Document Detail

Errorless learning is superior to trial and error when learning a practical skill in rehabilitation: a randomized controlled trial.
MedLine Citation:
PMID:  20156980     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Errorless learning is an effective strategy for the cognitive rehabilitation of memory impairment, but there is little evidence to support its use for skill learning. This preliminary study investigates whether errorless learning is superior to treatment as usual (trial and error), when teaching people with amputations and comorbid risk of vascular cognitive impairment to fit a prosthetic limb. DESIGN: A randomized control design. SETTING: A regional limb-fitting clinic at the West of Scotland Mobility and Rehabilitation Centre in Glasgow. PARTICIPANTS: Thirty adults with transtibial amputations, recruited from a regional limb-fitting clinic. Of these 42% were cognitively impaired. INTERVENTION: Random assignment to an errorless learning intervention (n = 15) or a treatment as usual control (n = 15). There were five training trials within a single session. Participants were then asked to fit their limb without assistance. MAIN MEASURES: Performance was scored from videotape recording of the first occasion when the participant attempted to fit their limb without assistance. Addenbrookes Cognitive Examination-Revised (ACE-R) was used to assess general cognitive functioning. RESULTS: The errorless learning group remembered more correct steps (mean 90.9, SD 12.1) than the control group (77.9; 8.4; P<0.001) and made fewer errors (mean 0.93, SD 1.3) than controls (2.1; 0.95); P =0.002). CONCLUSIONS: Errorless learning can benefit people with amputations in learning the practical skill of fitting a prosthetic limb. Further study that includes follow-up is warranted.
C L Donaghey; T M McMillan; B O'Neill
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2010-02-15
Journal Detail:
Title:  Clinical rehabilitation     Volume:  24     ISSN:  1477-0873     ISO Abbreviation:  Clin Rehabil     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-03-08     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  195-201     Citation Subset:  IM    
Psychological Medicine, Faculty of Medicine, University of Glasgow, Gartnavel Royal Hospital, 1055 Great Western Road, Glasgow, UK.
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MeSH Terms
Aged, 80 and over
Amputees / rehabilitation*
Artificial Limbs*
Association Learning*
Cognitive Therapy / methods
Middle Aged

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