Theories of Motor Control Assumptions Clinical Implications Limitations Reflex Theory - Sherrington - “Peripheralist” - Reflexes are basis for all mvmt - External stimulus leads to mvmt - Nervous System – triggers, coordinates, & activates muscles - Use sensory input to control motor output - Stimulate good reflexes - Inhibit undesirable (primitive) reflexes - Relies heavily on feedback - Reflex can’t be basic unit of behavior - Doesn’t explain fast mvmts - Doesn’t explain how single stimulus results in varying responses. - Doesn’t explain voluntary mvmts. Hierarchical Theory - JH Jackson - “Centralist” - “Top-Down” unidirectional flow - Voluntary mvmts initiated by “will” (higher levels) - Reflexive mvmts dominate only after CNS damage. - Bernstein - Goal-directed behavior (Task Oriented) - Synergies to master redundant degrees of freedom - Feedback (closed loop) - Identify & prevent primitive reflexes - Reduce hyperactive stretch - Normalize tone - Facilitate “normal” mvmt patterns - DEVELOPMENTAL SEQUENCE - Recapitulation - Doesn’t explain dominance of reflexive behaviors in normal adults - Everyone’s developmental pattern is diff. - Hands-on approach pt may become very passive - Identifiable, functional tasks - Practice under a variety of conditions - Modify environmental contexts - Very broad – many diff. systems - Doesn’t focus as heavily on the interaction of the organism w/ the environment. - Central Motor Pattern – motor response w/o sensory stimulus/reflex - Central pattern generators (CPGs) – spinal motor programs that can produce mvmt w/o cortical or sensory input - Higher-level motor programs – store rules for generating mvmts. - New mvmt emerges 2o to change in control parameter. - De-emphasize commands from CNS in controlling mvmt and emphasize physical explanations for mvmt - Attractor state – preferred pattern (vice-versa) - Deeper attractor well more stable pattern - Stable patterns become more variable prior to transition to new mvmt pattern. - James Gibson - Perception-action system - Perception focuses on detecting information in the environment that will support the actions necessary to achieve the goal. - Abnormal mvmt – not just reflexive, also including abnormalities in central pattern generators or higher level motor programs. - Help pts relearn the correct rules for action - Retrain mvmts important to fxn’al task - Do not just reeducate muscles in isolation - Not intended to replace importance of sensory input in controlling mvmt - Central motor program can’t be sole determinant of action - Doesn’t explain nervous sys. dealing w/ both musculoskeletal & environment variables - Mvmt is an emergent property from the interaction of multiple elements. - Understand the physical & dynamic properties of the body - i.e.) Velocity- important for dynamics of mvmt. May be good to encourage faster mvmt in pts to produce momentum and therefore help weak pts move w/ greater ease. - Nervous sys. has unimportant role - Presumption that the relationship b/w the physical sys. & environment determines behavior. - Help pt explore multiple ways in achieving fxn’al task discovering best solution for pt, given the set of limitations - - Gives less emphasis on nervous sys. Systems Theory Motor Programming Theory Dynamical Action Theory Ecological Theory