Instruções explícitas na aprendizagem motora de crianças com Paralisia Cerebral

Autores

DOI:

https://doi.org/10.34024/rnc.2023.v31.15248

Palavras-chave:

memória implicita, memória explícita, aprendizagem motora, paralisia cerebral

Resumo

Introdução. A paralisia cerebral (PC) é primariamente um distúrbio neuromotor que afeta o desenvolvimento do movimento, tônus ​​muscular e postura. Considerando que a principal característica das crianças com paralisia cerebral são as deficiências neuromotoras, compreende-se que a ampliação da funcionalidade decorra de um planejamento que objetive a prevenção de agravos musculoesqueléticos secundários, a potencialização das capacidades motoras e maior envolvimento em atividades de mobilidade e tarefas do cotidiano. Objetivo. Avaliar a influência do conhecimento explícito na aprendizagem motora de crianças com PC. Método. Trata-se de um relato de casos realizado na Universidade São Francisco, campus Bragança Paulista. Foram incluídas 2 crianças com PC de 4 anos. Os responsáveis foram notificados por meio de contato telefônico e orientados sobre o treinamento e finalidade da pesquisa. Resultados. A utilização de instruções explícitas nas fases iniciais da aprendizagem motora de crianças com PC favoreceu a aquisição de habilidades com estabilização e retenção precoce nos dois casos apresentados. Conclusão. A utilização de instruções explícitas durante a aprendizagem motora de crianças com PC pode favorecer a aquisição de habilidades com estabilização e retenção precoce, todavia, não é possível afirmar sua relevância para generalização dos ganhos.

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Referências

Graham HK, Rosenbaum P, Paneth N, Dan B, Lin JP, Damiano DL, et al. Cerebral palsy. Nature Rev Dis Prim 2016;2:15082. https://doi.org/10.1038/nrdp.2015.82

Schoenmaker J, Houdijk H, Steenbergen B, Reinders-Messelink HA, Schoemaker MM. Effectiveness of different extrinsic feedback forms on motor learning in children with cerebral palsy: a systematic review. Disabil Rehab 2023;45:1271-84. https://doi.org/10.1080/09638288.2022.2060333

Patel DR, Neelakantan M, Pandher K, Merrick J. Cerebral palsy in children: a clinical overview. Translat Ped 2020;9:S125-35. https://doi.org/10.21037/tp.2020.01.01

Novak I, Mclntyre S, Morgan C, Campbell L, Dark L, Morton N, et al. A systematic review of interventions for children with cerebral palsy: state of the evidence. Dev Med Child Neurol 2013;55:885-910. https://doi.org/10.1111/dmcn.12246

Huang H, Fetters L, Hale J, McBride A. Bound for Success: A Systematic Review of Constraint-Induced Movement Therapy in Children With Cerebral Palsy Supports Improved Arm and Hand Use. Phys Ther 2009;89:1126-41. https://doi.org/10.2522/ptj.20080111

Kandel ER. Cellular mechanisms of learning and the biological basis of individuality. In: Kandel ER, Schwartz JH, Jessel TM (eds.). Principles of Neuroscience. New York: McGraw Hill; 2000; p.1247-79.

Mazzoni P. An Implicit Plan Overrides an Explicit Strategy during Visuomotor Adaptation. J Neurosci 2006;26:3642-5. https://doi.org/10.1523/JNEUROSCI.5317-05.2006

Smith MA, Ghazizadeh A, Shadmehr R. Interacting Adaptive Processes with Different Timescales Underlie Short-Term Motor Learning. PLoS Biol 2006;4:e179. https://doi.org/10.1371/journal.pbio.0040179

Karni A, Meyer G, Jezzard P, Adams MM, Turner R, Ungerleider LG. Functional MRI evidence for adult motor cortex plasticity during motor skill learning. Nature 1995;377:155-8. https://doi.org/10.1038/377155a0

Karni A. The acquisition of perceptual and motor skills: a memory system in the adult human cortex. Cogn Brain Res 1996;5:39-48. https://doi.org/10.1016/s0926-6410(96)00039-0

Keele SW, Posner MI. Processing of visual feedback in rapid movements. J Exp Psychol 1968;77:155-8. https://doi.org/10.1037/h0025754

Adams JA. A closed-loop theory of motor learning. J Mot Behav 1971;3:111-150. https://doi.org/10.1080/00222895.1971.10734898

Schmidt RA. A schema theory of discrete motor skill learning. Psychol Rev 1975;82:225-60. https://doi.org/10.1037/h0076770

Shimamura AP, Janowsky JS, Squire LR. Memory for the temporal order of events in patients with frontal lobe lesions and amnesic patients. Neuropsychologia 1990;28:803-13. https://doi.org/10.1016/0028-3932(90)90004-8

Clark RE, Squire LR. Classical conditioning and brain systems: the role of awareness. Science 1998;280:77-81. https://doi.org/10.1126/science.280.5360.77

Squire LR, Zola-Morgan S. The medial temporal lobe memory system. Science 1992;253:1380-6. https://doi.org/10.1126/science.1896849

Packard M, Hirsh R, White N. Differential effects of fornix and caudate nucleus lesions on two radial maze tasks: evidence for multiple memory systems. J Neurosci 1989;9:1465-72. https://doi.org/10.1523/JNEUROSCI.09-05-01465.1989

Knowlton BJ, Mangels JA, Squire LR. A Neostriatal Habit Learning System in Humans. Science 1996;273:1399-402. https://doi.org/10.1126/science.273.5280.1399

Schacter DL. Implicit memory: History and current status. J Exp Psychol Learning Mem Cogn 1987;13:501-18. https://doi.org/10.1037/0278-7393.13.3.501

Brown RG. The role of cortiço-striatal circuits in learning sequential information. Parkinsons Dis Adv Neurol 1999;80:31-9. https://pubmed.ncbi.nlm.nih.gov/10410700/

Buszard T, Masters RS, Farrow D. The generalizability of working-memory capacity in the sport domain. Curr Opin Psychol 2017;16:5477. https://doi.org/10.1016/j.copsyc.2017.04.018

Halsband U, Lange RK. Motor learning in man: A review of functional and clinical studies. J Physiol 2006;99:414-24. https://doi.org/10.1016/j.jphysparis.2006.03.007

Maxwell JP, Masters RSW, Eves FF. The role of working memory in motor learning and performance. Consci Cogn 2003;12:376-402. https://doi.org/10.1016/s1053-8100(03)00005-9

Buszard T, Farrow D, Verswijveren SJJM, Reid M, Williams J, Polman R, et al. Working memory capacity limits motor learning when implementing multiple instructions. Front Psychol 2017;8:1350. https://doi.org/10.3389/fpsyg.2017.01350

Masters RS, Poolton JM, Maxwell JP, Raab M. Implicit Motor Learning and Complex Decision Making in Time-Constrained Environments. J Motor Behav 2008;40:71-9. https://doi.org/10.3200/JMBR.40.1.71-80

Buszard T, Farrow D, Zhu FF, Masters RSW. Examining movement specific reinvestment and working memory capacity in adults and children. Inter J Sport Psychol 2013;44:351-66. https://doi:10.7352/IJSP.2013.44.351.

Tse ACY, Fong SSM, Wong TWL, Masters R. Analogy motor learning by young children: a study of rope skipping. Eur J Sport Sci 2016;17:152-9. https://doi.org/10.1080/17461391.2016.1214184

Masters RSW. Knowledge, knerves and know-how: The role of explicit versus implicit knowledge in the breakdown of a complex motor skill under pressure. Brit J Psychol 1992;83:343-58. https://doi.org/10.1111/j.2044-8295.1992.tb02446.x

Masters RS, Poolton JM, Maxwell JP, Raab M. Implicit motor learning and complex decision making in time-constrained environments. J Motor Behav 2008;40:71-9. https://doi.org/10.3200/JMBR.40.1.71-80

Liao CM, Masters RSW. Analogy learning: A means to implicit motor learning. J Sports Sci 2001;19:307-19. https://doi.org/10.1080/02640410152006081

Masters RSW. Theoretical aspects of implicit learning in sport. Inter J Sport Psychol 2000;31:530-41. https://psycnet.apa.org/record/2001-16706-010

Wulf G, McNevin N, Shea CH. The automaticity of complex motor skill learning as a function of attentional focus. Quart J Exp Psychol Hum Exp Psychol 2001;54:1143-54. https://doi.org/10.1080/713756012

Wulf G, Shea C, Lewrhwaite R. Motor skill learning and performance: a review of influential factors. Med Edu 2010;44:75-84. https://doi.org/10.1111/j.1365-2923.2009.03421.x

Steenbergen B, Gordon AM. Activity limitation in hemiplegic cerebral palsy: evidence for disorders in motor planning. Develop Med Child Neurol 2006;48:780. https://doi.org/10.1017/S0012162206001666

Steenbergen B, Jongbloed-Pereboom M, Spruijt S, Gordon AM. Impaired motor planning and motor imagery in children with unilateral spastic cerebral palsy: challenges for the future of pediatric rehabilitation. Develop Med Child Neurol 2013;55:43-6. https://doi.org/10.1111/dmcn.12306

Steenbergen B, Verrel J, Gordon AM. Motor planning in congenital hemiplegia. Disabil Rehab 2007;29:13-23. https://doi.org/10.1080/09638280600947591

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Publicado

2023-09-21

Como Citar

Borrego Perez, D., Costa, I. V., Oliveira, R. P., Bergamin, I. D., Silva, P. S. dos S., Muner, M. C., & Camargo, R. F. de. (2023). Instruções explícitas na aprendizagem motora de crianças com Paralisia Cerebral. Revista Neurociências, 31, 1–19. https://doi.org/10.34024/rnc.2023.v31.15248

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Recebido: 2023-06-23
Aceito: 2023-07-25
Publicado: 2023-09-21