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Comparative effectiveness of videotape and handout mode of instructions for teaching exercises: skill retention in normal children

DOI: 10.1186/1546-0096-10-4

Keywords: Physical therapy, motor skill, mode of instructions, patient education material, learning strategies, readability, instructional principles

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Abstract:

A total of 115 normal elementary-age children aged 10 to 12 years of age were studied. The children were randomized into two groups: A) the video group, and B) the handout group. The video group viewed the video for physical therapy exercises while the handout group was provided with paper handouts especially designed according to the readability of their age group.Statistical analysis using the student's't' test showed that subjects of both the video and handout groups exhibited equal overall performance accuracy. There was no significant difference between the groups both in acquisition and retention accuracy tests.The findings of the present study suggest that if the readability and instructional principles applicable to different target age groups are strictly adhered to, then both video as well as handout modes of instructions result in similar feedback and memory recall in ten to twelve year-old children. Principles of readability related to the patient age are of utmost importance when designing the patient education material. These findings suggest that the less expensive handouts can be an effective instructional aid for teaching exercises to children with various neuromuscular, rheumatic, and orthopedics conditions and the most costly videotape techniques are not necessarily better.The theoretical model of motor learning has three aspects: 1) cognitive processes; 2) motor command; and 3) sensory feedback. Cognitive processes comprise the collective group of thoughts which help the learner in decision-making process regarding the anticipated planning, regulation and interpretation of motor performance [1]. Knowledge of these learning models is crucial to prescribing the relevant exercises to patients. Then exercise prescription is fundamental to physical therapy (PT). This prescription starts with the child and parents learning the prescribed exercises correctly and then hopefully remaining adherent to them at home. This two-step process is the key to succe

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