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111 Cards in this Set

  • Front
  • Back

Key findings from developmental psychology and neuroscienc

Learning Prenatially


Nature vs Nurture


Language development in Infancy


Music and the brain


Teen brain development

When do early intervention programs start?

age 2 to 3 - starts too late and ends too soon

Proof that babies learn in utero - MEG study

recording brain activity right after babies are born, in MEG - newborns listened to either normal speech sounds with rhythm and change in tone, or other strange sounds - babies responded better to the rhythmic sounds.


within a few hours babies have a normal coherent response to human sounds

Proof that babies learn in utero - Mom's voice vs


stranger's

differentiation of language, more left brain activity recorded ( music activates both sides of the brain), also preference for mom's voice over stranger's (more brain activity)

Proof that babies learn in utero - Mom's face and EEG recording (records baby's brain activity)

more brain activity with mom's face, then female stranger, then father's, then male stranger

Mirror neurons

the same network of neurons fire in your brain when you observe pain, then when you feel pain yourself

Mirror neuron study with babies at 6 months

response in mirror neuron system when observing expressions, most response to painful face




we don't know if babies can differentiate the emotions, but they have a very adult like brain response as recorded on EEG

How does experience affect how genes are expressed

epigenetics ( finish later)


Most of the genes in each person are dormant. • Experience affects which genes are turned on (and off), and when. • The environment participates in sculpting expression of the genome


effects of stress during pregnancy (rat study) rat mums exposed to stress during pregnancy tend to lick their pups less: leads to fearful, stressed out offspring

What are some of the benefits of having a rat mum that is not stressed out

lower levels of stress hormones, calmer during stress, show greater capacity to learn

Romanian orphanage study

brain, motor, sensory, sexual, developmental delays


health problems including diabetes etc

Can putting children in an enriched environment change their brains

high quality foster care vs. orphanage - grey and white matter, catching up in developmental milestones. Some changes in brain were reversed when taken into stimulating environment

What is the most important thing affecting kids

physical and mental health of the mother is the single most important factor determining

When does your ability to distinguish between languages (choose a preferred language)

between 9-12 months of age

How is language learning influenced by social conditions?

A live person teaching kids mandarin, gets better results than television exposure or tapes

Why Mozart doesn't make you smarter

listening to music activates your entire brain


during Mamma Mia and Back study - motor neurons firing more strongly during Mamma Mia


a study had come out with college students listening to mozart for 10 minutes, IQ went up by 10 points, and spacial intelligence went up, this prompted a marketing mozart for learning explosion 1999 a review study was published - there is no Mozart effect on cognition

What is the effect of music?

Musicians who play music do show more activation in certain parts of their brain. We don't know where is the effect of the nature and nurture. Are kids who play music already musically inclined.

Pediatric Physio's role

evaluate how this development is occurring


understand the 'normal' trajectory of development - see if there are any gaps - movement quality

different kinds of development for infants (domains)

cognitive,


social-emotional,


speech and language,


fine motor


gross motor (these are traditional divisions but everything works together)

explain variability in development

most children do not follow a linear development path, there are vast individual differences





when does the rooting/sucking reflex dissapear

within 3 motnhs, if you stroke them on the side they'll move towards that (purpose is for babies to move towards nipple to start sucking)


'food finding' stimulus

symmetrical tonic neck reflex function

orient their visual attention to their hands - dissapears by 4 to 6 months of age

explain primitive reflexes in babies

involuntary movements


low parts of central nervous system


if they are absent we may be concerned about neurological development of those parts


if the reflexes don't go away and integrate, we may be concerned about development of the higher centres of the brain

Teacher's summary of important points about primitive reflexes

present at birth


help 'helpless' babies


to develop visual integration etc.


They will dissapear within 6 months


prepare baby for basic movements and functions


symmetry point is important - responses should be pretty symmetric

moro reflex

protection, fling arms out to the side and bring them back to the body

grasping reflex

if you stroke their palm they will instinctively grasp it and not let go - very unpredictable - they could let go any second

traction reflex

flexes arms

Postural responses as babies get older

righting (hold the head in place - 6 tp 8 ,months - head and trunk will come back to centre), equilibrium and protective


reactions (arms will come out to support themselves if they are falling)

Theories of development - current best practice

we used to look at reflex -hierchy theory but trending towards sytems theory

What is the reflex-hierarchy theory?

reflexes show up at certain times in an infants life - spinal cord(primary reflexes), brainstem (postural reflexes), midbrain (righting reflex), cortex (voluntary movement)

POstural control from a systems perspective

we need to look wholistically, individaul and how they respond in their environment, looking at perceptual action coupling, balance not to just assess reflexes but how they negotiate different environments - context important

reflex theory

maturation of the CNS weighted more heavily than experience

systems theory

CNS maturation and experience as important factors in development

What happens to the brain when you listen to familiar vs unfamiliar music

more brain activation

Which areas of the brain were stimulated by listening to familiar melodies

auditory area, superior temporal gyrus (perception), limbic areas (making sense of emotions, making sense of previous experiences and tieing it in.

babinski reflex

stimulate the sole of the foot, extension of the big toe, fanning out of the rest of the toes


until the age of 2

Cephalo-caudal development

develop control of head within two months...development progresses downward


head needs to be supported still at one month

Proximal to distal deelopment

Trunk development starts first then moves distally

5Important principles of motor development

General to Specific


Proximal to distal


cephalo-caudal

at 5-8 months what way to babies learn to roll

rolling from front to back - prone to supine

by 6-7 months which way can a baby roll?

rolling from back to front (supine to prone) more purposeful

Typical milestones for sitting

Tripod at 5 months, independent at 6 months, can't turn to the side , by 7-8 months can turn and reach while sitting

Example of proximal to distal control

trunk to distal activation when you anticipate a loss of balance (you activate your core before your arm goes up)

what happens from 15 to 18 months in the motor development of babies in sitting posture

anticipatory muscle activations of the turnk and neck to prepare for reaching

motor milestones sitting - perceptual and motor integration (room appears to be moving visually, but proprioceptive input shows it is not)

visual input will dominate, babies will fall over

why is crawling such an important milestone for brain development?

because their world opens up with independent movement - get to make decisions - creates explosion in brain - perceptual areas of brain

bear crawl

muscle dissociation, more strength

visual cliff experiment

most infants will walk straight over plexi-glass because they have no experience, it will also depend on non-verbal cues from mom (scared vs. happy face)

lessons from visual cliff experiment

at six months babies can already understand facial cues...shows us that movements are guided by parents already

specificity of learning principle

what they in sitting must be relearned in standing perceptual experiences must be integrated with motor milestones (ie; a child might learn about distance in sitting position but once crawling they could jump off that edge, not having had that perceptual experience, and it not being translatable from sitting

Key points on development and experience

little effect on sequencing but can affect the timing

when does reaching and grasping begin

3-5 months -

which reflex helps with reaching

asymmetrycal tonic reflex

trajectory of grasping development

radial palmar grasp at 6-7 months


inferior pincer grasp at 8-9 months


pincer grasp (finally coordinated) 10-12 months

Piaget's theory - Sensorimotor Stage (birth-2 years)

period of time when an infant's knowledge of the world is limited to her/his sensory perceptions and motor activities (eg: someone with hearing impairment has no sense of the world behind them - this is why these children might have trouble with their balance - stepping over an object, going in a circle etc.) we have created a map in our brains based on visual and auditory cues.

why crying is important for babies

increases at two weeks, peaks around 2 months, decreases by 3 to 4 months, smiles to express pleasure by 2 months, recognizes and prefers familiar faces and voices, generally quiets when comforted, depends on parents to cope with emotions, and begins to learn self-soothing

newborns vision

full visual capacity including objects and colors, but nearsighted, attuned to high contrast, like faces over objects,

range that newborns can focus well in

8-15 inches away

apgar score key points

do not predict developmental outcomes


do predict mortality rate


first measure taken at birth

key points in taking developmental assessments

how are they integrating perceptual and motors stuff, evaluate functional limitations, evaluate significance of differences/delays from normal variability, developmental milestones are just one aspect of assesments

What factors are involved in learning to walk?

need muscle strength to support your body weight


have to be able to balance to be able to

experiment with child stepping over the rope

needs to anticipate in advance and integrate proprioceptive, with visual, with motor, goes over the masking tape just the right amount, she's used her proprioceptive skills


child with Down's Syndrome doesn't make anticipatory adjustments, nor does he integrate, then he overcompensates and puts his foot too high up.

How could you train someone to integrate and


anticipate (like a kid with Down's syndrome)

walk in several different environments


look at how technology impacts our perceptual motor development

reseach disputing piaget's observations

18 month olds give people what they want, which is different from what they want, at 15 months they give people what they like themselves (brocolli vs. goldfish)

social-emotional development

interested in other babies by 2 months


6-9 months - smiling and babbling with other babies


9-12 months, imitation and play


1-2 years - longer interactions with others - more complex

preschool social-emotional developmen

pretense, make up stories, elaborate pretend play

important change in middle childhood

time of life when a child's identity is set as they start to explore social relationships outside


also they go to school

physical growth - middle childhood

grow between 2 - 3 inches, add six pounds a year, imporved motor coordination - gross and fine motor, improved eye-hand coordination

middle childhood

changes in sensory and motor cortex -




10-12 years, frontal lobe changes, increase in synapses, coordination planning, abstract thought

critical shift when kids start school

kids start to reason at this age, and become really aware of rules, and really like them, like making up rules, make predictions, becoming more aware of the other person, shift how they speak to different groups of people

Which factors drive developmental changes

genes, environment, maturation of the brain, learning, experiences, culture

How do you deal with cultural paradigms to educate people

get them to see that they needed the visual imput, and sensory imput from their fingers to see that they need sensory information - and how i affects development (training lady health visitors)

Assessing Development - Product approach

product apporach - task oriented approach to measure the developmental of a skill - based on a maturational model -movement patterns are universal with a defined trajectory


motor behaviour approach - standardized tests - performance items

Process approach

focus is not on the end goal or the outcome, but tryign to understand the perceptual and cognitive processes and how these interact with the motor behaviour and skill - motor development is kind of emerging

When does adolescence start?

a lot of the changes associated with adolescence go to the mid twenties

changes in musculoskeletal system in adolescents

4.1 to 3.5 inches per year, chages in muscle length and cross sectional area, muscle tissue is about 25 percent of total body weight in innfant, 40% of total body weight in yougn adult

what things have an impact on adolescents' musculoskeletal systems

sleep


genetics


nutrition

implications of musculoskeletal

bone health relies on weight-bearing activity during the first few decades of life to achieve maximal potential

brain development in adolescence

grey matter is getting pruned - more abilities in terms of cognition, synapeses getting pruned, more ativity int he white matter - total brain volume reaches its peak at 11,15 ages and grey matter its peak 9, 11ages, with females and males respectively

limbic vs pre-frontal cortex development

limbic system develops earlier than the prefrontal system - risk taking behaviour brain centers develop earlier than cognition...imbalance with brain's controls on behaviour

important role of pt in motor learning

structure the environment such that it's transferable to real life (transfer of training)

key aspect of motor learning

relatively permanent changes in the person's action

how does motor learning emerge

perception-congnition-action process


practice or experience, and environment


how do we know it is learning?


inferred from behaviour


now we have evicdence in the brain

performance vs. learning

performance is a temporary change -


learning - have to be able to reproduce the skill the next day - the next weekend


learning wouldn't be influenced by performance variables.


(edit this)



how can we get a permanent change in behaviour -

processes in place so that skills are transferable between environments

motor development vs motor learning

motor development is a predictable sequence of events that is due to the maturation and growth of the nervous system - practice and experience does have an influence



Fitts three stages of motor learning

1) Cognitive stage - getting the idea - many mistakes - they may make lots of mistakes


2) Associative stage (how components of the skill are interrelated) -goal is to improve organization


3) Autonomous - automatic, candirect attention to other parts of the environment that will not effect them

Gentile - Two-stage model

Fixation


influences of the environment on what kinds of information the learner must acquire


Learner had to identify and selectively attend to the aspects


trajectory of ball, how fast the ball is going the size of the ball - the rperson that is learning then has to match what those features are with their own bodies -


Which things are irrelavant (like the Rio athletes who ignored the noise" (ignore the "non-regulatory" conditions

Gentile - stable vs changing environment emphasis - closed vs open skill

if the environment is unpredictable then you need to teach them to pay attention to the features of the environment athat are going to be very important (where other people are going, features of ice in the skating example)


The therapist can help them to understand and negotiate that

Pruning/changing of brain matter while learning

all kinds of parts of the brain are involved in learning, to process the feedback you get while you're moving


as you get better in the movement there is decreased activity of the brain - and other parts of the brain become active


cerebellum, basal ganglia (balance and coordination) still getting the sensory feedback but it becomes much more automatic.

brain activity in early learning

network of activity in cerebellum, basal ganglia and motor cortical regions


This network involved in error correction (cerebellar cortex) and planning during early learning

Later stage of learning

activity in motor regions of the learning network decreases


activity in areas involvd in working memory increases.

Later stage of learning

loss of activity in one area and more activity in a different area (vision area might get more active if another one is compromised)

important features of Practice for learning

dose


variability


role of mental rehearsal


physical guidance

how much practice is needed for learning to occur?

hundreds of daily repetitions of upper extremity practice


thousands of daily repetitions of gait

variability of practice principle

practice should involve solving the movement problem in different ways rather than solving it the same way over and over


variable practice enhances learning and transfer

whole vs part training

depends on complexity - if difficult - broken down is best - if it is simple - do it all at once


don't expect automatic skill transfer - it depends on context

guidance during practice - is it effective?

if your patients don't have any idea of how to start their movement. (stroke victims)


if you give too much guidance what people are actually learning is doing stuff with your help - timing is critical.

key components to really activate learning

- ACTIVE process - intrinsic sensory feedback


(passively driven movements will eliminate or distort the quality of these intrinsic sensations.

Role of Mental Rehearsal

Effective only is someone already has proficiency in the skill.



motor performance - coffee cup example

motor activation in the motor area and perception area even before she picked up the cup


when she observed the same movement, there was no firing in the motor area before the activity, but there was some faint activation when she watched the movement, but there was a lot activation in the parietal area

driving home her learning principles

finding a solution, trying different things under different environments, really does involve perceptual and motor and cognitive areas as well.

as a therapist while training remember

variability


context


stage of learning

Intrinsic feedback

Vestibular,

Augmented feedback (given by therapists)

can give it either as knowledge of performance or knowledge of results or a combination of the two

study on feedback and acquisition and retention

the group that got feedback every time made more errors than the group that didn't get as much feedback...because they weren't developing reliance on their own intrinsic feedback

why does 'knowledge of results' work

- motivating


- association between the stimulus and response (feedback and movement)



how to give knowledge of results - watch out for

augmented feedback can also degrade learning

Importance of sleep in learning

- rest periods - longer and often between repetiions is the key to performance and learning


- this is because sleep promotes learning-dependent synapse formation(post-synaptic dendritic spines are actually growing during sleep)

Transfer of learning

positive


negative


zero



The making of an expert

deliberate practice, amount and quality of practice - practicing the stuff you don't know


gifted performers need a minimum of ten years of intense training before they win international competitions

role of PT in the making of an exper

think about each session as an experiment