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Theories of Motor Control & Clinical Applications
Test 1 Material
56
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Graduate
06/14/2011

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Term
The ability to regulate or direct the mechanisms essential to movement.
Definition
Motor Control
Term
Name the 3 main things that go into motor control
Definition
Task
Environment
Individual
Term
Name the 3 aspects of the Individual part of motor control.
Definition
Action
Perception
Cognition
Term
CNS regulation and organization of muscles and joints during a functional activity (walk, jump, sit, etc)
Definition
Action
Term
Integration of sensory information into meaningful information
Definition
Perception
Term
Understanding where your limbs are in space
Definition
Perception
Term
Intent that drives a motor task
Definition
Cognition
Term
Nature of a ___ determines the movement required. What you are doing affects how you move.
Definition
Task
Term
Name a few functional tasks
Definition
bed mobility
gait
transfers
ADLs
Term
Give an example of a discrete task.
Definition
Kick a ball
Term
Give an example of a continuous task
Definition
Gait
Term
Doing the same thing over and over
Definition
Closed task
Term
Diffrent things occurring, new things (not the same repetitive action)
Definition
Open task
Term
A task that is done while standing still. Maintaining postural control.
Definition
Stability task
Term
A task that is done while moving.
Definition
Mobility task
Term
A complicated task that involved multiple movements at once.
Definition
Manipulation
Term
Arrange these task in order of lowest to highest level of difficulty.
-Mobility
-Manipulation
-Stability
Definition
Stability
Mobility
Manipulation
Term
Name 2 ways to manipulate the environment
Definition
Regulatory
Non-Regulatory
Term
Aspects of the environment that shape the movement.
Definition
Regulatory
Term
Reaching to pick up a coffee cup requires a different movement than reaching to pick up a large glass. What type of environment is this?
Definition
Regulatory
Term
Movement does not have to conform to these features in the environment. Can affect performance. Noise and distractions. Movement does not change.
Definition
Non-Regulatory
Term
Give an example of non-regulatory environment
Definition
Sport game. Throwing a ball is the same whether at home alone or in front of thousands of people. The environment is what changed.
Term
This theory states that a complex behavior is the combined action of individual reflexes chained together. All movement comes from reflexes. You build upon reflexes to move normally.
Definition
Reflex Theory
Term
Name the 5 limitation to the Reflex Theory.
Definition
1. Spontaneous and voluntary movements are not initiated by an outstide stimulus
2. Movement can occur without sensory stimulus (video of spinalized cat)
3. Movement can occur faster than sensory stimulus
4. Single stimulus can produce varying results
5. Novel "new" movements are not explained
Term
This theory hypothesized that higher cognitive centers are in control of the lower centers. Normal motor development in children can be attributed to increasing corticalization of the CNS.
Definition
Hierarchical Theory
Term
Name the 3 areas in the hierarchical theory.
Definition
Cortex
Midbrain
Brainstem and spinal cord
Term
Name the limitations or current concepts of Hierarchical Control.
Definition
1. Top down control is not always true (burn hand on stove)
2. Lower levels can exert control over higher levels
3. Each level of the CNS can act on the other depending upon the task
Term
Why is top down control not always true?
Definition
Reflexes can take back over to have a faster movement when needed, like when you burn your hand on the stove, you don't think it thru, you just jerk your hand back.
Term
Neuro-facilitation approaches for treating pts with UMN injuries were developed from what 2 theories of motor control?
Definition
Reflex theory
Hierarchical theory
Term
Key points of control for inhibiting abnormal synergistic patterns
Definition
NDT
Term
Facilitating and inhibiting movement through sensory stimuli
Definition
Rood
Term
7 stages of recovery
Definition
Brunnstrom
Term
Lay down gross diagonal motor patterns in the CNS and facilitate movement with sensory stimulation
Definition
PNF
Term
Name 3 techniques still used today that can from both the reflex and hierarchical theories.
Definition
NDT (Neurodevelopmental treatment technique)
Rood
Brunnstrom
PNF
Term
Patterns of movement can be activated by sensory stimulus or central processes
Definition
Motor Programming Theories
Term
Name 2 motor programming theories
Definition
Central Pattern Generators
Central Motor Pattern
Term
Specific neural circuit that is hardwired. Spinal walking with cats.
Definition
Central Pattern Generators
Term
Rules for generating movements; rules can be applied in a variety of settings. Perform name writing exercise.
Definition
Central Motor Pattern
Term
What is the clinical significance of motor programming theories?
Definition
We want to retrain movements for a functional task, not just movements in isolation. We also want to relearn the correct rules for a movement so they can apply it in different situations
Term
This theory incorporates the whole body, gravity, and inertia not just the CNS, into movement.
Definition
Systems Theory
Term
This theory recognizes that we have multiple degrees of freedom in the body and that there is a hierarchical control to activate synergies to control degrees of freedom.
Definition
Systems Theory
Term
This movement pattern has less variability. There are lots of muscle co-contracting.
Definition
Stable
Term
This movement pattern has greater variability (common with new tasks or prior to changing to a more stable pattern). Fluidity. More functional
Definition
Unstable
Term
There are 2 ways to pick your foot up off the floor.
Definition
1. Flexion synergy
2. Extension synergy
Term
Name the clinical implications of the Systems Theory
Definition
1. Must examine the MS system as well as the CNS for loss of motor control.
2. Explore variable movement pattern to achieve performance goals
Term
What is the main limitation of the Systems Theory?
Definition
Does not include all environmental factors
Term
Name the 3 aspects of the Ecological Theory
Definition
1. Goal oriented behavior
2. Perceptions guide behavior
3. Environment is a large factor in movement
Term
This theory believes that patients should explore different ways to accomplish a task. That if they do not want to do something, they aren't going to do it. It also matters whethere the patient believes they can do it or if they think that it is just too hard.
Definition
Ecological Theory
Term
This theory says that reflexes drive movement. Sensory stimulation causes actions.
Definition
Reflex Theory
Term
This theory goes with the top-down approach: brain>midbrain>spinal cord
Definition
Hierarchical Theory
Term
This theory believes that central motor pattern control movement.
Definition
Motor Programming Theory
Term
This theory says that synergies of movement controls degrees of freedome.
Definition
Systems Theory
Term
This theory combines goals, perception, and the environment.
Definition
Ecological Theory
Term
What is the newest theory out that states that you cannot use just one of the theories but its best to put them all together.
Definition
Integrated Theory of motor control
Term
__ approaches have evolved to include function not just suppression of reflex
Definition
Neuro-facilitation
Term
Name the 4 aspects of a task oriented or motor learning approach.
Definition
1. Developed from newer theories of motor control
2. Treatment based on functional tasks
3. Learn by solving problems
4. Must be able to adapt to changes in the environment
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