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Optimizing Outcomes in Rehabilitation: Motor Learning Principles and Beyond: Summary
LEARNING TIP! Errorless learning is a method of minimizing errors to allow more successes during training, thereby improving self-efficiacy and enhancing learning. • Found to be less or as effective as error-based learning
CASE STUDY 2: INTENSITY
Russ, a 58-year-old diabetic, recently experienced a hemorrhagic stroke. Over the past few weeks, Russ has shown remarkable progress in his recovery. However, while he can now walk aided by a quad cane, he faces persistent challenges, particularly in lifting his left foot when stepping and in dealing with dynamic tasks such as altering his gait speed and direction.
Russ’s rehabilitation program starts with a 15-minute session on the step machine, aiming to achieve a target max heart rate of 50% to 60%, which significantly contributes to enhancing his cardiovascular health and overall physical endurance. Additionally, Russ engages in task practice, which accounts for about a third of recovery after a stroke; gait training; and balance exercises to enhance his stability and reduce the risk of falls . Finally, Russ participates in strength-training exercises aimed at bolstering his overall strength. One key challenge that needs to be addressed is the intensity of Russ’s training regimen. The existing program may not provide sufficient challenge in terms of strength training and aerobic exercise intensity, which play important roles in achieving substantial recovery following a stroke. However, it can be difficult to balance the benefits versus the deleterious effects of fatigue in learning . It’s essential to make adjustments to build up the training intensity, particularly by introducing high-intensity strength training and aerobic exercises to achieve better results and expedite Russ’s recovery.
CASE STUDY 3: PRACTICE
Jill is a 25-year-old former college athlete who suffered grade two hamstring strain while preparing for a half marathon. Her rehabilitation program has been built around the principles of motor learning, emphasizing the importance of repetitive and focused practice. To address her goals, her therapist incorporates elements such as task practice, repetitive exercises, blocked and variable practice sessions, strategic rest intervals, and maintaining consistency in her routine. This approach not only aids in the physical recovery of her hamstring but also plays a pivotal role in rebuilding her confidence and running abilities.
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