Does the motor learning need to be "error-free" with balance training?
Answer
No. Error-free is a relative concept. When we see a person stumble all over the place and they are hurting themselves, of course that is the unsafe range. But then if they take a step because they just stood up and they lose their balance, it does not mean that they are going to lose their balance forever or in the future. As we know with frequent exposure in varying contexts, our CNS will eventually adapt. That is why it is very important for us to think about treatment interventions in which we are exposing the client frequently to the same conditions that we want them to learn. Whenever there is an error that happens, it is okay. We just have to figure out why is this error happening, what is it that we can do so that error will not occur again or a patient, in the event of an error, could anticipate and recover without hurting themselves.
Salvador Bondoc, OTD, OTR/L, BCPR, CHT, FAOTA
Salvador Bondoc is Professor and Department Chairperson of Occupational Therapy at Quinnipiac University where he teaches foundational neurosciences and neurological rehabilitation in the combined Bachelor of Health Sciences/Master of Occupational Therapy program and Evidence-based Practice and Doctoral Capstone in the post-professional OTD program. Dr. Bondoc has been honored as Fellow of the American Occupational Therapy Association for his Leadership and Clinical Excellence in Evidence-based Physical Rehabilitation in 2012; and granted the Award of Merit by the Connecticut Occupational Therapy Association in 2013 and by New York State Occupational Therapy Association in 2008. He is engaged in research and clinical practice with special emphasis on outpatient neurorehabilitation, hand therapy, and geriatric rehabilitation.
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