Feasibility and Effects of the CO-OP Approach™ in Postconcussion Rehabilitation

被引：10
作者：
Hunt, Anne W. [1 ,2 ,3 ]
Paniccia, Melissa [4 ,5 ]
Mah, Katie [3 ,4 ]
Dawson, Deirdre [2 ,3 ,6 ]
Reed, Nick [2 ,3 ,7 ,8 ]
机构：
[1] Holland Bloorview Kids Rehabil Hosp, Concuss Ctr, Bloorview Res Inst, Student Training & Intervent Res, Toronto, ON, Canada
[2] Univ Toronto, Dept Occupat Sci & Occupat Therapy, Toronto, ON, Canada
[3] Univ Toronto, Rehabil Sci Inst, Toronto, ON, Canada
[4] Holland Bloorview Kids Rehabil Hosp, Bloorview Res Inst, Ottawa, ON, Canada
[5] Childrens Hosp Eastern Ontario, Ottawa, ON, Canada
[6] Baycrest, Rotman Res Inst, Toronto, ON, Canada
[7] Holland Bloorview Kids Rehabil Hosp, Concuss Ctr, Toronto, ON, Canada
[8] Holland Bloorview Kids Rehabil Hosp, Holland Chair Acquired Brain Injury, Bloorview Res Inst, Toronto, ON, Canada
来源：
AMERICAN JOURNAL OF OCCUPATIONAL THERAPY | 2019年 / 73卷 / 01期
关键词：
CHILDREN; SPORT; CONCUSSION; ADULTS;
D O I：
10.5014/ajot.2019.027995
中图分类号：
R49 [康复医学];
学科分类号：
100215 ;
摘要：
OBJECTIVE. We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO-OP) Approach (TM) on activity performance and satisfaction. symptoms. and mood of adolescents with persistent postconcussion symptoms. METHOD. In a prospective case series. 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal-Plan-Do-Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30-60 min each). Participants were assessed pre- and postintervention and at 3-mo follow-up. Feasibility was determined by positive changes on study measures. ease of administration, and acceptability to participants. RESULTS. Clinically significant. positive changes were found in participants. activity performance and satisfaction. All participants had decreases in symptoms and improved mood scores at posttest. CONCLUSION. The CO-OP Approach to rehabilitation for youth postconcussion is feasible and may make a positive contribution to recovery.
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页数：11
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