Rapid Aimed Limb Movements: Differential Effects of Practice on Component Submovements

Three experiments are reported in which subjects practiced rapid aimed limb movements (arm pointing and wrist rotation) toward a visible target region. Subjects were required to minimize their movement durations while still landing in the target. The movement trajectories were examined to assess the effects of practice on separate component submovements of the limb movements. The results revealed that practice improved primarily temporal, not spatial, aspects of performance. Practice reduced the overall movement durations, but had different effects on the individual submovements: Practice allowed subjects to reduce the amount of time spent performing final corrective submovements, but actually increased slightly the time needed to produce the initial ballistic submovement. The results suggest that practice in the present task primarily enhanced the ability to use feedback information, but there was also some evidence of changes in the ballistic, preprogrammed portion of the movements. The results demonstrate that analysis of submovements can reveal important details of the underlying motor control processes.     

Acquiring a Novel Coordination Skill without Practicing the Correct Motor Commands

There is evidence that experience of the sensory consequences, in the absence of practice of the required motor commands, is sufficient to learn new bimanual coordination patterns. This was shown through improvements of an incongruent group who practiced a desired 30° phase offset between the limbs while 1 limb was weighted such that the desired phase relation was achieved when synchronous motor commands were sent to the limbs (P. Atchy-Delama, P. G. Zanone, C. E. Peper, & P. J. Beek, 2005). In addition to testing a similar incongruent and congruent group (i.e., no weight), the authors extended this experiment by removing visual feedback during practice and by including an auditory modeling and passive guidance group. All groups showed improvement, except for the modeling group. The passive guidance group made more errors in posttests than the congruent and incongruent groups. Only the congruent group increased the amount of time around 30° after practice. Active experience of the sensory consequences combined with practice sending appropriate motor commands is the most effective method for learning, even though strategic improvements can be attained without experience of the latter.     

Transfer of Work Decrement in Motor Learning

Two experiments tested the hypothesis that the decremental effects of massed practice are due to the development of a negative drive (Hull’s I_r). The results indicated that the decremental effects of massed practice on either the pursuit rotor or the two-hand coordinator do not transfer to depress performance or reminiscence on the other task. The results did not support Hull’s drive interpretation but were explained by theories attributing decrement to a decreased level of arousal.     

Offline Improvement during Motor Sequence Learning Is Not Restricted to Developing Motor Chunks

Robust offline performance gains, beyond those that would be anticipated by being exposed to additional physical practice, have been reported during procedural learning and have been attributed to enhancement consolidation, a process by which memory is transformed in such a way that it is not only more resistant to forgetting but may also involve a reorganization of information that supports superior task execution. The authors assessed the impact of increasing within-session practice extent on the emergence of offline performance gains. Practice-dependent improvements occurred across 12 and 24 30-s practice trials of a 5-element motor sequencing task. Offline improvements were observed following both 12 and 24 trials. The improvement following 12 trials was associated with the formation of motor chunks important for establishing movement sequence structure. In contrast, the offline improvement after 24 trials was not related to further changes in movement structure beyond those that had emerged during practice. These data suggest that additional memory operations, beyond those needed to amalgamate subsequences of the SRT task, are susceptible to enhancement consolidation.     

Short-Term Kinesthetic Training for Sensorimotor Rhythms: Effects in Experts and Amateurs

The authors’ aim was to examine whether short-term kinesthetic training affects the level of sensorimotor rhythm (SMR) in different frequency band: alpha (8–12 Hz), lower beta (12.5–16 Hz) and beta (16.5–20 Hz) during the execution of a motor imagery task of closing and opening the right and the left hand by experts (jugglers, practicing similar exercises on an everyday basis) and amateurs (individuals not practicing any sports). It was found that the performance of short kinesthetic training increases the power of alpha rhythm when executing imagery tasks only in the group of amateurs. Therefore, kinesthetic training may be successfully used as a method increasing the vividness of motor imagery, for example, in tasks involving the control of brain–computer interfaces based on SMR.     

Mental Health and Adverse Childhood Experiences

The theoretical basis of occupational therapy interventions was investigated in two mental health facilities in the Midwestern United States. Using retrospective cohort and grounded theory designs, 121 medical records were reviewed and five occupational therapy practitioners were interviewed. Theoretical reasoning was not explicitly documented, but according to analysis, the behavioral/cognitive-behavioral model, client-centered models, and the model of human occupation were the most frequently used theories to guide interventions. Lack of documentation of theory use has significant implications for the value accorded to occupational therapy skills in health care. A larger study is recommended to increase external generalizability of the findings.     

Three Views of Artful Practice in Psychosocial Occupational Therapy

This qualitative study explored artfulness in the psychosocial practice of three occupational therapists through in-depth observation and interviews. Analysis focused on the therapist-client relationship, activity use, self-reflection, and the change process. Each therapist established an interpersonal connection while offering meaningful, engaging activities. In addition, each brought a distinct and unique personal view to treatment. Findings suggest that the art of practice in occupational therapy is constructed by the therapist's integrated balance of substance, form, and vision to achieve a coherent whole, which positively influences the personal views of substance, form, and vision in clients.     

Sit-to-stand movement in children: A longitudinal study based on kinematics data

Although the ability to stand from a seated posture is relevant for clinical practice, there are few studies investigating the process of acquisition and refinement of the motor components involved in sit-to-stand movement (STS) in children. Therefore, this longitudinal study aims to describe kinematic characteristics of the STS movement in children from 12 to 18 months, and also to investigate the relationship between changes in STS movement and childrens’ daily-life mobility. Ten healthy children were evaluated at 12,13,14,15 and 18 months of age. A motion analysis system was used to measure total duration of STS movement and angular movements of each joint, and frequencies of successful and unsupported STS were obtained. The Pediatric Evaluation of Disability Inventory was used to assess childrens’ daily-life mobility. Results showed that children tend to increase the frequency of successful trials over the months by reducing the total duration and decreasing peak ankle dorsiflexion and trunk flexion during STS. Children also started to stand up from chair with decreased trunk flexion angle among ages. At the end of the STS, we observed decreases in trunk flexion and knee flexion over age. Furthermore, kinematic characteristics that reflect improvements in STS movement are related to better performance of functional skills and decreased level of assistance provided by the caregiver in daily-life mobility of younger children. However, the strength of these associations decreases from 14 months of age onwards.     

Beyond Hopelessness

Abstract

The researchers conducted a needs assessment survey of practicing school-based occupational therapists to determine the incidence of grief within existing caseloads, current awareness of the issue, related concerns, and willingness or resistance to address grief in the intervention environment. The survey was administered to a representative sample of 150 school-based therapists throughout the state of Ohio. Fifty-six therapists responded with usable data.

The results suggest that the students who are currently on occupational therapy (OT) caseloads face a large number of grief issues. Although a majority of therapists reported addressing grief issues, only a small percentage typically do so for a variety of reasons. The school therapists offered a number of explanations for the limited follow-through on this issue. These findings support the profession's recent efforts to further establish occupational therapy as a well-recognized and respected provider of interventions to address the mental health and psychosocial needs of children in school settings.     

Being ordinary in extraordinary places: Reflective practice of the total situation in a total institution

This paper examines a ‘Foulkesian type’ Balint group for psychiatry trainees set in a high secure forensic hospital. Within a Balint group, group processes and dynamics are not examined. Deviation from this format is construed as resistance, and destructively getting in the way of the primary task.

This paper reports on a case‐based reflective practice group operating on a more Foulkesian group analytic model and argues that the revised principles of method proposed here – paying attention to context; group processes; and creating an atmosphere where group curative factors are in play – can help trainees to sustain an emotional reservoir for their patients. Further, these principles do not get in the way of the primary task but can add to an understanding of the individual transference and counter‐transference issues, and can place these in context within the organization and society. This is particularly important in total institutions such as forensic units.

Clinical material from this group is used to support this claim.