# PWR-057 — Motor recovery: learner worksheet Release: Revision 7T · Full Tutorial Edition Estimated time: Estimated 10 min reading; practical time is provider-set Difficulty: Intermediate Equipment: Common household or practice equipment — A stable chair and table set to provider-selected heights.; One light, unbreakable object with an accessible grip and a marked start/finish area.; Prescribed brace, support, stimulation or assistance if part of the plan.; A trial sheet for success, movement quality, assistance, effort, pain and rest. Space: Room-scale practice space Automated structural checklist: 10 of 10 structural checks present Evidence quality/context: G4; Focused research depth Automated method-quality band: Comprehensive Method-rating basis: Structure coverage, instruction/check specificity, alternative distinctness, source troubleshooting, comparison depth and whether purpose/check fields are authored rather than derived. Editorial review: Pending manual editorial sign off ## Before you begin - [ ] I read the tutorial authority and stop conditions. - [ ] I have the required equipment/space or a declared accessible alternative. ## Canonical source context Motor recovery is diagnosis- and task-specific: the movement, dose, timing and support all matter. This lesson teaches a full reach-and-place trial. A rehabilitation professional selects the trajectory and assistance; you set a stable start, aim at a real object, use one cue, rest before quality collapses and measure movement separately from real-world arm use. Target outcome: Under rehabilitation supervision, you complete a prescribed reach-and-place block with declared support, cue, repetitions and symptom limits. ### Authority and setup conditions - The treating professional selects the limb, movement, range, load, assistance and repetition dose for the diagnosis and stage of recovery. - Check sitting/standing stability, joint position, skin, lines/tubes and prescribed equipment. - Clear the route and use a helper when loss of balance or dropping is possible. - Agree stops for new weakness, severe pain, dizziness, chest symptoms, marked fatigue or abnormal movement. ### Required or supplied materials - A stable chair and table set to provider-selected heights. - One light, unbreakable object with an accessible grip and a marked start/finish area. - Prescribed brace, support, stimulation or assistance if part of the plan. - A trial sheet for success, movement quality, assistance, effort, pain and rest. ## 1. Name functional goal State the daily action this reach supports, such as moving a cup to a marked place, and your treating therapist-set success feature. Why: A meaningful target links movement practice to use rather than isolated repetitions. Success check: You can name the reach-and-place task and one trajectory goal. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “You can name the reach-and-place task and one trajectory goal.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 2. Set starting position Place your body, limb and object exactly as your therapist specifies; keep prescribed support in place. Why: Start position changes range, balance and difficulty. Success check: Feet/body support, object and limb match this setup card. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Feet/body support, object and limb match this setup card.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 3. Preview one correct trial Watch or feel your therapist demonstrate the reach path and rehearse it once with prescribed assistance. Why: A clear model reduces guessing and compensatory movement. Success check: You identify starting, path and finish. Accessible alternative: A spoken or tactile version of “Watch or feel your therapist demonstrate the reach path and rehearse it once with prescribed assistance.” can rehearse the response sequence, but it removes the declared visual stimulus and is therefore a related activity, not an equivalent attempt at Motor recovery. To preserve the target, keep the authored visual stimulus and adapt only non-target access such as response input, instructions, breaks or support; retain this success check: “You identify starting, path and finish.” Alternative relationship: Related alternative changes trained or measured target Learner notes: ________________________________________________________________________________ Completed: [ ] ## 4. Reach on one cue On the chosen cue, move toward the practice object at a controllable speed while your therapist provides only the planned assistance. Why: One cue and stable assistance make errors interpretable. Success check: Your hand or device reaches the landing zone without an unsafe loss of balance. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Your hand or device reaches the landing zone without an unsafe loss of balance.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 5. Grasp, then place Use the selected grip or adaptive aid, lift only as prescribed, then place the practice object fully inside the landing-zone mark. Why: Each reach-and-place trial includes useful object control, not movement for its own sake. Success check: The practice object is secure, arrives in the landing zone; release occurs under control. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The practice object is secure, arrives in the landing zone; release occurs under control.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 6. Reset without rushing Return your working limb and object to starting with help as planned; do not add a fast return repetition. Why: Reset quality and fatigue affect next attempt. Success check: The original configuration is restored before next cue. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The original configuration is restored before next cue.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 7. Use one correction After provider feedback, change one feature such as trunk support, reach direction or grip timing, then repeat. Why: One correction teaches the largest error without overloading attention. Success check: The movement tally names the error and shows whether it changed. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “The movement tally names the error and shows whether it changed.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## 8. Rest and check transfer Stop at prescribed repetition or quality limit, rest, then test one provider-approved daily variant if appropriate. Why: Fatigued repetitions can rehearse compensation; transfer must be tested separately. Success check: Quality remains within the agreed rule and any variant is labelled new. Accessible alternative: Ask the qualified provider to adapt positioning, cue modality, pace, interface or rest while preserving this step’s declared check: “Quality remains within the agreed rule and any variant is labelled new.” If an adaptation changes the measured task or configuration, record it as a different configuration rather than an equivalent attempt. Alternative relationship: Conditional equivalence requires target and configuration check Learner notes: ________________________________________________________________________________ Completed: [ ] ## Reflection What changed? ________________________________________________________________________________ What remains difficult? ________________________________________________________________________________ What will I repeat, adapt, ask for help with, or stop? ________________________________________________________________________________ --- Completion of this worksheet demonstrates tutorial participation only. It does not establish capability, qualification, safety clearance, diagnosis, treatment or independent validation.