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.

Brain Inj. 2009 Apr;23(4):263-77. McEwen SE, Huijbregts MP, Ryan JD, Polatajko HJ. Graduate Department of Rehabilitation Science, University of Toronto, Toronto, Ontario, Canada. sara.mcewen@utoronto.ca

Posted: 05/26/2009



This article provided by The International Hypnosis Research Institute.

Enter your email address to subscribe to the IHRI Newsletter.

Assertiveness Hypnosis is extremely effective in increasing self confidence issues because assertiveness, or lack of it, is a learned behavior.In session your mind is given suggestions so that you’ll be able to release anxieties associated with being assertive.

Freedom from Bullying Do you lack the confidence to address bullying, and to report those who bully?Diffuse The Power Of Bullies!This hypnosis session will give you calming anchors to use so that you can respond with perspective and self assurance.

Charisma Generator For some, charisma comes more naturally than for others.This hypnosis session will lead you to the wealth of the inner mind in a deeply relaxing way.Access strengths that will allow you to become charismatic!Start living up to your potential in life!