The programme is composed of guidelines for evaluating and improving 7 daily functions:
Upper limb function.
Oro-facial function.
Sitting up from supine.
Sitting.
Standing up and sitting down.
Standing.
Walking.
Each section is composed of a description of normal activity (essential movement components).
Mastery of a section is not necessary before going onto another section.
There is no intent of progressing from one section to the next; the order of sections is not important.
The patient must always be actively participating in the activity (without resistance) and given some opportunity to make mistakes.
Intervention
The Four Steps of the Motor Relearning Programme:
1. ANALYSIS OF TASK:
Observation
Comparison
Analysis
2. PRACTICE OF MISSING COMPONENTS:
Explanation – Identification of goal
Instruction
Practice plus verbal and visual feedback plus manual guidance
3. PRACTICE OF TASK:
Explanation – Identification of goal
Instruction
Practice plus verbal and visual feedback plus manual guidance
Progression:
Increase complexity
Add variety
Decrease feedback and guidance
Re-evaluation
Encourage flexibility
4. TRANSFERENCE OF LEARNING:
Opportunity to practice in context
Consistency of practice and positive reinforcement
Organization of self-monitored practice
Structured and stimulating learning environment
Involvement of relatives and staff
PHYSIOHEALER. 