Does the motor learning need to be "error-free" with balance training?
Answer
No. Error-free is a relative concept. When we see a person stumble all over the place and they are hurting themselves, of course that is the unsafe range. But then if they take a step because they just stood up and they lose their balance, it does not mean that they are going to lose their balance forever or in the future. As we know with frequent exposure in varying contexts, our CNS will eventually adapt. That is why it is very important for us to think about treatment interventions in which we are exposing the client frequently to the same conditions that we want them to learn. Whenever there is an error that happens, it is okay. We just have to figure out why is this error happening, what is it that we can do so that error will not occur again or a patient, in the event of an error, could anticipate and recover without hurting themselves.
Continued and its subsidiaries provide professional education authored by qualified Subject Matter Experts for continuing education purposes. These materials are intended for educational purposes and do not constitute medical advice or a substitute for individual clinical judgment. Continued is not a clinical healthcare provider; the licensed professional is solely responsible for ensuring that the application of any techniques or information presented is within their legal scope of practice and jurisdictional requirements.
Salvador Bondoc, OTD, OTR/L, CHT, FAOTA
Dr. Salvador Bondoc is an occupational therapist specializing in rehabilitating the upper extremity with 25+ years of clinical and academic experience. He has published and presented nationally and internationally on topics including shoulder rehabilitation, orthotics, neurological hand, and occupation-based UE rehab. Currently, he is the Dean of Chatham University’s School of Health Sciences and serves as a Board Member of the Accreditation Council for Occupational Therapy Education.
Related Courses
1https://www.occupationaltherapy.com/ot-ceus/course/fundamentals-shoulder-rehab-for-ot-5930Fundamentals Of Shoulder Rehab For The OT Practitioner, Part 1This first course of four-part series provides fundamental anatomical, biomechanical, and pathomechanical concepts in the evaluation and management of common shoulder conditions. This course will also review concepts of tissue healing and will provide a general overview of medical-surgical management approaches.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comFundamentals Of Shoulder Rehab For The OT Practitioner, Part 1This first course of four-part series provides fundamental anatomical, biomechanical, and pathomechanical concepts in the evaluation and management of common shoulder conditions. This course will also review concepts of tissue healing and will provide a general overview of medical-surgical management approaches.5930OnlinePT60M
'Lots of great info and explanations for why people experience pain and discomfort in the shoulder joint'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 06629; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-999908; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This first course of four-part series provides fundamental anatomical, biomechanical, and pathomechanical concepts in the evaluation and management of common shoulder conditions. This course will also review concepts of tissue healing and will provide a general overview of medical-surgical management approaches.
2https://www.occupationaltherapy.com/ot-ceus/course/fundamentals-shoulder-rehab-for-ot-5931Fundamentals Of Shoulder Rehab For The OT Practitioner, Part 2This second course of the four-part series will provide a focus on the various considerations when conducting an OT evaluation of common shoulder conditions throughout the continuum of recovery. Particular emphasis is given on combining occupation-centered care with evidence-based guidelines and inter-/intra-professional practice.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comFundamentals Of Shoulder Rehab For The OT Practitioner, Part 2This second course of the four-part series will provide a focus on the various considerations when conducting an OT evaluation of common shoulder conditions throughout the continuum of recovery. Particular emphasis is given on combining occupation-centered care with evidence-based guidelines and inter-/intra-professional practice.5931OnlinePT60M
'I once again enjoyed how thorough he was able taking a good history, how we can apply that with the occupational therapy lens, and make recommendations in a collaborative way that can help our patients'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 06629; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-1003710; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This second course of the four-part series will provide a focus on the various considerations when conducting an OT evaluation of common shoulder conditions throughout the continuum of recovery. Particular emphasis is given on combining occupation-centered care with evidence-based guidelines and inter-/intra-professional practice.
3https://www.occupationaltherapy.com/ot-ceus/course/fundamentals-shoulder-rehab-for-ot-5932Fundamentals Of Shoulder Rehab For The OT Practitioner, Part 3This third course of the four-part series will provide a focus on the various considerations in the management of common shoulder conditions during the pre-operative, emergent, and acute stages. Particular emphasis is given to the application and integration of occupation-centered care with evidence-based guidelines.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comFundamentals Of Shoulder Rehab For The OT Practitioner, Part 3This third course of the four-part series will provide a focus on the various considerations in the management of common shoulder conditions during the pre-operative, emergent, and acute stages. Particular emphasis is given to the application and integration of occupation-centered care with evidence-based guidelines.5932OnlinePT60M
'Once again, I felt that it was very thorough especially when it came to the acute exercise phase'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 06629; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-1009584; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This third course of the four-part series will provide a focus on the various considerations in the management of common shoulder conditions during the pre-operative, emergent, and acute stages. Particular emphasis is given to the application and integration of occupation-centered care with evidence-based guidelines.
4https://www.occupationaltherapy.com/ot-ceus/course/fundamentals-shoulder-rehab-for-ot-5933Fundamentals Of Shoulder Rehab For The OT Practitioner, Part 4This fourth course of the four-part series will provide a focus on the various considerations in the conservative/non-operative management of common shoulder conditions as well as post-acute post-surgical stages. Particular emphasis is given to the application and integration of occupation-centered care with evidence-based guidelines.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comFundamentals Of Shoulder Rehab For The OT Practitioner, Part 4This fourth course of the four-part series will provide a focus on the various considerations in the conservative/non-operative management of common shoulder conditions as well as post-acute post-surgical stages. Particular emphasis is given to the application and integration of occupation-centered care with evidence-based guidelines.5933OnlinePT60M
'Informative, detailed, and easy to understand'Read Reviews
AOTA/0.1 Intermediate, OT Service Delivery, Foundational Knowledge, 06629; CE Broker/1.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-1036650; IACET/0.1; NBCOT PDUs/1.25 Intermediate, Rehabilitation
This fourth course of the four-part series will provide a focus on the various considerations in the conservative/non-operative management of common shoulder conditions as well as post-acute post-surgical stages. Particular emphasis is given to the application and integration of occupation-centered care with evidence-based guidelines.
5https://www.occupationaltherapy.com/ot-ceus/course/aging-and-vision-occupational-therapy-5497Aging and Vision: The Occupational Therapy RoleCommonly encountered visual deficits in the geriatric population will be discussed including screening and intervention techniques within Occupational Therapy Practice Framework.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyOccupationalTherapy.comwww.occupationaltherapy.comAging and Vision: The Occupational Therapy RoleCommonly encountered visual deficits in the geriatric population will be discussed including screening and intervention techniques within Occupational Therapy Practice Framework.5497OnlinePT120M
AOTA/0.2 Introductory, OT Service Delivery, Foundational Knowledge, 04043; CE Broker/2.0 General (FL), Patient Related (AL), General Continuing Education (GA), Direct Client/patient Services In Occupational Therapy (SC), Related To OT (AZ), Related To OT (LA), Directly Related To OT (MS), Directly Related To OT (TN), CE Broker #20-908925; IACET/0.2; NBCOT PDUs/2.5 Beginner, Geriatrics
Commonly encountered visual deficits in the geriatric population will be discussed including screening and intervention techniques within Occupational Therapy Practice Framework.
