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09.02.09

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
Hierarchy of development   tradtional, specific path - cortex (higher motor)  
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hierarchy order of development   mobility, stability, controlled mobility, skill  
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mobility stage of control   random, erratic, reflexive  
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stability stage of control   steady position, weight bearing, co contractions  
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controlled mobility stage of control   distal fixation, dynamic, weight shifting, "painful practice"  
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skill stage of control   distal movement, maintain posture  
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milestones   pre preprogrammed set of ages when skills appear  
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extenal variables   skills arise as a result of environment & pracitce, not all children will share exact age of maturity  
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DEVELOPMENT IS DEPENDENT ON......   CONTROL!!  
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systems theory of motor control development   postural control, predictive set, motor coordination, eye head stabilization, sensory organization  
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postural control   limit of stability (COG in BOS, shift w/o moving, seat/stand), environ adaptation, musculoskeletal system ( mechanical component)  
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predictive set   anticipate movements needed  
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motor coordination   sequence, maintain posture  
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eye head stabilization   despite movement, input must be stable  
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sensory organization   vision, vestibular system, somatosensation  
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motor control   mechanical process of managing posture & movement control - control movement, learn to control in varied situations  
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motor control requires?   sensation, cognition & motor  
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motor contorl involves?   sequence, speed (time), force  
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motor learning   practice to develop control  
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perfection of tasks   increase in complexity w/age  
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feedback   where & how often is input taking place, effects of fatique, anxiety, medications and pt motivation  
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motor development cannot develop w/o   motor control  
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motor control cannot occur w/o   postural control  
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cognitive or acquisition state of motor learning   brand new info, learning/re-learning w/frequent practice & feedback, clear & concise input for a "reference of correctness", a "map" of "what to do" - TOSS THE REST, allow for self input in stable environ w/o distraction  
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associative or refinement stage of motor learning   running program, need to decrease errors, couple movement w/failure or success, less visual input, more proprioceptive, entered the "how to..." stage, less feedback, more feed forward (speed, efficiency, force, frustration?), "how can I do it on my own"  
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autonomous or retention stage of motor learning   complete the program in multiple environments w/less focus. "how to succeed"  
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practice context of motor learning   method of teaching. make sure pt is practicing correct patterns to avoid incorrect ADL movement  
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whole learning   practice by completing entire task from beginning to end (sit to stand), cue all the way thru, start to finish  
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pure-part learning   break down complete task into components (rocking in sit to stand)  
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progressive/sequential part learning   break down into parts, practicing them in sequence (lock chair, move foot rests..) do all in a row but the pt knows it is 4 different steps  
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mass practice practice schedule   frequency practice where rest time is much less (ie rolling baby)  
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distributed practice   increase rest time to ~ = to that of activity. consider attention span & endurance (able to take time to think about what they are doing)  
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intermittent/schedule practice   program is available to CNS/PNS but not yet committed. schedule determined by PT (ie outpatient). achieve greater independence  
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random practice   independent w/o schedule or specific task. encourage patient to incorporate HEP into ADLs  
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blocked practice   scheduled as above but focused on one task  
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mental practice   use no matter what. Visualization (start with) or a mental rehersal. helps decrease anxiety and increase neural mapping. (have them visualize what went wrong & what they'll do in the AM to do different)  
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motor program requires a lot or a little thought?   little or none ( walking)  
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motor program - does it change?   won't change unless external variables change "memory" (tree in the road)  
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motor program is structured to ........   train according to patient's needs (tile floor @ home, similar surface in clinic) PRACTICE IN A SETTING APPROPRIATE OR YOUR PATIENT  
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when does SEQUENTIAL DEVELOPMENT learning occur?   continuous process occurring betw conception & t/o life  
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Development has what two components?   cognitive & social  
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stages of development -infancy   birth - 2  
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childhood   2-10  
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adolescence   10-19  
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adulthood   20-64  
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late adulthood   65 & over  
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growth development occurs how?   height, weight, strength  
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maturation development occurs how?   pre programmed physical changes, nerve, bone, organs (develops b/c brain says so)  
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adaptation development occurs how?   environmental influence  
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stages of motor learning   1) cognitive or acquisition stage, 2) associative or refinement state, 3) autonomous or retention stage  
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