Effect of Manual Guidance Versus Knowledge of Performance in Weight Bearing Skill Training of Different Durations Among Young Healthy Subjects Using Bathroom Scale – A Comparative Study

Life Sciences-Physiology

Authors

  • Moushami Purkayastha PhD Scholar, Department of Physiotherapy, Assam Down Town University, Guwahati, Assam, India.
  • P.C Sarma Chairperson, Faculty of Paramedical Sciences, Assam Down Town University, Panikhaiti Guwahati, Assam, India.
  • Sankar Sahayaraj Muthukaruppan Early Intervention coordinator, Amar Seva Sangam, Ayikudy,Tamil Nadu, India https://orcid.org/0000-0001-6133-3173

DOI:

https://doi.org/10.22376/ijpbs/lpr.2022.12.5.L237-248

Keywords:

Manual Guidance, Knowledge of Performance, Weight Bearing Skill, Bathroom Scale, Healthy subjects

Abstract

Distribution of body weight is a significant factor influencing Postural Stability and is one of the measures of balance, to quantify the extent of deficiency in Postural Control of stroke survivors. The study aims to compare the effectiveness of manual guidance and knowledge of performance in healthy subjects and the objective assessed was 70 % of weight bearing skill on the dominant limb at three different durations of post10 minutes, post 15 days and post one month of practice. Sixty subjects participated in the study and were randomly allocated into two groups and assigned the task of distributing their weight at a 70:30 ratios between their feet, which was tested for the ability of Retention in: Ten Minutes, 15 Days, and one month of practicing. Both the groups were analyzed depending on Manual Guidance and Knowledge of Performance received, respectively, and found to demonstrate significant differences (p<0.01). Group analysis was done using one-way ANOVA. These study advocates for both manual guidance and knowledge of performance as an effective mode of training the young healthy subject’s symmetrical weight bearing skill. However, knowledge of performance is comparatively more effective in retaining the learned skills as compared to manual guidance. So in the long after term when the goal is long term, utilization of knowledge of performance will prove more effective in motor skill training. Keywords: , , , , 

References

Schmidt RA, Lee TD. 4th ed. Champaign. 2006. Motor Control and Learning: A Behavioral Emphasis;III: Human Kinetics:277-98.

Jarus T. Motor learning and occupational therapy: the organization of practice. Am J Occup Ther. 1994;48(9):810-6. doi: 10.5014/ajot.48.9.810, PMID 7977624.

Bilodeau IM. Information feedback. In: Bilodeau EA, editor, The Acquisition of skill. New York: Academic Press; 1966. p. 225-96.

Sage GH. 1984. Motor learning and control: A neuropsychological approach: Wm.C. Brown publishers, Dubuque, Iowa.

Salmoni AW, Schmidt RA, Walter CB. Knowledge of results and motor learning: a review and critical reappraisal. Psychol Bull. 1984;95(3):355-86. doi: 10.1037/0033-2909.95.3.355, PMID 6399752.

Schmidt RA. Motor skills. New York: Harper & Row Publishers Inc; 1975. p. 85-96.

Trowbridge MH, Cason H. An experimental study of Thorndike’s theory of learning. The Journal of General Psychology. 1932;7(2):245-60. doi: 10.1080/00221309.1932.9918465.

Summers JJ. Motor programs. In: Holding D, editor: Human skills. New York: John Wiley & Sons Inc; 1981. p. 48-61.

Schmidt RA. Motor control and learning: A behavioral emphasis. Champaign, IL: Human Kinetics Publishers Inc; 1982. p. 534-44.

Adams JA. A closed-loop theory of motor learning. J Mot Behav. 1971;3(2):111-49. doi: 10.1080/00222895.1971.10734898, PMID 15155169.

Keele SW 1982. Learning and control of coordinated motor programs: the programming perspective. Human motor behavior: an introduction Kelso JAS, editor, 161-86.

Kelso AS. Concepts and issues in human motor behavior: coming to grips with the jargon. In: Kelso JAS, editor Human motor behavior: an introduction; 1982. p. 21-67.

Trombly CA. Occupational therapy for physical dysfunction. 3rd ed. Baltimore: Williams & Wilkins; 1989.

McGill RA. Motor learning concepts and applications. 6th ed. McGraw-hill; 2001. p. 169, 235-44, 246-63.

Summers. In: Holding D, editor, Human skills. 2nd ed, pp. New York: Wiley; 1989. Motor programs. p. 49-69.

Rosenbaum DA. Motor programming: a review and scheduling theory. In: Heuer H, Kleinbeck U, Schmidt KH, editors, Motor behavior: programming, control and acquisition. New York: Springer-Verlag; 1985. p. 1-33.

Brooks VB. The neural basis of motor control. Oxford, England: Oxford University Press; 1986.

Cooper LK, Rothstein AL. Videotape replay and the learning of skills in open and closed environments. Res Q Exerc Sport. 1981;52(2):191-9. doi: 10.1080/02701367.1981.10607857, PMID 7268176.

Schmidt RA, Lee TD. Motor control and learning. A behavioral emphasis. Champaign, IL: Human Kinetics Publishers; 1999.

Ben Sidaway PT, Ahn S, Boldeau P, Griffin S, Noyes B, Kristin Pelletier PT. A Comparison of Manual Guidance and Knowledge of Results in the Learning of a Weight-bearing Skill Journal of Neurologic. Phys Ther. 2008; 32:32-8.

Winstein CJ, Pohl PS, Lewthwaite R. Effects of physical guidance and knowledge of results on motor learning: support for the guidance hypothesis. Res Q Exerc Sport. 1994;65(4):316-23. doi: 10.1080/02701367.1994.10607635, PMID 7886280.

Wulf G, Shea CH, Whitacre CA. Physical-guidance benefits in learning a complex motor skill. J Mot Behav. 1998;30(4):367-80. doi: 10.1080/00222899809601351, PMID 20037040.

Salmoni AW, Schmidt RA, Walter CB. Knowledge of results and motor learning: a review and critical reappraisal. Psychol Bull. 1984;95(3):355-86. doi: 10.1037/0033-2909.95.3.355, PMID 6399752.

Winstein CJ, Schmidt RA. Reduced frequency of knowledge of results enhances motor skill learning. J Exp Psychol Learn Mem Cogn. 1990;16(4):677-91. doi: 10.1037/0278-7393.16.4.677.

Park JH, Shea CH, Wright DL. Reduced-frequency concurrent and terminal feedback: a test of the guidance hypothesis. J Mot Behav. 2000;32(3):287-96. doi: 10.1080/00222890009601379, PMID 10975276.

Bourbonnais D, Bilodeau S, Lepage Y, Beaudoin N, Gravel D, Forget R. Effect of force-feedback treatments in patients with chronic motor deficits after a stroke. Am J Phys Med Rehabil. 2002;81(12):890-7. doi: 10.1097/00002060-200212000-00002, PMID 12447087.

Ledebt A, Becher J, Kapper J, Rozendaalr RM, Bakker R, Leenders IC, et al. Balance training with visual feedback in children with hemiplegic cerebral palsy: effect on stance and gait. Mot Control. 2005;9(4):459-68. doi: 10.1123/mcj.9.4.459, PMID 16333148.

Cirstea CM, Ptito A, Levin MF. Feedback and cognition in arm motor skill reacquisition after stroke. Stroke. 2006;37(5):1237-42. doi: 10.1161/01.STR.0000217417.89347.63, PMID 16601218.

Hanlon RE. Motor learning following unilateral stroke. Arch Phys Med Rehabil. 1996;77(8):811-5. doi: 10.1016/s0003-9993(96)90262-2, PMID 8702377.

Winstein CJ, Gardner ER, McNeal DR, Barto PS, Nicholson DE. Standing balance training: effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil. 1989;70(10):755-62. PMID 2802955.

Mudie MH, Winzeler-Mercay U, Radwan S, Lee L. Training symmetry of weight distribution after stroke: A randomized controlled pilot study comparing task-related reach, Bobath and feedback training approaches. Clin Rehabil. 2002;16(6):582-92. doi: 10.1191/0269215502cr527oa, PMID 12392332.

Cheng PT, Wang CM, Chung CY, Chen CL. Effects of visual feedback rhythmic weight-shift training on hemiplegic stroke patients. Clin Rehabil. 2004;18(7):747-53. doi: 10.1191/0269215504cr778oa, PMID 15573830.

Engardt M, Ribbe T, Olsson E. Vertical ground reaction force feedback to enhance stroke patients’ symmetrical body-weight distribution while rising/sitting down. Scandinavian Journal of Rehabilation Medicine. 1993;25(1):41-8.

Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Physical therapy and Rehabilitation [journal]. 2000; 80:886-95.

Wannstedt GT, Herman RM. Use of augmented sensory feedback to achieve symmetrical standing. Physical therapy and Rehabilitation [journal]. 1978; 58:553-9.

Yoo EY, Chung BI. The effect of visual feedback plus mental practice on symmetrical weight-bearing training in people with hemiparesis. Clin Rehabil. 2006;20(5):388-97. doi: 10.1191/0269215506cr962oa, PMID 16774089.

Swanson LR, Lee TD. Effects of aging and schedules of knowledge of results on motor learning. J Gerontol. 1992;47(6): P406-11. doi: 10.1093/geronj/47.6. p406, PMID 1430863.

Carnahan H, Vandervoort AA, Swanson LR. The influence of aging and target motion on the control of prehension. Exp Aging Res. 1998;24(3):289-306. doi: 10.1080/036107398244265, PMID 9642554.

Shea CH, Wulf G. Enhancing motor learning through external-focus instructions and feedback. Hum Mov Sci. 1999;18(4):553-71. doi: 10.1016/S0167-9457(99)00031-7.

Swinnen SP, Schmidt RA, Nicholson DE, Shapiro DC. Information feedback for skill acquisition: instantaneous knowledge of results degrades learning. J Exp Psychol Learn Mem Cogn. 1990;16(4):706-16. doi: 10.1037/0278-7393.16.4.706.

Newell KM. Motor learning without knowledge of results through the development of a response recognition mechanism. J Mot Behav. 1976;8(3):209-17. doi: 10.1080/00222895.1976.10735074, PMID 23964577.

Published

2022-08-24

How to Cite

Purkayastha, M., Sarma, P., & Muthukaruppan, S. S. (2022). Effect of Manual Guidance Versus Knowledge of Performance in Weight Bearing Skill Training of Different Durations Among Young Healthy Subjects Using Bathroom Scale – A Comparative Study: Life Sciences-Physiology. International Journal of Life Science and Pharma Research, 12(5), L237-L248. https://doi.org/10.22376/ijpbs/lpr.2022.12.5.L237-248

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Section

Research Articles