Abstract
The successful rehabilitation of a patient following a CVA is largely dependent on the effective relearning of previous motor skills or the learning of new skills. An understanding of the components of motor function and control and the principles of the learning process is therefore essential. Functional activities may be used as an optimal means of combining these principles so as to improve the efficacy of physiotherapy treatment. Two case studies are used to illustrate this approach.
Highlights
Following a CVA, a person remains an individual who must function within the surrounding environment and community
Tasks present a wide variety of dem ands to the individual; if the person is to function effectively he will have to possess certain basic abilities, but he will have to be an effective problem-solver
Since it is not possible to cover each precise requirement of the wide range of daily tasks facing the client, the therapist will have to integrate treatment principles and techniques aimed at improving motor skills with those aimed at promoting problem-solving skills
Summary
This view has two key features: in addition to therapeutic skills, know ledge of m otor behaviour is required, as well as an understanding of the principles underlying the learning process and the modern trend of incorporation of specific tasks or activities within treatment sessions should not be limited to the clinical setting, but should be extended to include both the client's home environment and his home-programme. (Physiotherapists, Centre for Care and Rehabilitation of the Disabled, University of Stellenbosch)
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