# PWR-072 — Visuomotor integration: learner worksheet

Release: Revision 7T · Full Tutorial Edition
Estimated time: Estimated 26 min reading and worksheet pass
Difficulty: Intermediate
Equipment: Common household or practice equipment — A local offline cursor task configured exactly as follows: 600×600 px field; centre 300,300; eight 40 px targets on a 180 px radius at mathematical angles 0° right, 45° up-right, 90° up, 135° up-left, 180° left, 225° down-left, 270° down and 315° down-right. It hides the operating-system cursor inside the field, displays one artificial cursor rotated about the centre, accepts one click per target and logs target angle, physical endpoint, displayed endpoint and phase. Baseline uses 0° rotation; adaptation rotates displayed feedback 10° clockwise; washout restores 0°. The restore key must work before a scored trial begins.; Folded target orders: baseline 0,180,90,270,45,225,135,315,180,0,270,90,225,45,315,135; adaptation 0,90,180,270,45,135,225,315,180,270,0,90,225,315,45,135,90,0,270,180,135,45,315,225; washout 45,225,0,180,315,135,90,270,225,45,180,0,135,315,270,90. A delayed retest uses the adaptation targets in reverse order, not the original file order.; Large radial targets and a pointing device already comfortable for the learner.; A fixed chair, desk and device sensitivity.; Trial log for angular/endpoint error, misses, time and symptoms.
Space: Open movement area

Automated structural checklist: 10 of 10 structural checks present
Evidence quality/context: G1; Focused research depth
Automated method-quality band: Established
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

The brain can adapt movement to altered visual feedback, but the learning is structured and often task-specific. Visuomotor adaptation means learning a declared mapping between seen feedback and movement. The learner uses approved software with a mild fixed cursor rotation, records baseline endpoint error, practises accurate reaches, removes the rotation and observes the after-effect. It remains a seated computer task, not general hand–eye ability or clinical prism therapy.

Target outcome: The learner completes baseline, mild-remapping and washout blocks with endpoint errors, misses, time and symptoms recorded.

### Authority and setup conditions

- Use only a mild software remapping while seated; no prism glasses, walking, tools or real-world aiming.
- Fix device sensitivity, target size, arm support and rotation angle.
- Practise an emergency exit key and restore-normal command.
- Do not use if altered visual feedback provokes vertigo, migraine or seizures.

### Required or supplied materials

- A local offline cursor task configured exactly as follows: 600×600 px field; centre 300,300; eight 40 px targets on a 180 px radius at mathematical angles 0° right, 45° up-right, 90° up, 135° up-left, 180° left, 225° down-left, 270° down and 315° down-right. It hides the operating-system cursor inside the field, displays one artificial cursor rotated about the centre, accepts one click per target and logs target angle, physical endpoint, displayed endpoint and phase. Baseline uses 0° rotation; adaptation rotates displayed feedback 10° clockwise; washout restores 0°. The restore key must work before a scored trial begins.
- Folded target orders: baseline 0,180,90,270,45,225,135,315,180,0,270,90,225,45,315,135; adaptation 0,90,180,270,45,135,225,315,180,270,0,90,225,315,45,135,90,0,270,180,135,45,315,225; washout 45,225,0,180,315,135,90,270,225,45,180,0,135,315,270,90. A delayed retest uses the adaptation targets in reverse order, not the original file order.
- Large radial targets and a pointing device already comfortable for the learner.
- A fixed chair, desk and device sensitivity.
- Trial log for angular/endpoint error, misses, time and symptoms.

## 1. Lock the movement setup

Record device, sensitivity, target size, start point, support and screen distance.

Why: Motor errors depend on both software and physical setup.

Success check: The configuration is reproducible.

Accessible alternative: Complete the same research action — “Record device, sensitivity, target size, start point, support and screen distance.” — using speech-to-text, text-to-speech, enlarged text, keyboard-only navigation, shorter work blocks or a support person. Preserve this declared check: “The configuration is reproducible.” Do not convert the research task into capability practice.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 2. Record normal-mapping baseline

With rotation at 0°, complete the 16 supplied baseline targets from the centre, one click per target, prioritising first endpoint over speed.

Why: Baseline separates ordinary pointing error from remapping error.

Success check: Endpoint error, misses and time are saved.

Accessible alternative: Replace small or visual-only information with enlarged text, high-contrast display, spoken description or tactile/verbal cueing while preserving the same decision and success check. Allow rest and slower target presentation; initial endpoint accuracy remains the measure.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 3. Apply the declared rotation

Set the artificial cursor to exactly 10° clockwise, verify the displayed test vector against the software readout and load the 24 supplied adaptation targets.

Why: The mapping must be known and stable.

Success check: The software reports the expected angle and restore command works.

Accessible alternative: Complete the same research action — “Set the artificial cursor to exactly 10° clockwise, verify the displayed test vector against the software readout and load the 24 supplied adaptation targets.” — using speech-to-text, text-to-speech, enlarged text, keyboard-only navigation, shorter work blocks or a support person. Preserve this declared check: “The software reports the expected angle and restore command works.” Do not convert the research task into capability practice.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 4. Aim, observe, reset

For each target, aim once, observe the endpoint, return to centre and wait for the next target.

Why: One movement per target preserves error information.

Success check: No dragging, correction loop or extra click hides the initial error.

Accessible alternative: Replace small or visual-only information with enlarged text, high-contrast display, spoken description or tactile/verbal cueing while preserving the same decision and success check. Increase target size or arm support while keeping those values fixed within comparisons.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 5. Correct gradually

Use endpoint feedback to adjust the next reach; do not consciously rotate the device or body setup.

Why: Trial-by-trial error reduction is the learning signal.

Success check: Median endpoint error falls across the provider-defined block.

Accessible alternative: A supported, seated, reduced-range or slower version of “Use endpoint feedback to adjust the next reach; do not consciously rotate the device or body setup.” is equivalent only when it keeps the same trained or measured target, declared configuration and success check: “Median endpoint error falls across the provider-defined block.” If any of those change, record it as a related alternative rather than an equivalent repetition.

Alternative relationship: Conditional equivalence requires target and configuration check

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 6. Stop the remapping block

End at the fixed trial count or first nausea, dizziness, headache or loss of control.

Why: More trials are not better when symptoms or fatigue alter movement.

Success check: The stop reason and trial count are recorded.

Accessible alternative: Complete “End at the fixed trial count or first nausea, dizziness, headache or loss of control.” in shorter passes, or use keyboard input, dictation or a support person, while preserving this success check: “The stop reason and trial count are recorded.” Use trackball, switch, stylus or alternative pointing device as a declared configuration.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 7. Remove rotation and test after-effect

Press restore, confirm 0° and complete the 16 supplied washout targets with endpoint feedback withheld until each click; preserve any early error opposite the trained rotation.

Why: An after-effect helps distinguish adaptation from memorising target locations.

Success check: Normal mapping is confirmed and early washout error is preserved.

Accessible alternative: A supported, seated, reduced-range or slower version of “Press restore, confirm 0° and complete the 16 supplied washout targets with endpoint feedback withheld until each click; preserve any early error opposite the trained rotation.” is equivalent only when it keeps the same trained or measured target, declared configuration and success check: “Normal mapping is confirmed and early washout error is preserved.” If any of those change, record it as a related alternative rather than an equivalent repetition.

Alternative relationship: Conditional equivalence requires target and configuration check

Learner notes:

________________________________________________________________________________

Completed: [ ]

## 8. Wash out and retest later

Continue only until ordinary pointing returns, then use novel target order after a delay.

Why: The learner should leave with normal control; novel order tests retention.

Success check: End performance is near baseline and the delayed order is unfamiliar.

Accessible alternative: Replace small or visual-only information with enlarged text, high-contrast display, spoken description or tactile/verbal cueing while preserving the same decision and success check. Allow rest and slower target presentation; initial endpoint accuracy remains the measure.

Alternative relationship: Target preserving when declared check is preserved

Learner notes:

________________________________________________________________________________

Completed: [ ]

## Reflection

What changed?

________________________________________________________________________________

What remains difficult?

________________________________________________________________________________

What will I repeat, adapt, ask for help with, or stop?

________________________________________________________________________________

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Completion of this worksheet demonstrates tutorial participation only. It does not establish capability, qualification, safety clearance, diagnosis, treatment or independent validation.
