Hunt Anne W, Paniccia Melissa, Mah Katie, Dawson Deirdre, Reed Nick
Anne W. Hunt, PhD, OT Reg. (Ont.), is Clinical Study Investigator and Manager, Student Training and Intervention Research, Concussion Centre, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Assistant Professor, Department of Occupational Science and Occupational Therapy and Rehabilitation Sciences Institute, University of Toronto, Toronto, Ontario, Canada;
Melissa Paniccia, PhD, OT Reg. (Ont.), is Postdoctoral Fellow, Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario, Canada, and Children's Hospital of Eastern Ontario, Ottawa, Ontario, Canada.
Am J Occup Ther. 2019 Jan/Feb;73(1):7301205060p1-7301205060p11. doi: 10.5014/ajot.2019.027995.
We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO-OP) Approach on activity performance and satisfaction, symptoms, and mood of adolescents with persistent postconcussion symptoms.
In a prospective case series, 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal-Plan-Do-Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30-60 min each). Participants were assessed pre- and postintervention and at 3-mo follow-up. Feasibility was determined by positive changes on study measures, ease of administration, and acceptability to participants.
Clinically significant, positive changes were found in participants' activity performance and satisfaction. All participants had decreases in symptoms and improved mood scores at posttest.
The CO-OP Approach to rehabilitation for youth postconcussion is feasible and may make a positive contribution to recovery.
我们确定了日常职业表现认知取向（CO-OP）方法对有持续脑震荡后症状的青少年的活动表现、满意度、症状及情绪的可行性和效果。
在一个前瞻性病例系列中，对3名脑震荡后3个月仍有持续症状且难以恢复活动的参与者，在为期7周的干预（10次治疗，每次30 - 60分钟）中教授他们使用元认知策略（目标 - 计划 - 执行 - 检查）来朝着基于职业的目标努力。在干预前后及3个月随访时对参与者进行评估。通过研究指标的积极变化、管理的简易程度以及参与者的可接受性来确定可行性。
在参与者的活动表现和满意度方面发现了具有临床意义的积极变化。所有参与者在测试后症状减轻且情绪得分改善。
CO-OP方法用于青少年脑震荡后康复是可行的，可能对恢复有积极贡献。
