Kolit Zeynep, Temel Rüya Gül, Ekici Gamze
Faculty of Health Sciences, Department of Occupational Therapy, Lokman Hekim University, Ankara, Turkey.
Department of Therapy and Rehabilitation, Vocational School of Health Services, Mustafa Kemal University, Hatay, Turkey.
Aust Occup Ther J. 2025 Jun;72(3):e70033. doi: 10.1111/1440-1630.70033.
Cerebral palsy (CP) is a neurological disorder that impacts motor skills and daily functioning in children. While conventional occupational therapy aims to improve these areas, newer approaches like 'Cognitive Orientation to Daily Occupational Performance' (CO-OP) and 'Goal-Directed Training' (GDT) show promise. However, their comparative effectiveness in enhancing occupational performance and functional status in children with CP remains underexplored. This study aimed to investigate and compare the effects of the CO-OP and GDT on the occupational performance and functional status of children with CP.
Sixty children were randomly assigned to three intervention groups: CO-OP approach in addition to conventional occupational therapy (COT) (Group A; n = 20), GDT in addition to COT (Group B, n = 20), and only COT (Group C; n = 20). The outcomes regarding occupational performance via the Canadian Occupational Performance Measure and functional status via the Paediatric Evaluation of Disability Inventory were evaluated by the blind evaluators before and after the interventions. All participants received two sessions per week over a 12-week period.
No consumer and community involvement in these studies.
All groups demonstrated statistically significant improvements in occupational performance and functional status (p < 0.001). Between-group comparisons revealed that Group A achieved greater improvements in occupational performance and functional status, which particularly in the areas of self-care, mobility, and total Paediatric Assessment of Disability Inventory (PEDI) scores (p < 0.05), compared to the other groups.
Although significant gains were achieved on occupational performance and functional status levels of both the CO-OP approach and GDT, it was revealed that the group receiving the CO-OP approach had superior effects.
Cerebral palsy (CP) is a condition that affects how children move and use their muscles. It can make everyday tasks like getting dressed or playing more difficult. Occupational therapy helps children with CP build their skills and become more independent in daily life. This study looked at two types of therapy: cognitive orientation to daily occupational performance (CO-OP) and goal-directed training (GDT). The aim was to find out which approach worked better for improving everyday activities and skills in children with CP. The results showed that the children who took part in the CO-OP program made the most progress. They improved more in both daily tasks and skills compared to the children who received GDT. Both groups showed some improvement, but CO-OP had stronger results. These findings suggest that CO-OP could be a helpful part of therapy programs for children with CP. It may support them in doing more things on their own. More research with larger groups of children is needed to learn more about how these therapies work in the long term.
脑瘫（CP）是一种影响儿童运动技能和日常功能的神经障碍。虽然传统的职业治疗旨在改善这些方面，但诸如“日常职业表现认知取向”（CO-OP）和“目标导向训练”（GDT）等新方法显示出了前景。然而，它们在提高脑瘫儿童职业表现和功能状态方面的相对有效性仍未得到充分研究。本研究旨在调查和比较CO-OP和GDT对脑瘫儿童职业表现和功能状态的影响。
60名儿童被随机分配到三个干预组：除传统职业治疗（COT）外采用CO-OP方法（A组；n = 20），除COT外采用GDT（B组，n = 20），以及仅接受COT（C组；n = 20）。干预前后，由盲法评估者通过加拿大职业表现测量法评估职业表现结果，并通过儿童残疾评估量表评估功能状态。所有参与者在12周内每周接受两次治疗。
这些研究未涉及消费者和社区参与。
所有组在职业表现和功能状态方面均显示出具有统计学意义的改善（p < 0.001）。组间比较显示，与其他组相比，A组在职业表现和功能状态方面取得了更大的改善，特别是在自我护理、移动性以及儿童残疾评估量表（PEDI）总分方面（p < 0.05）。
虽然CO-OP方法和GDT在职业表现和功能状态水平上均取得了显著进展，但结果显示接受CO-OP方法的组效果更佳。
脑瘫（CP）是一种影响儿童运动和肌肉使用方式的疾病。它会使穿衣或玩耍等日常任务变得更加困难。职业治疗帮助脑瘫儿童培养技能并在日常生活中变得更加独立。本研究考察了两种治疗方法：日常职业表现认知取向（CO-OP）和目标导向训练（GDT）。目的是找出哪种方法在改善脑瘫儿童的日常活动和技能方面效果更好。结果表明，参与CO-OP项目的儿童进步最大。与接受GDT的儿童相比，他们在日常任务和技能方面的改善更大。两组都有一定程度的改善，但CO-OP的效果更强。这些发现表明，CO-OP可能是脑瘫儿童治疗项目中的一个有益组成部分。它可能有助于他们更多地独立完成事情。需要对更多儿童群体进行更多研究，以进一步了解这些治疗方法的长期效果。
