Washington University School of Medicine, St. Louis, MO, USA.
Am J Occup Ther. 2011 Jan-Feb;65(1):55-63. doi: 10.5014/ajot.2011.09010.
Despite the need for occupational therapy to emphasize client-specific occupational performance, primary emphasis in stroke rehabilitation continues to be on the remediation of client factors and self-care. Such practice leaves many survivors of stroke with continuing performance deficits. Two case studies demonstrate a novel, alternative approach. The Cognitive Orientation to Daily Occupational Performance (CO-OP) treatment is a performance-based, problem-solving approach to developing functional skills that are client centered. CO-OP was used to guide treatment with 2 older women. The findings suggest that the approach has the potential to successfully help clients with stroke achieve their everyday occupational goals and support continued research in this area. This work will lead to a pilot randomized controlled trial.
尽管职业治疗需要强调针对客户个体的职业表现，但中风康复的主要重点仍然是客户因素和自我护理的矫正。这种做法使许多中风幸存者仍然存在表现缺陷。两个案例研究展示了一种新颖的替代方法。认知导向的日常生活职业表现（CO-OP）治疗是一种基于表现的、解决问题的方法，旨在发展以客户为中心的功能性技能。CO-OP 被用于指导对 2 名老年女性的治疗。研究结果表明，该方法有可能成功地帮助中风患者实现他们的日常职业目标，并支持该领域的进一步研究。这项工作将导致一项试点随机对照试验。
