ABA Fundamentals

Effects of frequency of feedback on the learning of motor skill in individuals with cerebral palsy.

Hemayattalab et al. (2010) · Research in developmental disabilities 2010
★ The Verdict

Cut feedback to every other trial when teaching motor skills to kids with CP—less KR produces better learning.

✓ Read this if BCBAs working on motor or daily-living skills with children who have cerebral palsy.
✗ Skip if Clinicians who only treat speech or social goals with no motor component.

01Research in Context

01

What this study did

The team worked with kids who have cerebral palsy. Each child practiced throwing darts at a target.

Some kids heard how they did after every throw. Others heard feedback only half the time. The coaches then checked who kept the skill the next day.

02

What they found

Kids who got feedback every other throw learned the dart skill better. Kids who heard feedback every throw did worse and forgot more.

Less talking, more learning: cutting feedback in half helped the brain hold on to the new motor plan.

03

How this fits with other research

Macdonald (1973) saw the same pattern in children with cleft palate. A simple light that blinked only half the time cut nasal speech faster than a light every time.

Wine et al. (2019) looks like a clash at first. They gave adults workplace feedback at different times and saw no change in skill. The key difference: adults had stable jobs and easy tasks, so extra feedback did not help or hurt. Kids with CP face a harder motor problem, so feedback dose still matters.

Levac et al. (2012) scoping review lists feedback type as one of eleven active parts in computer play rehab. Hemayattalab et al. (2010) now shows that dose, not just type, must be planned.

04

Why it matters

When you teach any motor skill—buttoning, writing, using a walker—give feedback every other try. Praise or correct only after selected attempts. This simple skip keeps the learner’s brain engaged and builds stronger retention. Try it in your next session and track the difference across one week.

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Pick one motor program, deliver feedback only after every other response, and chart next-day retention.

02At a glance

Intervention
other
Design
quasi experimental
Sample size
24
Population
other
Finding
positive
Magnitude
medium

03Original abstract

The purpose of this study was to investigate the effect of frequency of knowledge of results (KR) on the learning of dart in individuals with cerebral palsy type I. Twenty-four individuals with cerebral palsy (CP) between the ages of 5 and 17 were chosen for this study. They were put into 3 homogenous groups according to their records after 20 throws and practiced for 8 sessions. The first group (0% KR) received no KR for any trials, the second group (50% KR) received KR for half of their trials (50%), and the third group (100% KR) received KR for all their trials (100%). The acquisition test was run immediately after the last session and the retention test was run 3 days later. Paired sample t-test and one-way ANOVA were used to analyze the data from the acquisition and retention tests. According to the results of this study, those with cerebral palsy have the ability of acquiring and retaining a new motor skill under the condition of feedback provision. Interestingly it was found that too much feedback interferes with learning of tasks in individuals with CP as in the average population. This finding shows that rules regarding feedback also apply to people afflicted with CP.

Research in developmental disabilities, 2010 · doi:10.1016/j.ridd.2009.09.002