1. It integrates system therapy with motor relearning theory.
  2. Central tenet: – the interacting systems within the CNS are organized around essential functional task and the environment in which the task is performed.
  3. The key to understanding & promoting control understands of tasks. The essential element within task.
  4. This approach also based on the theory that action system within CNS is organized to control of function.
  5. It consists of training programme that focuses on specific functional task to engage the systems (musculoskelatal, neuromuscular etc.). Patient instructed to practice those task that present difficulties for them and to practice them in varying environment.
  6. Different strategies may be used by individuals and should be allowed if they achieve the desired function outcome. E.g.  – Supine to sit, sit to stand.
  7. A variety of cognitive, perceptual motor relearning and biomechanical strategies are used to enhance function.
  8. Shift away from a focuses on impairment.
  9. A hands on approach is taken to facilitate movement and active participation of patients in learning task to facilitate skills.

10. Active participation of patient in  learning process using cognitive perceptual information processing to decide on the best approach to movement.

11. Patient with severe neurological damage and cognitive impairments would not benefit from this approach.

12. Here they selected several basic functional task such as

a)        Rolling, supine to sit

b)        Balanced sitting & standing

c)        Standing up & sitting down

d)        Walking with or without assertive devices.

e)        Upper limb activities –reach & grasp.

13 .Task performance is analyzed and activities selected for practice.

14.The environment is modified to create as appropriate setting to promote learning and goal directed behaviors.

15.Complex movement are broken down in discrete parts & then practiced as whole.

16. Use motor learning training strategy is component of this approach.

17. Visual guidance of movement and verbal feedback (corrections) are stressed.

18. Manual guidance of movements is limited to only that absolutely essential assist to movement.

19. Key to promoting independent function.

20.Consistency of practice.

21. Appropriate feedback

22. Positive reinforcement

23. Mental stimulation.

Published by GajananBhalerao

DR. GAJANAN BHALERAO (PT) MPTh Neuro, NDT Adult (USA), Motor relearning (Australia), Aquatic therapist (Switzerland). Associate professor at Sancheti Institute College of physiotherapy, Shivajinagar, Pune. Founder Director of "School of neuro rehab and aquatic therapy" , speciality centre for neuro rehabilitation of stroke, brain and spinal cord injury. Mobile : 9822623701,

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