Montz Robert, Gonzales Florie, Bash Daniel S, Carney Avery, Bramlett Dewayne
J Hand Ther. 2008 Apr-Jun;21(2):130-5; quiz 136. doi: 10.1197/j.jht.2007.12.008.
What happens when the stressors of combat, fatigue, separation, and personal conflict affect a Soldier's ability to perform their wartime mission? What happens when an upper extremity injury or a significant trauma impacts a Soldier's ability to fire their weapon or complete their mission? The Army has specialized units known as Combat Operational Stress Control (COSC) Detachments and Combat Support Hospitals (CSHs) deployed on the battlefield to address these issues. Occupational therapists (OTs) work in these units and are responsible for facilitating function when Soldiers are faced with these physical and mental injuries. OTs are involved before, during, and after deployment educating, evaluating, and treating units, leadership, commanders, and Soldiers on a myriad of skills, activities, and tasks that enable Soldiers to optimize their overall performance. The history, functional areas, and specific roles of OT in the COSC unit and in the CSH will be discussed in this article. The effectiveness of occupational therapy intervention in these types of units will be discussed in case studies.
当战斗、疲劳、分离和个人冲突等压力源影响士兵执行战时任务的能力时会发生什么？当上肢受伤或重大创伤影响士兵开枪或完成任务的能力时又会发生什么？陆军在战场上部署了专门的部队，即战斗行动压力控制（COSC）支队和战斗支援医院（CSH）来解决这些问题。职业治疗师（OT）在这些部队工作，负责在士兵面临这些身心伤害时促进其功能恢复。职业治疗师在部署前、部署期间和部署后参与其中，对部队、领导层、指挥官和士兵进行教育、评估并就一系列技能、活动和任务进行治疗，以使士兵能够优化其整体表现。本文将讨论职业治疗师在COSC部队和CSH中的历史、功能领域及具体作用。还将通过案例研究讨论职业治疗干预在这类部队中的有效性。
