Radomski Mary Vining, Davidson Leslie, Voydetich Deborah, Erickson Mary W
Sister Kenny Research Center, 800 East 28th Street at Chicago, Minneapolis, MN 55407, USA.
Am J Occup Ther. 2009 Sep-Oct;63(5):646-55. doi: 10.5014/ajot.63.5.646.
More occupational therapists are needed to provide client-centered, evidence-based rehabilitation to the large numbers of service members who sustained mild traumatic brain injury (mTBI) while deployed in Afghanistan and Iraq. The Proponency for Rehabilitation and Reintegration tasked a team of occupational and physical therapists to assemble evidence-based best practices specific to mTBI. Despite the fact that evidence-based reviews, guidelines, and research regarding occupational therapy for mTBI are sparse, the team developed the Clinical Practice Guidance: Occupational Therapy and Physical Therapy for Mild Traumatic Brain Injury. Occupational therapy practice recommendations specific to client education, vision, cognition, resumption of roles, and emotional well-being are summarized for civilians and characterized as practice standards or practice options. By using evidence-informed and holistic services, occupational therapists have the potential to lead rehabilitation and reintegration efforts for service members with mTBI and advance changes in the profession itself.
需要更多的职业治疗师为大量在阿富汗和伊拉克服役期间遭受轻度创伤性脑损伤（mTBI）的军人提供以客户为中心、基于证据的康复治疗。康复与重新融入支持部门责成一组职业治疗师和物理治疗师收集针对mTBI的循证最佳实践。尽管关于mTBI职业治疗的循证综述、指南和研究很少，但该团队制定了《临床实践指南：轻度创伤性脑损伤的职业治疗和物理治疗》。针对平民总结了职业治疗在客户教育、视力、认知、角色恢复和情绪健康方面的具体实践建议，并将其归类为实践标准或实践选项。通过提供基于证据的整体服务，职业治疗师有潜力引领mTBI军人的康复和重新融入工作，并推动该行业自身的变革。
