대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제17권4호
  • /
  • Pages.123-132
  • /
  • 2022
  • /
  • 1975-311X(pISSN)
  • /
  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지
DOI QR코드

DOI QR Code

인지기반 작업수행 중재가 아급성기 뇌졸중 환자의 팔 기능 및 작업수행에 미치는 영향

The Effect of Cognitive Orientation to Daily Occupational Performance(CO-OP) on Upper Extremity Function and Occupational Performance in patients with Subacute Stroke

  • 문성준 (대구대학교 재활과학대학원 재활과학과) ;
  • 김환 (대구대학교 작업치료학과)
  • Sung-Jun, Moon (Department of Rehabilitation Science, Graduate School of Rehabilitation Science, Daegu University) ;
  • Hwan, Kim (Department of Occupational Therapy, Daegu University)
  • 투고 : 2022.10.30
  • 심사 : 2022.11.15
  • 발행 : 2022.11.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

PURPOSE: The purpose of this study was to investigate the effects of cognitive orientation to daily occupational performance (CO-OP) interventions on the upper extremity function and occupational performance in subacute stroke patients. METHODS: A total of 30 eligible stroke patients were randomly distributed into the CO-OP experimental group (n = 15) and the traditional occupational therapy (OT) control group (n = 15). The CO-OP approach was applied for twelve 60-minute sessions. The Jebson Taylor Hand Function Test (JTHFT), the Korean version of the Modified Barthel Index (K-MBI), and the Performance Quality Rating Scale (PQRS) were used for outcome evaluations. RESULTS: There was a statistically significant difference in the paralytic upper extremity function before and after treatment (p < .01) between the group treated with the CO-OP approach and the group treated with traditional OT. The occupational performance of the CO-OP approach group showed a significant improvement (p < .01), and this group also showed a statistically significant improvement in quality of performance compared to the traditional OT group (p < .01). CONCLUSION: The CO-OP approach may be useful in clinical practice as a therapeutic intervention for improving the functional recovery and performance of subacute stroke patients. Future research should be carried out to investigate the persistence of this effect involving more participants and follow-up studies should also be undertaken.

키워드

참고문헌

  1. Kim KD, Heo M. Effects of self care training program on respiratory function and quality of life in chronic stroke patients. Journal of KOEN. 2019;12(8):193-9.
  2. Statistics Korea. Annual report on the causes of death statistics 2017. http://kostat.go.kr, 2018.
  3. Kang TW, Kim TY. Effects of task-oriented postural control training on the postural control, balance and ADL in patients with sub-acute strok e. Journal of Special Education & Rehabilitation Science. 2016;55(2):135-48. https://doi.org/10.15870/jsers.2016.06.55.2.135
  4. Shumway-Cook A, Woollacott MH. Motor control: translating research into clinical practice. Lippincott Williams & Wilkins. 2007
  5. French B, Leathley MJ, Sutton CJ, et al. A systematic review of repetitive task training with modelling of resource use, costs and effectiveness. Health Technol Assess. 2008;12(30):1-117.
  6. Connell L, McMahon N, Eng J, et al. Prescribing upper limb exercises after stroke: a survey of current UK therapy practice. J Rehabil Med. 2014;46(3):212-8. https://doi.org/10.2340/16501977-1268
  7. Veerbeek JM, van Wegen E, van Peppen R, et al. What is the evidence for physical therapy poststroke? A systematic review and meta-analysis. PloS one. 2014;9(2):e87987.
  8. Teasell RW, Foley NC, Salter KL, et al. A blueprint for transforming stroke rehabilitation care in Canada: the case for change. Arch Phys Med Rehabil. 2008;89(3):575-8. https://doi.org/10.1016/j.apmr.2007.08.164
  9. Wolf TJ, Polatajko H, Baum C, et al. Combined cognitive-strategy and task-specific training affects cognition and upper-extremity function in subacute stroke: an exploratory randomized controlled trial. Am J Occup Ther, 2016;70(2):7002290010p1-10.
  10. Appelros P, Samuelsson M, Karlsson-Tivenius S, et al. A national stroke quality register: 12 years experience from a participating hospital. Eur J Neurol. 2007;14(8):890-4. https://doi.org/10.1111/j.1468-1331.2007.01826.x
  11. Alzahrani MA, Ada L, Dean CM. Duration of physical activity is normal but frequency is reduced after stroke: an observational study. J Physiother. 2011;57(1):47-51. https://doi.org/10.1016/S1836-9553(11)70007-8
  12. Hackett ML, Glozier N, Jan S, et al. Returning to paid employment after stroke: the Psychosocial Outcomes In StrokE (POISE) cohort study. PloS one. 2012;7(7):e41795.
  13. Mayo NE, Wood-Dauphinee S, Cote R, et al. Activity, participation, and quality of life 6 months poststroke. Arch Phys Med Rehabil. 2002;83(8):1035-42. https://doi.org/10.1053/apmr.2002.33984
  14. Hsieh CL, Hoffmann T, Gustafsson L, et al. The divers constructs use of activities of daily living measures in stroke randomized controlled trials in the years 2005-2009. J Rehabil Med. 2012;44(9):720-6. https://doi.org/10.2340/16501977-1008
  15. Toglia JP, Rodger SA, Polatajko HJ, et al. Anatomy of cognitive strategies: A therapist's primer for enabling occupational performance. Can J Occup Ther. 2012;79(4):225-36. https://doi.org/10.2182/cjot.2012.79.4.4
  16. McEwen SE, Polatajko HJ, Huijbregts MP, et al. Intertask transfer of meaningful, functional skills following a cognitive-based treatment: Results of three multiple baseline design experiments in adults with chronic stroke. Neuropsychological Rehabil. 2010;20(4):541-61. https://doi.org/10.1080/09602011003638194
  17. Polatajko HJ, Mandich A. Enabling occupation in children: The cognitive orientation to daily occupational performance. Ottawa. ON: CAOT Publications ACE. 2004.
  18. Miler LT, Polatajko HJ, Missiuna C, et al. A pilot trial of a cognitive treatment for children with developmental coordination disorder. Human Movement Science. 2001;20(1-2):183-210. https://doi.org/10.1016/S0167-9457(01)00034-3
  19. Banks R, Rodger S, Polatajko HJ. Mastering handwriting: How children with developmental coordination disorder succeed with CO-OP. OTJR. 2008;28(3):100-9. https://doi.org/10.3928/15394492-20080601-01
  20. Jo EM, Yoo EY. Cognitive orientation to daily occupational performance: A systematic reviews. Korean J of Occup Ther. 2015;23(4):115-34. https://doi.org/10.14519/jksot.2015.23.4.09
  21. Polatajko HJ, McEwen SE, Ryan JD, et al. (2012). Pilot randomized controlled trial investigating cognitive strategy use to improve goal performance after stroke. Am J Occup Ther. 2012;66(1):104-9. https://doi.org/10.5014/ajot.2012.001784
  22. Ploughman M. A review of brain neuroplasticity and implications for the physiotherapeutic management of stroke. Physiotherapy Canada. 2002;54(3):164-76.
  23. Salter K, Foley N, Teasell R, et al. Social support interventions and mood status post stroke: a review. Int J Nurs Stud. 2010;47(5):616-25. https://doi.org/10.1016/j.ijnurstu.2009.12.002
  24. Lee HJ, Kwon HC, Kim H. Correlations between cognitive function and occupational participation in dementia patients. JKIAS. 2018;19(4):472-80.
  25. Kwon YC, Park JH. Korean version of mini-mental state examination (MMSE-K) Part I: development of the test for the elderly. KNPA. 1989;28(1):125-35.
  26. Folstein MF, Folstein SE, McHugh PR. "Mini-mental state": a practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research. 1975;12(3):189-98.
  27. Lee GD, Moon JH, Park KY, et al. The effects of task-oriented circuit training on the upper extremity function and quality of life in chronic stroke patients. Electronic Communication. 2018;13(3):657-60.
  28. Kim HY. The effects of hand function program on hand function and instrumental activities of daily living. OTAD. 2008;2(2):1-12.
  29. Lee MS. The Effect of fluidotherapy for edema reduction on hand's dexterity and daily activity. Master's degree thesis. Kwangju Women's University. 2015.
  30. Ko HE. Effects of action observational physical training based on mirror neuron system on upper extremity function and activities of daily living of chronic stroke patients. PNF and Movement. 2015;13(4):175-80. https://doi.org/10.21598/JKPNFA.2015.13.4.2
  31. Choi YI, Kim WH, Park EY, et al. The validity, reliability and discriminative index of the Korean version of modified barthel index (K-MBI) in stroke patients. JKAIS. 2012; 13(9):4119-25.
  32. Martini R, Rios J, Polatajko H, et al. The performance quality rating scale (PQRS): reliability, convergent validity, and internal responsiveness for two scoring systems. Disabil Rehabil. 2015;37(3):231-8. https://doi.org/10.3109/09638288.2014.913702
  33. Polatajko HJ, Mandich AD, Missiuna C, et al. Cognitive orientation to daily occupational performance (CO-OP) part III-the protocol in brief. Phys Occup Ther Pediatr. 2001;20(2-3):107-23. https://doi.org/10.1080/J006v20n02_07
  34. Polatajko HJ, Mandich A. Enabling occupation in children: the cognitive orientation to daily occupational performance. Ottawa. CAOT Publications ACE. 2004
  35. Park JM, Kim CS. The Effect of Virtual Reality Program for Chronic Stroke Patients. JKPT. 2004;16(4):687-98.
  36. Geusgens CAV, Van Heugten CM, Cooijmans JPJ, et al. Transfer effects of a cognitive strategy training for stroke patients with apraxia. J Clin Exp Neuropsychol. 2007;29(8):831-41. https://doi.org/10.1080/13803390601125971
  37. Ahn SN, Yoo EY, Jung MY, et al. Comparison of Cognitive Orientation to daily Occupational Performance and conventional occupational therapy on occupational performance in individual with stroke: A randomized controlled trial. Neurorehabil. 2017;40(3):285-92. https://doi.org/10.3233/NRE-161416
  38. McEwen S, Polatajko H, Baum C, et al. Combined cognitive-strategy and task-specific training improve transfer to untrained activities in subacute stroke: an exploratory randomized controlled trial. Neurorehabil Neural Repair. 2015;29(6):526-36. https://doi.org/10.1177/1545968314558602
  39. Kim GH, Kim H. Effects of CO-OP intervention on affected upper extremity use, executive function and occupational performance. Therapeutic Science for Rehabilitation. 2021;10(2):141-50
  40. Hwang BS. Effect of the CO-OP approach on occupational performance in apraxia patients. Master's degree. Kaya University. 2017.
  41. Borujeni MS, Hosseini SA, Akbarfahimi N, et al. Cognitive orientation to daily occupational performance approach in adults with neurological conditions : A scoping review. Med J Islam Repub Iran. 2019, Sep 21;33:99.