Neistadt M E
Tufts University, Boston School of Occupational Therapy, Medford, Massachusetts 02155.
Am J Occup Ther. 1992 Feb;46(2):141-8. doi: 10.5014/ajot.46.2.141.
Occupational therapists use both adaptive and remedial approaches to perceptual retraining in adults with head injury. This experimental treatment outcome study compared the effects of adaptive and remedial treatments for constructional deficits on meal preparation competence and on constructional abilities in adult men with head injury. Forty-five subjects, 18 to 52 years of age, in long-term rehabilitation programs were randomly assigned to one of two treatment groups. A remedial group (n = 22) received individual training with parquetry block assembly, and an adaptive group (n = 23) received individual training in food preparation activities. Both groups received training for three 30-min sessions per week for 6 weeks, in addition to their regular rehabilitation programs. Results of analyses of variance and paired t tests on perceptual and functional test scores showed task-specific learning in both groups and suggested that training in functional activities may be the better way to improve performance in such activities in this population.
职业治疗师对成年颅脑损伤患者采用适应性和补救性方法进行知觉再训练。这项实验性治疗结果研究比较了适应性治疗和补救性治疗对成年男性颅脑损伤患者在烹饪能力方面的结构性缺陷以及对其结构性能力的影响。45名年龄在18至52岁、参加长期康复项目的受试者被随机分配到两个治疗组之一。一个补救组（n = 22）接受了拼花地板块组装的个别训练，一个适应性组（n = 23）接受了食物准备活动的个别训练。除了他们的常规康复项目外，两组均接受每周三次、每次30分钟、为期6周的训练。对知觉和功能测试分数进行方差分析和配对t检验的结果显示两组均有特定任务的学习，并表明在这类人群中，功能性活动训练可能是提高此类活动表现的更好方法。
