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T-Space at The University of Toronto Libraries >
Faculty of Medicine >
Department of Physical Therapy >
Student Research and Publications >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/29456

Title: Domain specific cognitive strategies employed in gait training: A descriptive secondary analysis based on three case studies
Authors: Harrison, Rosemarie
Fernandes, Samantha
Huangfu, Man
McGrath, Ashley
Procter, Steve
Advisor: Polatajko, Helene
Nixon, Stephanie
McEwen, Sara
Department: Physical Therapy
Keywords: cognitive strategy
motor learning
stroke rehabilitation
CO-OP
gait
Issue Date: 2010
Abstract: Purpose: Cognitive Orientation to Occupational Performance (CO-OP) is a novel cognitive-based treatment approach in which client s trial various domain specific strategies (DSS) to learn a motor skill. The effectiveness of CO-OP in the stroke population has been documented. However, a more detailed investigation of the specific DSS employed in gait-related goals is warranted. The objectives of the present analysis were to: 1) Develop an inventory of DSS; 2) Conduct frequency counts; and 3) Compare and contrast the DSS use. Method: Observational secondary analysis of three single case studies was conducted using transcriptions of training sessions. Two coders used previously defined DSS categories to guide the identification of strategies independently. A consensus process was adopted to finalize the categories, definitions, and occurrences of each DSS. Trends identified amongst participants were cross-referenced with participant characteristics and the motor learning literature. Results: Nine categories of DSS were identified. Body position, task specification and task modification were the dominant strategies. Several trends were consistent with the current literature on external and internal focus of attention, and re-investment concept. Conclusion: The study provides a foundation for future investigations of specific strategies, allowing clinicians to more effectively assist clients in achieving their motor goals.
Description: Affiliated institutions include: St. John's Rehabilitation Hospital (S. McEwen), University of Toronto (H. Polatajko, S. Nixon, S. McEwen)
URI: http://hdl.handle.net/1807/29456
Appears in Collections:Student Research and Publications

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