Go-No-Go: A primer + applications

Functional mobility in a dynamic environment (objects, pedestrians in motion) requires decision making. At varied levels of daily mobility and athletics, one might be confronted with questions like, “Can I make it across before the light changes?”; “Can I catch this fly ball in the air, or do I need to slow-down and block it […]

On the subject of Functional Syndromes…

In 2-5 years, maybe less as fast as things seem to be advancing these days – will we have “discovered” more functional syndromes? At this time, we are well-aware of Functional Neurologic Disorders and realize a wide array of syndromes under this umbrella. The comprehensive list of these sub-syndromes and disorders are best left to […]

On the importance of measurement…

Did I improve? This is a common question in all forms of learning and rehabilitation, that comes in many forms. That question may be asked in performing arts, “How did that sound?” or “How did that look?” to athletics, rehabilitation, learning to drive, and even avocations. The question can be answered externally, by another person […]

Recipes for Motor Learning – No substitutes!

If you truly “CARE” about motor learning, you will follow this recipe for your patients: Constraints, Affordances, Rewards, and Expectations! Constraints challenge the brain and body with overloading principles of distractions, weights, speed/timing, pressure, difficulty (more defenders/players on the field), etc. Affordances are the solutions created and potentially stored by the learner. Opportunities perceived, if […]

Where is the value?

As I write this, on March 29th, our community has not yet felt the full impact of Covid-19, that we will endure over the next few weeks. We are working with patients to schedule in-person (where needed, by exception) and telehealth visits. Some patients are reluctant, some excited to schedule telehealth across our practice (21 […]

Find Your Run

In these unprecedented and trying, even dangerous times, depression should be expected. Situational depression, like we have never seen before, can become the norm. I am an expert on myself, on motor control and motor learning – but not much else. So, mental health is not an area of expertise…but, I am encouraging people to […]

Enhanced Expectancies and the history of the NBA

The OPTIMAL theory of motor learning (Lewthwaite, Wulf 2016) espouses the anticipation and priming of the dopaminergic reward system causing increased attention, intensity and potentially reward reinforcing learning, called enhanced expectancies. We can apply this concept on and for our patients using cues, practice, and structure, setting them up initially for success that can build their […]

The Hybrid of Motor Learning and Motivation…

Feedback frequency, specficity of practice, intensity, repetitions…yes, we know many of the essential components of motor learning in rehabilitation AND how to best manipulate them now both in recovery of function and in learning of novel task. In 2016, Wulf and Lewthwaite added the OPTIMAL theory to what we knew. The authors added concepts of […]

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