www.zenit-fundacion.com Spezialisierung Motor Learning Cordula Schall Physiotherapist Senior Bobath Teacher (EBTA) Physiotherapist of German National Team of Paralympic Swimmers www.zenit-fundacion.com Spezialisierung Motor Learning Definition: “a set of processes associated with practice or experience leading to relatively permanent changes in the capability for movement” (Schmidt & Lee, 2005, p. 302) change of behavior and activity A task is learned when it can be repeated, used with efficiency and transfered to different situations Mulder 2007 Prag may 2013 © Cordula Schall www.praxis-schall.de 2 www.zenit-fundacion.com Spezialisierung Motor Learning Learning of movement to develop ways an strategies of learning to have exit in learning new movements and fix the movements learnt. By this way it´s possible to give way to modifications, variations and and increase of difficulty and to combine parcial movmements. (RIEDER 1991) Motor Learning Construction, retention and change of specific basically sensory and motor but also cognitive and emotional structures and functions and their coordination with individual goals, external surrounding and requirement of the task. (MECHLING 1992) Prag may 2013 © Cordula Schall www.praxis-schall.de 3 www.zenit-fundacion.com Spezialisierung Motor Learning Key concept since 1970 Physical education Sport Neurological rehabilitation since 1980 Stroke Children with developmental coordination disorder (DCD) Prag may 2013 © Cordula Schall www.praxis-schall.de 4 www.zenit-fundacion.com Spezialisierung Motor Learning Learning Information + Activity + Variability + Context Prag may 2013 © Cordula Schall www.praxis-schall.de 5 www.zenit-fundacion.com Spezialisierung Motor learning Any kind of learning includes Cognition Perception Motricity Learnig can´t be purely a motor task „Motor Learning“ is multimodal (M Jüptner) Prag may 2013 © Cordula Schall www.praxis-schall.de 6 www.zenit-fundacion.com Spezialisierung Motor Learning - theories Different theories: Closed-loop theories (z.B.Adams 1971) = Control models, control by control processes Open-loop theory = Program models; centrally stored programs Integration theories (= control + program control; Schema theories of schemes, eg Schmidt 1975) Dynamic sistems theory And others Motor learning principles Prag may 2013 © Cordula Schall www.praxis-schall.de 7 www.zenit-fundacion.com Spezialisierung Motor Learning - course Basic Functions (GAGNÉ: Pay attention - Acquisition - Storage - Reproduction). Reception Processing Review Design and Programming Run and Check Prag may 2013 © Cordula Schall www.praxis-schall.de 8 www.zenit-fundacion.com Spezialisierung Motor Learning - phases learning phases acquisition phase plateau phase regressive phase ceiling effect Prag may 2013 © Cordula Schall www.praxis-schall.de 9 www.zenit-fundacion.com Spezialisierung Motor Learning - principles Kinds of feedback, important for Motor Learning 1. Systematic self-feedback information 2. Systematic external feedback information 3. Objective additional feedback information Biomechanical feedback proliferation Video feedback proliferation and cinematography Prag may 2013 © Cordula Schall www.praxis-schall.de 10 www.zenit-fundacion.com Spezialisierung Motor Learning - principles Holistic learning: “Principle of reduced teaching aids” versus Part learning: “Principle of division into functional sub-units” The more complex the task, more holistic should be teaching (Dr. P. Wastl) Prag may 2013 © Cordula Schall www.praxis-schall.de 11 www.zenit-fundacion.com Spezialisierung Motor Learning - course Dr. Peter Wastl (Motor Learning in sports) 1. Create a concept of the movement Demonstrate Explain Video, Film, Series make drawings 2. Preconditions for the execution of movement "open-loop" theories (centrally stored programs) "cloosed loop" theories (control by control processes) Prag may 2013 © Cordula Schall www.praxis-schall.de 12 www.zenit-fundacion.com Spezialisierung Motor Learning - course 3a own information vestibular kinesthetic tactile acoustically visually Prag may 2013 3a perception of motion the coach with video biomechanically mesasured © Cordula Schall www.praxis-schall.de 13 www.zenit-fundacion.com Spezialisierung Motor learning - course 4. The perception of motion (in this case only the selfinformation) transfigures the idea of motion 5. Foreign informations about the execution of movement are reported back and run "calibrate" the motion perception 6.The motion perception (in this case the internal and external information) changes the idea of motion Prag may 2013 © Cordula Schall www.praxis-schall.de 14 www.zenit-fundacion.com Spezialisierung Motor Learning Video: Simone – neurdevelopmental physiotherapy using the big therapy ball as medium (6.30 minutes) Prag may 2013 © Cordula Schall www.praxis-schall.de 15 www.zenit-fundacion.com Spezialisierung Motor Learning - Neurorehabilitation Brain Repair •The brain is capable of a large degree of self-repair by changing the pattern of synaptic connectivity •These changes are input, activity and experience dependent •Recovery processes share common mechanisms with normal learning J. Liepert Prag may 2013 © Cordula Schall www.praxis-schall.de 16 www.zenit-fundacion.com Spezialisierung Motor Learning - Neurorehabilitation „Continuous peripheral input from the whole of a given body district is a sine que non for the maintenance of a normal somatotopic cortical organization related to that body part“ Rossini et al., 1994 Task of therapy in case of forced inactivity: assisted movement Prag may 2013 © Cordula Schall www.praxis-schall.de 17 www.zenit-fundacion.com Spezialisierung Motor Learning - Neurorehabilitation Motor Imagery The mental performance of a movement together with all the sensory consequences, as if you are really executing the movement. However, without any sign of peripheral activity. Use for autonoumous hometraining of patients with lack of force and regulation of muscle tone? Prag may 2013 © Cordula Schall www.praxis-schall.de 18 www.zenit-fundacion.com Spezialisierung Motor Learning - Neurorehabilitation Motor Imagery •Activates the same structures in the brain as actual movement •Results in learning •May lead to maintenance of neural representation during immobilisation J. Liepert Prag may 2013 © Cordula Schall www.praxis-schall.de 19 www.zenit-fundacion.com Spezialisierung Motor Learning - Neurorehabilitation Adapted passive-assistive movement creation of image of movement subsequent coordination of activity Prag may 2013 © Cordula Schall www.praxis-schall.de 20 www.zenit-fundacion.com Spezialisierung Literature Jill G. Zwicker, Susan R. Harris „A reflection on motor learning theory in pediatric occupational therapy practice“, Canadian Journal of Occupational Therapy february 2009, Volume 76 number 1 Dettmers C et al.“ Motor imagery in stroke patients or plegic patients with spinal cord or periphera diseases, Acta Neurol Scand. 2012 Oct;126(4):23847. doi: 10.1111/j.1600-0404.2012.01680.x. Epub 2012 May 16. De Vries S et al, „Recovery of motor imagery ability in stroke patients“. Rehabil Res. Pract. 2011;2011:283840. doi: 10.1155/2011/283840. Epub 2011 Apr 5. Prag may 2013 © Cordula Schall www.praxis-schall.de 21