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Theory Topic 1: The theoretical approach to post-stroke rehabilitation incorporated within the SMART system.
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Underpinning Theories: Neuroplasticity; Motor-learning
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Independent practice
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Used in the absence of a therapist.
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Intensity
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Increased rehabilitation activity.
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Problem solving
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Self-monitoring, self-interpretation, overcoming problems encountered in the absence of a therapist.
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Goal setting
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Choosing which exercises to perform.
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Specificity
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Matched movement patterns.
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Repetition
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Increased rehabilitation activity.
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Salience
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Relevant (meaningful) feedback.
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Motor learning
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The SMART system provides an opportunity to learn implicitly and explicitly through trial and error and explicit feedback.
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Theory Topic 2: Feedback in Post-Stroke Rehabilitation.
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Underpinning Theories: Motivation; Operant Conditioning; Motor-learning
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Feedback content
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The SMART system provides KP, KR, verbal and visual feedback. It also provides prescriptive feedback (in part).
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Feedback schedule
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The SMART system provides feedback concurrently, terminally, after each performance and in summary.
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Rewards
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The SMART system provides the user with the rewards of good performance through a red, amber, green chart and through scores (depending on exercise).
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Theoretical Outcome: Behaviour change and Self-management.
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Underpinning Theories: Self-regulation, Social cognition, and goal-setting theories; Self-efficacy.
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Goal-setting
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The user is able to set specific, measurable, realistic, and time specified goals (targets) to achieve that are confirmed by the computer feedback.
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Action planning
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The user can choose when to use the system and how many sets/repetitions they do.
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Self-monitoring
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The user is able to monitor performance(s) independently.
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Reinforcement
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The SMART system provides the user with positive feedback (depending on performance). Others are able to observe results.
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Self-management
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The SMART system provides the user with an opportunity to problem-solve, make decisions, utilise resources, collaborate with others, and take action depending on their interpretation of the feedback provided.
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Self-efficacy
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The SMART system provides the user with an opportunity to evaluate achievement(s), observe demonstrations (the avatar), interpret performance(s) and changes in physical and emotional feelings as a result of usage, and receive feedback which may include verbal persuasion from significant others.
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