [EMG], pressure-sensing devices [force plates, foot pad]). **Which feedback given first, intrinsic or extrinsic? • Concurrent feedback is given during task performance, while Terminal feedback is given at the end of task performance. Feedback in Motor learning • Knowledge of Result (KR)➔ Augmented feedback about the nature of the end result produced in relation to the goal • Knowledge of Performance ➔ Augmented feed back about the nature and quality of the movement produced. • Which is given first KP or KR? • Which has less influence on accuracy of movement KP or KR ? • KP or KR provides the key information about how to shape the overall movements for the next attempt ? Feedback in Motor learning • Feedback Schedules➔ Feedback given after every trial • Feedback summed ➔ Feedback after set number of trials e.g., after every 2nd trial or every 5th or every 20th trial • Fading feedback ➔ Decreasing feedback . Feedback given first after every trial, then less frequently on subsequent blocks of trials; Eg. After every 1st trial progressing to every 3rd trial, then to every 5th trial • Bandwidth Feedback ➔ Feedback given only when performance deviates outside the boundaries of correct performance; error range is predetermined Practice in Motor Learning Practice has great influence on motor learning . General principles of practice 1. Increased practice results in increased learning. 2. Large and rapid improvements in performance are typically observed initially with smaller improvements noted over time. Mass V/S Distributed • Massed practice refers to “a sequence of practice and rest times in which the rest time is much less than the practice time.” Fatigue, decreased performance, and risk of injury are factors that must be considered when using massed practice. • Massed practice can be considered when motivation and skill levels are high and when the patient has adequate endurance, attention, and concentration. Eg rehab of SCI pt in last stage of rehab • Distributed practice refers to “a sequence of practice and rest periods in which the practice time is often equal to or less than the time at rest.” • Distributed practice is of benefit if motivation is low or if the learner has a short attention span, poor concentration, or motor planning deficits (e.g., dyspraxia), fatigue like in case of MS. Think of other physical therapy conditions where distributes practice should be given . Blocked v/s Random Practice • Blocked practice ➔A practice sequence in which all of the trials on one task are done together, uninterrupted by practice on any of the other tasks.” • Random practice ➔ A practice sequence in which the tasks being practiced are ordered randomly across trials.” • Think of examples of block and random practice as discussed in class. • Where do we use block practice and what is advantage of it ? • Where do we use random practice & its advantage ? Practice order • Practice order refers to the sequence in which tasks are practiced. • Blocked order ➔The repeated practice of a task or group of tasks in order (three trials of task 1, three trials of task 2, three trials of task 3: 111222333). • Serial order ➔ A predictable and repeating order (practice of multiple tasks in the following order: 123123123). • Random order ➔ nonrepeating and nonpredictable order (123321312). Although skill acquisition can be achieved with all three, Blocked order produces improved early acquisition of skills (performance) whereas serial and random order produce better retention and generalizability of skills. • Mental Practice or visualization ➔ A practice method in which performance on the task is imagined or visualized without overt physical practice. Benefit of mental practice ? • Transfer of learning ➔ It refers to the gain (or loss) in the capability of task performance as a result of practice or experience on some other task. Learning can be promoted through practice using contralateral extremities, termed bilateral transfer. Stages of Motor Learning 1. Cognitive, 2. Associated 3. Autonomous. Stages of Motor Learning Cognitive Stage • To develop an overall understanding of the skill, termed the cognitive map. • The learner relies heavily on vision to guide early learning and movement. • A stable environment free from distractors optimizes learning during this initial stage. Stages of Motor Learning Associated stage • Refinement of the motor pattern is achieved through continued practice. • Spatial and temporal aspects become organized as the movement develops into a coordinated pattern. • As performance improves, there is greater consistency and fewer errors . Stages of Motor Learning Autonomous Stage The motor performance that after considerable practice is largely automatic. There is only a minimal level of attention, with motor programs so refined they can almost “run themselves.” • Thus the learner can perform equally well in a stable, predictable environment (termed closed skills) or in a changing, unpredictable environment (termed open skills). Stages of Motor Learning & Training strategies Stages of Motor Learning & Training strategies Stages of Motor Learning & Training strategies Stages of Motor Learning & Training strategies Stages of Motor Learning & Training strategies