Question

·         Medical dx: Rotator cuff tears

Provide a functional goal a patient may want to achieve: Increase R elbow extension AROM to within 10 degrees of full extension within 2 weeks to improve pt.’s ability to reach into overhead cabinets at home.

Describe best practice concepts related to motor re-learning of the function outlined in the goal:

·         Consider practice conditions (give at least 1 example)

Distributed practice may be more preferable

·         Consider attentional focus (provide at least 1 example of directions you may give related to an intervention)

·         Provide 1 concept of experience-dependent neuroplasticity and justify your choice

·         Provide 1 example of NON-VERBAL augmented feedback you may consider related to an intervention

Answer 1

Motor re-learning of the function improve upper limb physical performance..Example: Kinematic motion analysis of a forward reaching paradigm provide potential predictors reaching strategy include shoulder flexion,elbow extension etc..In elbow flexion-extension, flexion rotating the forearm towards the arm the angle rotation 150degree..extension consist of rotating the arm in the opposite direction with hyperextension 10 degree..
Proposed rehabilitation equipment:
It is a attentional focus intervention with this light equipment have efficiency results its constructive simplicity reduce recovery period,ergonomy and safety..In this rotation of the pulley ensures the rehabilitation motion(flexion-extension, pronation-supination)
Neural plasticity is a basic science for functional improvement in motor performance by measurable changes after intensive active practice with the involved upper extremity..Environment factors like aerobic exercise can improve functional and neurological gains..This activity enhances neural plasticity..this activity based therapy promote plasticity..In severe physical disability it promote more physical and aerobic activity..In rehabilitation practice neural plasticity can help to support person in an upright position during exercise..
Non verbal augmented feedback like video display,auditory skill learning facilitate physical activity especially for arm extension and flexion..This may attributed to sensory motor learning and adoptive plasticity functional recovery..