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Occupational Therapy Practice Guidelines for Adults With Traumatic Brain Injury

心理干预 作业疗法 医学 系统回顾 循证实践 梅德林 临床心理学 心理学 物理疗法 护理部 替代医学 政治学 病理 法学
作者
Steven Wheeler,Amanda Acord-Vira
出处
期刊:American Journal of Occupational Therapy [AOTA Press]
卷期号:77 (4) 被引量:23
标识
DOI:10.5014/ajot.2023.077401
摘要

Abstract Importance: Occupational therapy practitioners are uniquely qualified to address the occupational needs of people with traumatic brain injury (TBI) and their caregivers to maximize participation, health, and well-being. Objective: These Practice Guidelines are informed by systematic reviews of the effectiveness of interventions that address impairments and skills to improve the occupational performance of people with TBI, as well as interventions for caregivers of people with TBI. The purpose of these guidelines is to summarize the current evidence available to assist clinicians’ clinical decision-making in providing interventions for people with TBI and their caregivers. Method: We reviewed six systematic reviews and synthesized the results into clinical recommendations to be used in occupational therapy clinical practice. Results: Sixty-two articles served as the basis for the clinical recommendations. Conclusions and Recommendations: Strong to moderate evidence supports multimodal sensory stimulation, unimodal auditory stimulation, physical activity, virtual reality, cognitive interventions, vision therapy, goal-focused interventions, individual and group training and education, and caregiver supports. Occupational therapy practitioners should incorporate these interventions into individual and group sessions to maximize recovery and promote occupational participation. Additional interventions are also available, based on emerging evidence and expert opinion, including prevention approaches, complexity of injury, and the use of occupation-based performance assessments. What This Article Adds: These Practice Guidelines provide a summary of evidence in clinical recommendations tables supporting occupational therapy interventions that address impairments resulting from and skills to improve occupational performance after TBI. The guidelines also include case study examples and evidence graphics for practitioners to use to support clinical reasoning when selecting interventions that address the goals of the person with TBI and their caregiver’s needs.
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