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I mplicit Memory in Physiotherapy w Derby 2014 w andrew.clyne@nhs.net w Avon and Wiltshire Mental Health Partnership NHS Trust. User Warning. A Person Centred Approach will help you decide which approaches to use. Please keep this in mind: This is not MSK Physiotherapy.

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  1. Implicit Memory in PhysiotherapywDerby 2014 wandrew.clyne@nhs.netwAvon and Wiltshire Mental Health Partnership NHS Trust

  2. User Warning A Person Centred Approach will help you decide which approaches to use. Please keep this in mind: This is not MSK Physiotherapy.

  3. 3 Approaches • Traditional Approach (Fitts & Posner) • Rosemary Oddy http://www.alzheimers.org.uk/mobilitystrategies • Implicit Memory Approaches . Andrew Clyne - Agility Journal Summer 2013

  4. Fitts and Posner Model 1967

  5. Objectives • Implicit vs. Explicit Memory • Priming • Errorless learning • Repeated Constant Practice • Required Repetitions • Avoiding Multi-tasking

  6. Implicit and Explicit Memory .

  7. Changing Lanes Macuga et al 2007

  8. Implicit Memory and MoodSabat 2006 • .

  9. Implicit Memory and Communication

  10. Priming .

  11. Henry Gustav Molaison - HM

  12. Errorless Learning

  13. Errorless Learning Maxwell et al 200180 x 50 = 400 Reps Error full Learning Develop hypothesis Correct Errors Explicit Learning • More vulnerable to breakdown under dual task • Lower level of retention of skill Errorless Learning Passive Learning Little hypothesis Implicit Learning • Less likely to breakdown under dual task • Higher level of retention of skill

  14. Constant Practice(Dick et al 1996)

  15. Variable Practice(Dick et al 1996)

  16. How Many Reps?

  17. How Many Passes?http://www.youtube.com/watch?v=Ahg6qcgoay4

  18. Avoiding Multi-TaskingBoyd and Winstein 2006

  19. Case Study (Aug 2013)

  20. Objectives • Implicit vs. Explicit Memory • Priming • Errorless learning • Repeated Constant Practice • Required Repetitions • Avoiding Multi-Tasking

  21. Rehab Potential? Motor learning may represent an island of saved functioning in the midst of the devastating cognitive losses associated with (Alzheimer’s) dementia. (Dick et al 1996) We should be fitting our approaches to the patient not judging people’s ability to fit our traditional approach.

  22. “The session you did for us has stuck in my mind” andrew.clyne@nhs.net

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