Article

The purpose of this study was to estimate the effect of Cognitive Orientation to Daily Occupational Performance (CO-OP) compared with usual occupational therapy
on upper-extremity movement, cognitive flexibility, and stroke impact in people
less than 3 mo after stroke.
An exploratory, single-blind randomized controlled
trial was conducted with people referred to outpatient occupational therapy
services at two rehabilitation centers. Arm movement was measured with the Action
Research Arm Test, cognitive flexibility with the Delis-Kaplan Executive Function
System Trail Making subtest, and stroke impact with subscales of the Stroke
Impact Scale. A total of 35 participants were randomized, and 26 completed the
intervention. CO-OP demonstrated measurable effects over usual care on all
measures. These data provide early support for the use of CO-OP to improve
performance and remediate cognitive and arm movement impairments after stroke
over usual care; however, future study is warranted to confirm the effects observed in this trial.
CI - Copyright (c) 2016 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS