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Effect of the Cognitive Orientation to daily Occupational Performance (CO-OP) approach for children with cerebral
1Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
Insights
The Cognitive Orientation to daily Occupational Performance (CO-OP) approach, combined with neurodevelopmental treatment (NDT), significantly improved occupational performance and function in children with cerebral palsy (CP). This suggests CO-OP is a beneficial addition to CP rehabilitation.
Area of Science:
- Pediatric Rehabilitation
- Occupational Therapy
- Neuroscience
Background:
- Cerebral palsy (CP) presents significant challenges to children's functional abilities and daily performance.
- Neurodevelopmental Treatment (NDT) is a common therapeutic approach for children with CP.
- Integrating complementary therapeutic strategies may enhance outcomes for children with CP.
Purpose of the Study:
- To evaluate the effectiveness of the Cognitive Orientation to daily Occupational Performance (CO-OP) approach when added to Neurodevelopmental Treatment (NDT) for children with cerebral palsy (CP).
- To assess improvements in occupational performance, satisfaction, and functional status in children with CP.
- To determine parental satisfaction levels with the combined therapeutic intervention.
Main Methods:
- A randomized controlled trial involving 32 children with CP was conducted.
- Participants were assigned to either an experimental group (CO-OP + NDT) or a control group (NDT only).
- Therapy was administered twice weekly for five weeks.
Main Results:
- Both groups showed improvements, but the experimental group (CO-OP + NDT) demonstrated statistically significant and clinically meaningful enhancements in occupational performance and function compared to the control group (NDT alone).
- No significant baseline differences were observed between groups, except for higher years of schooling in the experimental group.
- Parental satisfaction was also assessed, though specific results are not detailed in the abstract.
Conclusions:
- The Cognitive Orientation to daily Occupational Performance (CO-OP) approach is a valuable adjunct to traditional Neurodevelopmental Treatment (NDT) for children with cerebral palsy (CP).
- Incorporating CO-OP into rehabilitation programs can lead to enhanced functional outcomes and occupational performance in this population.
- Further research may explore long-term effects and specific components of CO-OP that drive these improvements.
Purpose:
The study aimed to examine the effects of "Cognitive Orientation to daily Occupational Performance" (CO-OP) approach in terms of performance and satisfaction as well as functional status in children with cerebral palsy (CP) receiving neurodevelopmental treatment (NDT) and determine the parents' satisfaction level.
Methods:
Thirty-two children with CP were randomized to experimental (n = 16) or control (n = 16) groups, with n = 2 dropouts. Therapy was applied twice a week for five weeks. The experimental group received a CO-OP plus NDT, while the control group received only NDT.
Results:
No baseline differences existed, except for years of schooling, which was higher in the experimental group. After treatment, there were statistically significant and clinically meaningful improvements in occupational performance and function, favouring children who received 5-weeks of CO-OP plus NDT over NDT alone (p < 0.05).
Conclusion:
CO-OP is expected to be beneficial if incorporated into CP rehabilitation.
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