Transfer effects of a cognitive strategy training for stroke patients with apraxia

Abstract

The objective of this study was to evaluate transfer effects of cognitive strategy training for stroke patients with apraxia. During 8 weeks, 29 apraxic patients received cognitive strategy training to teach them how to perform activities of daily living (ADL) as independently as possible. ADL functioning was assessed at the rehabilitation centre at baseline and after 8 weeks of training. In addition, assessment took place at the patients' own homes after 8 weeks of training and 5 months after the start of the training. The performance of both trained and nontrained tasks was observed. Patients performed trained tasks and nontrained tasks at the same level of independency at the rehabilitation centre as well as at home, indicating transfer of training effects. These effects turned out to be stable over time.

Acknowledgments

Supported by The Netherlands Organization of Health Research and Development, Rehabilitation Research Program (Grant No. 14350009). The authors thank all participants and their families, as well as the rehabilitation teams of the healthcare institutions that participated in this study: the rehabilitation centres Amsterdam (Amsterdam), Het Roessingh (Enschede), Heliomare (Wijk aan Zee), De Hoogstraat (Utrecht), Rijndam (Rotterdam), Leijpark (Tilburg), Sophia (Den Haag), Blixembosch (Eindhoven), Sint Maartenskliniek (Nijmegen), De Trappenberg (Huizen), Rijnlands Revalidatiecentrum (Leiden), De Kastanjehof (Zutphen), Stichting Antaris (Amsterdam), and Stichting Vivre (Maastricht).