Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-23T15:17:27.180Z Has data issue: false hasContentIssue false

The Use of Reinforcement Procedures in Retraining Hand Movement of a CVA Hemiplegic

Published online by Cambridge University Press:  06 October 2014

John F. Smith*
Affiliation:
Waikato University, New Zealand
Mary Ann Henriques
Affiliation:
Waikato University, New Zealand
Barry S. Parsonson
Affiliation:
Waikato University, New Zealand
*
Department of Psychology, Waikato University, P.B. Hamilton, New Zealand
Get access

Abstract

This study investigated the effectiveness of reinforcement procedures in retraining upper extremity movement impaired as a result of cerebrovascular accident. A simply constructed instrument permitted accurate measurement of motor responding and, under some treatment conditions, provided the subject with direct feedback of movement. Experimenter praise for movement which met a pre-selected standard or criterion, in combination with binary visual feedback of performance and a knowledge of progress condition, was shown to bring about continuing improvement in the hemiplegic subject's range of supination. Praise with binary feedback alone functioned only to sustain responding at above baseline levels.

Type
Articles
Copyright
Copyright © The Author(s) 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Bernhardt, A.J.Hersen, M and Barlow, D.H. (1972) Measurement and modification of spasmodic torticollis: an experimental analysis. Behavior Therapy, 3, 294297.Google Scholar
Brown, B.B. (1977) Stress and the art of biofeedback. New York: Harper and Row.Google Scholar
Brudny, J.Korein, J., Grynbaum, B.B., Friedmann, L.W.Weinstein, S., Sachs-Frankel, G. and Belandres, P.V. (1976) EMG feedback therapy: review of treatment of 114 patients. Archives of Physical Medicine and Rehabilitation, 57, 5561.Google Scholar
Connolley, K (1968) The Applications of operant conditioning to the measurement and development of motor skill in children. Developmental Medicine and Child Neurology, 10, 697705.Google Scholar
Davis, A.E. & Lee, R.G. (1980) EMG Biofeedback in patients with motor disorders. Canadian Journal of Neurological Sciences, 7, 3, 199206.CrossRefGoogle ScholarPubMed
Fernando, C.K. and Basmajian, J.V. (1978) Bio-feedback in physical medicine and rehabilitation. Biofeedback and Self-Regulation 3, 435455.CrossRefGoogle Scholar
Garmezy, N. and Harris, J.G. (1953) Motor performance of cerebral palsied children as a function of their success or failure in achieving material rewards. Child Development, 24, 287300.Google ScholarPubMed
Hardiman, S.A., Goetz, E.M.Reuter, K.E. and Le Blanc, J.M. (1975) Primes, contingent attention and training: effects on a child's motor behavior. Journal of Applied Behavior Analysis, 8, 399409.Google Scholar
Harris, F.A., Spelman, F.A. and Hymer, J. W. (1974) Cerebral-palsied children: inapproprioception, part II. Physical Therapy, 54, 354365.CrossRefGoogle ScholarPubMed
Honig, W. (1984) T.V. Aids for the handicapped. In “Impact of Information Technology—1984Department of Science & Technology & Australian Computer Society.Google Scholar
Horner, R.D. (1971) Establishing use of crutches by a mentally retarded spinabifida child. Journal of Applied Behavior Analysis, 4, 183189.CrossRefGoogle Scholar
Marquardsen, J. (1976) Natural history and prognosis of cerebrovascular disease. In Russell, R.W. (Ed.) Cerebral Arterial Disease. Edinburgh: Churchill-Livingstone.Google Scholar
Parsonson, B.S. (1978) The analysis and presentation of graphic data in applied behaviour analysis. Monograph Hamilton: University of Waikato Printery.Google Scholar
Peper, E. and Robertson, J.A. (1976) Biofeedback use of common objects: the bathroom scale in physical therapy. Biofeedback and Self-Regulation, 1, 237240.Google Scholar
Rice, H.K., McDaniel, M.W. and Denney, S.L. (1968) Operant conditioning techniques for use in the physical rehabilitation of the multiply handicapped retarded patient. Physical Therapy, 48, 342–246.Google Scholar
Rugel, R.P., Mattingly, J.Eichinger, M and May, J.J. (1971) The use of operant conditioning with a physically disabled child. American Journal of Occupational Therapy, 25, 247249.Google ScholarPubMed
Sachs, D.A., and Mayhall, B. (1972) The Effects of reinforcement contingencies upon pursuit rotor performance by a cerebral-palsied adult. Journal of Nervous and Mental Disease, 155, 3641.Google Scholar
Sachs, D.A., Talley, E. and Boley, K. (1976) A comparison of feedback and reinforcement as modifiers of a functional motor response in a hemiparetic patient. Journal of Behavior Therapy and Experimental Psychiatry, 7, 171174.Google Scholar
Stokes, T.F. and Baer, D.M. (1977) An implicit technology of generalization. Journal of Applied Behavior Analysis, 10, 349367.CrossRefGoogle ScholarPubMed
Taylor, C.B., Zlutnick, S.I. and Hoehle, W. (1979) The effects of behavioral procedures in tardive dyskinesias. Behavior Therapy, 10, 3645.CrossRefGoogle Scholar
Trotter, A.B. and Inman, D.A. (1968) The use of positive reinforcement in physical therapy. Physical Therapy, 48, 347352.CrossRefGoogle ScholarPubMed
U.S. Department of Health, Education and Welfare (1980). National survey of stroke. Washington DC: AuthorGoogle Scholar
Woolridge, C.P. and Russell, G. (1976) Head position training with the cerebral palsied child: an application of biofeedback techniques. Archives of Physical Medicine and Rehabilitation, 57, 407414.Google Scholar