alexa Rehabilitation Programme to Promote Task Relearning and
ISSN: 2155-9562

Journal of Neurology & Neurophysiology
Open Access

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Review Article

Rehabilitation Programme to Promote Task Relearning and Generalisation after Stroke: A Review of Literature

Karen PY Liu1*, Chetwyn CH Chan2, Nikki Tulliani1, Marcus CK1, Leonard SW Li3

1University of Western Sydney, Australia

2Applied Cognitive Neuroscience Laboratory, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong

3Tung Wah Hospital, Hong Kong

Corresponding Author:
Karen Liu
Associate Professor
University of Western Sydney
Locked Bag 1797, Penrith NSW 2751
Tel: +61-2-4620-3432
Fax: +61-2-4620-3792
E-mail: [email protected]

Received date: June 29, 2014; Accepted dat: August 12, 2014; Published date: August 18, 2014

Citation: Karen Liu PY, Chetwyn Chan CH, Tulliani N, Marcus CK, Leonard Li SW (2014) Rehabilitation Programme to Promote Task Relearning and Generalisation after Stroke: A Review of Literature. J Neurol Neurophysiol 5:220. doi:10.4172/2155-9562-5-1000220

Copyright: © 2014 Liu KPY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background and Purpose: The relearning of functional skills following a stroke is an essential part of the
rehabilitation process. Rehabilitation post stroke may facilitate an individual to return to independent living. However,
the skills learnt during this process do not necessarily transfer to the skills required for daily functioning. This review
addresses the issue of generalisation of skills learnt by discussing the connectionist model.
Summary of Review: Connectionism models how the human brain functions and stipulates that the units in an
input layer feed their activations forward to the units in the hidden layer for interpretation and then to the output layer
for execution. These units are connected and distributed in a connectionist network. The activation of clusters of
units in retrained tasks will provide signals to other different but connected tasks that have not been retrained.
Adopting the concept of the connectionist model, the relearning of tasks after brain damage enhances the relearnt
skills by transferring them to other tasks that share similar units within the same connectionist network, resulting in
generalisation. Research evidence has shown that the strategies of self-regulation and mental imagery further
enhance the relearning and generalisation of skills among people with brain damage. By identifying a list of daily
tasks that fall within a connectionist network and the appropriate use of training strategies, the skills developed
during the rehabilitation process could lead to effective task generalisation to suit the needs of independent living
and community re-integration of the individual.
Conclusions: The Connectionist Model provides a theoretical base for developing evidence-based interventions
throughout the acute, rehabilitation and community phases. The Connectionist Model is the theory by which the
cognitive skills learned to perform one particular behaviour, or skill, are transferable to executing other similar skills
or beahviours without specifically relearning those skills or behaviours.


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