Early Stage Rehab
Cards (9)
- Early Stage Rehabilitation
- hospital based
- Characteristics of early (cognitive) learners:
- Large, frequent errors
- Inconsistent
- Inefficient
- Effortful
- High cognitive load
- Easily fatigued
- High anxiety
- Principles of rehabilitation:
- Reduce cognitive load
- Constant vs variable
- Blocked vs random
- Distributed practice (not massed)
- Task specific (as far as possible)
- Whole or part practice?
- Demonstrate and give meaningful cues
- Bandwidth feedback for critical errors
- Early Stage Rehabilitation (hospital based)
- Address impairment specifically i.e. as related to the task such as:
- Individual:
- Strengthening
- Balance
- Soft tissue shortening
- Environment:
- Quiet
- Minimal distractions
- Early Stage Rehabilitation (hospital based) - Task:
- Part/whole task specific practice
- Simplify/segment
- Practice conditions:
- Distributed practice (fatigue quickly, continuous task)
- May need to start with constant and progress to variable
- Organisation of practice
- Blocked practice with frequent rests
- Instruction and feedback
- Feedback with focus on critical errors
- Clear demonstration
- Simple cues
- Safety/manual handling
- Early Stage Rehabilitation (hospital based) - Aids and adaptations:
- Ceiling track
- Parallel bars
- Treadmill training
- Walking frames
- Staff (two, three, four +/- wheelchair behind)
- Rehabilitation Progression - Individual:
- Continue to address task specific impairments
- Rehabilitation Progression - Environment:
- Decrease support:
- Remove/change aids and adaptations
- Less physical and emotional support
- Less feedback
- Change surfaces
- Change environment
- Gym, ward, hospital atrium, home, outdoors
- Rehabilitation Progression - Task:
- Increase:
- Distance
- Time
- Speed
- Frequency
- Start/stop/change direction
- Blocked to random/variable practice
- Part into whole task
- Steady state to dual/multitask (walk, talk, carry)