Affiliations: [a]
Department of Occupational Therapy, College of Health Science, Chosun University, Gwangju, Republic of Korea | [b]
Department of Occupational Therapy, School of Medicine, Wonkwang University, Jeonbuk, Republic of Korea
Correspondence:
[*]
Corresponding author: Hee-Soon Woo, Ph.D., O.T., Department of Occupational Therapy, School of Medicine, Wonkwang University, 460 Iksandae-ro, Iksan, Jeonbuk, Republic of Korea. Tel.: +82 63 850 6956; Fax: +82 63 850 7310; E-mail: otprime@wku.ac.kr.
Abstract: Background:Cognitive orientation to daily occupational performance (CO-OP) is a task-specific training applied using a cognitive behavioral approach to improve performance in daily activities and to enable the patient to overcome limitations related to them. Objectives:The purpose of this study was to investigate the effects of the CO-OP approach in comparison with task-specific upper extremity training (TUET) on performance related to daily and functional activities in individuals with chronic hemiparetic stroke. Methods:Forty-nine participants diagnosed with stroke for the first time underwent 30 minutes of either the CO-OP approach or TUET 5 days a week for 4 weeks. We evaluated their performance on the box-and-block test (BBT), Canadian occupational performance measure (COPM), and community integration questionnaire (CIQ) and Wolf motor function test-functional score (WMFT-F) before and after the training. Results:Our results show a significantly improvement in the WMFT-F, COPM-P, COPM-S, BBT, and CIQ scores after training in the CO-OP group, but only COPM-S score was significantly improvement after training in TUET group (p < 0.05). This study also found higher increases in the mean WMFT-F, COPM-P, COPM-S and BBT scores in the CO-OP group than in the TUET group, but CIQ score did not have a significantly higher increase between-group after training. Conclusions:The results of this study suggest that the CO-OP approach resulted in a positive therapeutic effect on self-selected occupational performance and daily and functional activities in individuals with chronic hemiparetic stroke.
Keywords: Activities of daily living, cognition, communities, stroke
