For Occupational, Physical, Speech and Recreation Therapists

Functional Cognitive Activities

An alternative and effective approach to BI and stroke rehabilitation.

This approach proposes that therapists dealing with cognitive deficits conduct therapy sessions that steer away from work on primary cognitive skills in isolation and switch to having the patient perform comprehensive activities in 'real-life' environments. This is accomplished by utilization of a graded sequence of functional therapy activities.

The main concept behind this approach is that three global factors influence the patient's 'real-life' functioning. These factors include the awareness and management of: interpersonal relationships; the environment; and time constraints. Therapy activities in this approach have been structured to interweave the three global factors so that the patient interacts dynamically with other people, physical space and time parameters during sessions.

As the patient improves, expectations for sessions change as environmental demands increase and tasks become more complex. The levels of the sequence pertain to patients ranging from post coma to those in community reintegration. 


 To obtain a password for accessing Functional Cognitive Activities:

send check, purchase or money order to:

Rob Koch

4601 Pine Needle Trail

Mint Hill, NC 28227

(US and Canada $25.00)

Go to order form

For more info: E-mail


To obtain upcoming seminar information:

Go to Cross Country Education website