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A Systematic Review and Meta-Analysis of Cognitive Rehabilitation Occupational Therapy Intervention for Stroke Patients

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2019, 27(1), pp.51-69
  • DOI : 10.14519/kjot.2019.27.1.05
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics
  • Received : October 11, 2018
  • Accepted : March 4, 2019
  • Published : March 30, 2019

Shin, Chi-Hwan 1 Hwang mose 2 Eun Young Yoo 3

1대한작업치료사협회
2연세대학교(원주캠퍼스) 보건과학연구소
3연세대학교

Accredited

ABSTRACT

Objective: The purpose of this study is to analyze the cognitive rehabilitation approach applied to occupationalstroke patients as practiced by domestic and overseas occupational therapists, and to propose the effectivenessand practicality of clinical intervention. Methods: We searched for studies from 2008 to 2017 through Pubmed, CINAHL (EBSCOhost), PSYCINFO, KISS,and RISS using the Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines (PRISMAguidelines). The key search terms were "Stroke AND Occupational Therapy AND Cognitive Rehabilitation." Theinclusion and exclusion criteria were applied to a total of 17 studies. Results: The results were analyzed through a qualitative analysis of the research, a quantitative meta-analysis,categorization of the cognitive rehabilitation approach, FAME classification for the domestic clinical utility, and apost-intervention measurement tool. The orthodontic approach, adaptive approach, and dynamic interactionapproach showed moderate effects, and the functional approach showed a small effect. Conclusion: This study was designed to suggest an approach that can be applied immediately in Korea by examiningthe cognitive rehabilitation approach applied to stroke patients as practiced by domestic and overseas occupationaltherapists. In the future, many approaches should be supplemented, and various approaches should be applied toclinical practice in Korea.

Citation status

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