Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Neuropsychol Rehabil. 2010 Aug;20(4):541-61. doi: 10.1080/09602011003638194. Epub 2010 Apr 1.
The transfer of skills learned in rehabilitation to new skills in the home has hitherto been notoriously difficult to achieve. The Cognitive Orientation to daily Occupational Performance (CO-OP) treatment approach has been associated with improved performance in people living with stroke, but the specific impact on transfer to untrained skills has not been investigated. The objective of the study was to investigate the capacity of CO-OP treatment to improve performance in both trained and untrained self-selected skills in adults living with stroke. A single case experiment with multiple baselines across skills was conducted, with two replications. The participants self-selected four skills; three were trained using CO-OP; the fourth was not. Using video recording, data points were collected at multiple baselines, during intervention, post-intervention, and at follow-up. The Performance Quality Rating Scale (PQRS) was used by an independent rater to score performances. The two-standard deviation band method was used to determine the significance of improvements. At follow-up, significant performance improvements were seen in all three single case experiments in all trained and untrained skills. A cognitive-based approach was associated with improved performance in trained and untrained skills in three adults with chronic stroke; further controlled research is warranted.
康复中习得的技能转移到家庭中的新技能一直以来都很难实现。认知导向日常生活活动治疗方法（CO-OP）与改善中风患者的表现有关，但对未训练技能的转移的具体影响尚未得到调查。本研究的目的是调查 CO-OP 治疗在改善中风患者的训练和未训练自选技能方面的能力。在多个技能上进行了单一案例实验，有两个重复。参与者自选了四项技能；其中三项使用 CO-OP 进行训练；第四项则没有。使用视频记录，在多个基线、干预期间、干预后和随访期间收集数据点。独立评估者使用表现质量评分量表（PQRS）对表现进行评分。使用两标准差带法确定改进的显著性。在随访中，所有三个单一案例实验中的所有训练和未训练技能都显示出了显著的表现改善。认知为基础的方法与三个慢性中风患者的训练和未训练技能的表现改善有关；需要进一步的对照研究。
