% 0期刊文章%希梅诺霍滕西亚%理查德·g·布朗% jean - pierre林%维多利亚科尼利厄斯% Helene j . Polatajko % T认知方式与运动过度的运动障碍儿童康复post-DBS % D R 10.1212 / WNL 2019%。0000000000007092 % J首页神经病学% P e1212-e1224 % V 92% N 11% X客观这个概念验证可行性试验检查潜在的日常职业性能方法的认知取向(合作社)增加脑深部电刺激(DBS)结果儿童运动过度的运动障碍(HMD)包括肌张力障碍和运动障碍的脑瘫。这是一例实验设计方法使用多个基线n-of-1试验包括10干预会话,与各地复制参与者(n = 10)。治疗主要集中在3 participant-selected目标。2日转让评估额外的治疗目标。个人注册6-21岁,DBS原位和足够的手动能力。主要结果是功能性能变化对性能质量评级Scale-Individualized (PQRS-i)测量之前,期间和治疗后,在3个月随访。评估的结果对时间的评估,也不会话数量的干预和治疗分配。不重叠的指数来衡量效果,Tau-U使用。被抓获的可行性措施。结果一位与会者基线评估之前就退出了。 Effect sizes of at least 0.66 were seen at both posttreatment and follow-up with all participants showing improvements in at least one trained goal in PQRS-i. Six participants improved on all 3 goals and 2 improved on 2 trained goals. Two children showed deterioration in one trained goal each. Transfer to untrained goals was observed in 3 participants for a total of 5 goals. CO-OP was feasible and acceptable to all participants.Conclusion A cognitive-based, task-oriented approach to support performance of personally relevant functional skills enabling participation is acceptable in childhood-onset HMD post-DBS. Further, preliminary efficacy to improve outcomes and proof of concept with CO-OP has been established in this population.Classification of evidence This study provides Class IV evidence that for children with HMD who had undergone DBS, CO-OP improves performance of personally relevant functional skills.CO-OP=Cognitive Orientation to daily Occupational Performance Approach; COPM=Canadian Occupational Performance Measure; CP=cerebral palsy; DBS=deep brain stimulation; HMD=hyperkinetic movement disorders; OLS=ordinary least squares; PQRS-I=Performance Quality Rating Scale–individualized; SCED=single-case experimental design; SCRIBE=Single Case Reporting Guideline in Behavioural Interventions %U //www.ez-admanager.com/content/neurology/92/11/e1212.full.pdf