Brain Injury Cognitive Dysfunction After Occupational Therapy Program And Its Clinical Efficacy Study

OBJECTIVESTo study the occupational treatment for cognitive dysfunction due to cerebral injury and make the clinical protocol.To investigate its clinical effect and provide a systematic,comprehensive and effective regime.METHODS(1) By collecting therapies from clinical materials,literatures and making some new cognitive occupational therapies from various domains,we formulate a systematic cognitive training program;(2) Thirty-two patients were randomly divided into two groups,treatment group and control group.There were 16 patients in each group.Patients in the control group were treated with routine drugs and sports training,while those in the treatment group received the cognitive occupational treatment in addition to the conventional therapy. All patients were assessed by LOTCA(Loewenstein Occupational Therapy Cognition Assessment) before and after treatment.RESULTS(1) We formulated a systematic cognitive training program involving eight cognitive domains;(2) Training program validation①This trial was well completed and the characteristics of 2 groups were comparable.②Except the Utilization of Objects and the Pictorial Sequence B,there were significant differences in the cognitive domains between the treatment group and the control group(P＜0.05).③Except the Pictorial Sequence B,there were significant differences in the cognitive domains before and after treatment in the treatment group(P＜0.05).④Significant differences were observed in OP,OT,OI,OC,SP1,SP3,P1,PB,DC,CA(P＜0.05),and no differences were found in the rest cognitive domains of the control group(P＞0.05).⑤There were significant differences in LOTCA total scores between the control group and the treatment group(P＜0.05).⑥No obvious correlations were found between cognitive functions and age,course of disease or educational background.(r=-0.201—-0.249,P＞0.05)CONCLUSION(1) This training program was proved to be operable and efficient,so it could be used for treating cognitive dysfunction clinically.(2) The clinical trial indicated,comparing the total scores,the cognition functions in the control group and the treatment group were all improved,but the latter was better than the former.Except the Pictorial Sequence B,all the cognition domains were improved in the treatment group;but in the control group,only OP,OT,OI,OC,SP1,SP3,P1,PB,DC,CA were improved after treatment.(3) There were no significant correlations between cognitive functions and age, course of disease or educational background.We need still more sample amounts to further our study in the future.