Department of Occupational Therapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Vic, Australia.
Rehabilitation Services, Epworth HealthCare, Melbourne, Vic, Australia.
JBI Evid Synth. 2024 Apr 1;22(4):727-736. doi: 10.11124/JBIES-23-00176.
The objective of the review is to identify, categorize, and examine literature describing occupational therapy scope of practice in the rehabilitation of adults experiencing persistent post-concussion symptoms (PPCS).
PPCS are symptoms experienced by adults a minimum of 2 to 4 weeks after a traumatic brain injury (TBI), and include vestibular, neuropsychiatric, visual, and cognitive issues. Enduring PPCS may result in disability, affecting a person's independence and/or participation in daily activities. Despite growing recognition of the role occupational therapy can offer in TBI rehabilitation, evidence is limited regarding the scope of practice occupational therapists have in the rehabilitation of adults experiencing PPCS.
Literature that includes adults (aged 18 to 65 years) experiencing PPCS that describes the occupational therapy scope of practice in concussion programs will be considered for inclusion in this review. Sources reporting on participants aged under 18 years, classified with non-persistent symptoms, and receiving care in acute health care settings will be excluded. Non-English publications or gray literature from civil society or disabled persons organizations or other representative bodies in the field of brain injury will also be excluded.
The scoping review will follow the JBI methodology for scoping reviews. Five electronic databases will be searched for literature published between 2013 and the present: MEDLINE, Embase, Emcare, PsycINFO, and CINAHL. Two reviewers will independently conduct title and abstract screening of the results and, upon consensus, independently screen full texts to confirm final sources for inclusion. Any disagreements will be resolved by discussion with a third reviewer. Data will be extracted from included sources and we will then map occupational therapy scope of practice (inclusive of assessments and interventions) against the World Health Organization's International Classification of Functioning One-Level Classification. Results will be presented in tabular or narrative format.
Open Science Framework osf.io/qxgzj.
本次综述的目的是识别、分类和检查描述职业治疗成人持续性脑震荡后症状（PPCS）康复范围的文献。
PPCS 是成年人在创伤性脑损伤（TBI）后至少 2 至 4 周出现的症状，包括前庭、神经精神、视觉和认知问题。持续存在的 PPCS 可能导致残疾，影响个人的独立性和/或参与日常活动的能力。尽管人们越来越认识到职业治疗在 TBI 康复中的作用，但关于职业治疗师在治疗成人 PPCS 方面的实践范围的证据有限。
将纳入描述脑震荡项目中职业治疗范围的文献，纳入标准为患有 PPCS 的成年人（年龄 18 至 65 岁）。将排除报告年龄在 18 岁以下、分类为非持续性症状且在急性保健环境中接受治疗的参与者的资料。也将排除非英语出版物或民间社会或残疾人组织或脑损伤领域其他代表机构的灰色文献。
该范围综述将遵循 JBI 方法进行范围综述。将在五个电子数据库中搜索 2013 年至目前发表的文献：MEDLINE、Embase、Emcare、PsycINFO 和 CINAHL。两名评审员将独立进行标题和摘要筛选，如果达成共识，将独立筛选全文以确认最终纳入的来源。任何分歧将通过与第三名评审员讨论解决。将从纳入的来源中提取数据，然后将职业治疗范围的实践（包括评估和干预措施）映射到世界卫生组织的国际功能分类 1 级分类。结果将以表格或叙述格式呈现。
开放科学框架 osf.io/qxgzj。
