Figure 1.

Conceptual model of cognitive and motor control interactions affecting activities of daily living in people with chronic lung disease. Motor and cognitive skills can be considered as a hierarchy. Motor planning requires the selective integration of sensory neural input. Many activities of daily living require very complex cognition and motor control. The ability to perform activities of daily living may be improved through motor learning training strategies. This requires attention, motivation, and comprehension to learn a skilled task and then repetitive practice until the movement or complex action can be performed automatically. Factors such as dyspnea, fatigue, and pain may interfere with the ability to practice or move in a particular manner. Comorbidities can interfere with the desired motor action, whereas cognitive impairment could interfere with comprehension and retention. Conceptual diagram of motor learning pyramid and cognitive interplay adapted from Williams and Shellenberger³⁸ and Cleutjens et al.³⁹