Graduate Department of Rehabilitation Science, University of Toronto, Ontario, Canada.
Am J Occup Ther. 2010 Sep-Oct;64(5):709-19. doi: 10.5014/ajot.2010.09188.
We assessed evidence for post-acute traumatic brain injury (TBI) rehabilitation interventions used to enhance community integration (CI) relevant to occupational therapy.
We conducted a systematic review of intervention studies on TBI rehabilitation from 1990 to 2007.
We analyzed and summarized 10 studies that met the inclusion criteria. Of 10 studies, 7 found that post-acute TBI rehabilitation benefits CI; all effective studies involved occupational therapy or involved interventions occupational therapists can do.
Many CI programs show positive results and should be studied more rigorously. Such promising programs should also be considered when decisions about post-acute TBI rehabilitation services for clients are being made. To further establish that post-acute TBI rehabilitation interventions improve CI, future studies should include intervention strategies based on injury severity, a control group, and longer term follow-up. The role of occupational therapy in these effective programs should be further explored.
评估用于促进与职业治疗相关的社区融合（CI）的创伤性脑损伤（TBI）后康复干预措施的证据。
我们对 1990 年至 2007 年的 TBI 康复干预研究进行了系统回顾。
我们分析并总结了符合纳入标准的 10 项研究。在 10 项研究中，有 7 项研究发现急性创伤性脑损伤后康复对 CI 有益；所有有效的研究都涉及职业治疗或涉及职业治疗师可以进行的干预。
许多 CI 方案显示出积极的结果，应该更严格地进行研究。在为患者做出关于急性创伤性脑损伤后康复服务的决定时，也应考虑这些有希望的方案。为了进一步证实急性创伤性脑损伤后康复干预措施可以改善 CI，未来的研究应包括基于损伤严重程度、对照组和更长期随访的干预策略。应进一步探讨职业治疗在这些有效方案中的作用。
