Cognitive strategy use to enhance motor skill acquisition post-stroke: A critical review

Objective: The objective of this critical review was to examine the literature regarding the use of cognitive strategies to acquire motor skills in people who have had a stroke, to determine which strategies are in use and to compile evidence of their effectiveness. Search terms: A computerized sear...

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Bibliographic Details
Published in:Brain injury 2009-01, Vol.23 (4), p.263-277
Main Authors: McEwen, Sara E., Huijbregts, Maria P.J., Ryan, Jennifer D., Polatajko, Helene J.
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Child, Preschool
Cognition
cognitive
Evidence-Based Medicine
Female
Humans
Male
Middle Aged
Motor control and motor learning
Motor Skills
Occupational Therapy - methods
Physical Therapy Modalities
Recovery of Function
stroke
Stroke Rehabilitation
Treatment Outcome
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Summary:Objective: The objective of this critical review was to examine the literature regarding the use of cognitive strategies to acquire motor skills in people who have had a stroke, to determine which strategies are in use and to compile evidence of their effectiveness. Search terms: A computerized search of a range of databases was conducted using the following search terms: stroke, cerebrovascular accident; combined with strategy training, learning strateg*, cognitive strateg*, metacognitive strateg*, goal setting, goal planning, goal attainment, goal direct*, goal orient*, self talk, imagery, mental practice, self evaluat*, ready*, attentional focus*, problem solv*, goal management; combined with motor, mobility, activit*, skill, task, function, ADL. Results: Twenty-six articles were reviewed. Seven studies investigated general cognitive strategies and 19 investigated task-specific strategies. The most commonly studied task-specific strategy was motor imagery. Findings suggest that general strategy training improves performance in both trained and untrained activities compared to traditional therapy; and that a specific motor imagery protocol can improve mobility and recovery in the affected upper extremity in people living with the chronic effects of stroke. Conclusion: This foundational evidence supports the further development of novel cognitive strategy-based interventions with the intention of improving long-term stroke outcomes.
ISSN:0269-9052
1362-301X
DOI:10.1080/02699050902788493