Effectiveness of Cognitive Orientation to Daily Occupational Performance in Parkinson’s Disease: A Case Report
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Abstract
Introduction: Parkinson’s disease is a chronic progressive neurodegenerative disorder causing impaired motor function and various non-motor symptoms. One of the most common problems in Parkinson’s patients is occupational performance problems. The cognitive orientation to daily occupational performance (CO-OP) is one of the client-centered and problem-solving approaches in occupational therapy evaluations and interventions. This study aims to determine the effectiveness of the CO-OP approach on perceived satisfaction and occupational performance in a 62-year-old woman with Parkinson’s disease.
Case Description: The client was a 62-year-old woman with moderate cognitive impairment, stage 3 on the Hoehn and Yahr scale, and signs of depression. In our case study, the outcome measures were the Canadian occupational performance measure (COPM), functional independence measure (FIM), Montreal cognitive assessment (MOCA), and Beck depression inventory-II (BDI-II). We administered the CO-OP intervention for six weeks. Sessions were performed twice a week for one hour per session.
Results: The results indicate that the CO-OP intervention improves the client’s satisfaction, occupational performance, and functional independence. Although the results from this single case cannot be generalized, the findings suggest that CO-OP intervention may help improve satisfaction and occupational performance in adults with Parkinson’s disease. Further investigation is necessary.
Conclusion: These results suggest that CO-OP can be a valuable occupational therapy interventions for individuals with Parkinson’s disease. We recommend that occupational therapists consider using this approach in their practice to improve the occupational performance of their patients with Parkinson’s disease.
DeMaagd G, Philip A. Parkinson’s disease and its management: Part 1: Disease entity, risk factors, pathophysiology, clinical presentation, and diagnosis. P & T : A Peer-Reviewed Journal for Formulary Management. 2015; 40(8):504-32. [PMID]
Sherer TB, Chowdhury S, Peabody K, Brooks DW. Overcoming obstacles in Parkinson’s disease. Movement Disorders : Official Journal of the Movement Disorder Society. 2012; 27(13):1606-11. [DOI:10.1002/mds.25260] [PMID]
Ramazani E, Fereidoni M, Tayarani-Najjaran Z. [Non-steroidal anti-inflammatory drugs (NSAIDs) action in Parkinson’s disease (Persian)]. Iranian Journal of Physiology and Pharmacology. 2019; 2(4):261-49. [Link]
Dickson DW, Braak H, Duda JE, Duyckaerts C, Gasser T, Halliday GM, et al. Neuropathological assessment of Parkinson’s disease: Refining the diagnostic criteria. The Lancet Neurology. 2009; 8(12):1150-7. [DOI:10.1016/S1474-4422(09)70238-8] [PMID]
Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: A clinico-pathological study of 100 cases. Journal of Neurology, Neurosurgery & Psychiatry. 1992; 55(3):181-4. [DOI:10.1136/jnnp.55.3.181] [PMID] [PMCID]
Hadian M, Raji P, Abasi A, Hoseinabadi R, Baghestani A. Evaluation of the effect of vestibular exercises on dizziness and postural control in Parkinson patients. Journal of Modern Rehabilitation. 2018; 12(1):13-20. [DOI:10.32598/jmr.12.1.13]
Pfeiffer RF. Non-motor symptoms in Parkinson’s disease. Parkinsonism & Related Disorders. 2016; 22(Suppl 1 ):S119-22. [DOI:10.1016/j.parkreldis.2015.09.004] [PMID]
Hagell P. Measuring activities of daily living in Parkinson’s disease: On a road to nowhere and back again? Measurement. 2019; 132:109-24. [DOI:10.1016/j.measurement.2018.09.050]
Hariz GM, Forsgren L. Activities of daily living and quality of life in persons with newly diagnosed Parkinson’s disease according to subtype of disease, and in comparison to healthy controls. Acta Neurologica Scandinavica. 2011; 123(1):20-7. [DOI:10.1111/j.1600-0404.2010.01344.x] [PMID]
Kuhlman GD, Flanigan JL, Sperling SA, Barrett MJ. Predictors of health-related quality of life in Parkinson’s disease. Parkinsonism & Related Disorders. 2019; 65:86-90. [DOI:10.1016/j.parkreldis.2019.05.009] [PMID]
Bryden Dueck C. Determining the applicability of the cognitive orientation to daily occupational performance (CO-OP) as a meta-cognitive rehabilitation strategy for individuals with cognitive impairment in parkinson’s disease [MSc thesis]. Winnipeg: University of Manitoba; 2016. [Link]
Gaudet P. Measuring the impact of Parkinson’s disease: An occupational therapy perspective. Canadian Journal of Occupational Therapy. 2002; 69(2):104-13. [DOI:10.1177/000841740206900206] [PMID]
Missiuna C, Mandich AD, Polatajko HJ, Malloy-Miller T. Cognitive orientation to daily occupational performance (CO-OP) part I-theoretical foundations. Physical & Occupational Therapy in Pediatrics. 2001; 20(2-3):69-81. [DOI:10.1080/J006v20n02_05]
Ward A, Rodger S. The application of cognitive orientation to daily occupational performance (CO-OP) with children 5-7 years with developmental coordination disorder. British Journal of Occupational Therapy. 2004; 67(6):256-64. [DOI:10.1177/030802260406700604]
Ghorbani N, Gharebaghy S, Rassafiani M, Akbarfahimi N, Havaei N. [What kinds of conditions is cognitive orientation to daily occupational performance used: A systematic review (Persian)]. Journal of Research in Rehabilitation Sciences. 2014; 10(4):581-98. [Link]
Borujeni M, Hosseini SA, Akbarfahimi N, Ebrahimi E. Cognitive orientation to daily occupational performance approach in adults with neurological conditions: A scoping review. Medical journal of the Islamic Republic of Iran. 2019; 33(1):597-604. [DOI:10.47176/mjiri.33.99]
Law M, Baptiste S, McColl M, Opzoomer A, Polatajko H, Pollock N. The Canadian occupational performance measure: An outcome measure for occupational therapy. Canadian Journal of Occupational Therapy. 1990; 57(2):82-7. [DOI:10.1177/000841749005700207] [PMID]
Naghdi S, Ansari NN, Raji P, Shamili A, Amini M, Hasson S. Cross-cultural validation of the Persian version of the Functional Independence Measure for patients with stroke. Disability and Rehabilitation. 2016; 38(3):289-98. [DOI:10.3109/09638288.2015.1036173] [PMID]
Nasreddine ZS, Phillips NA, Bédirian V, Charbonneau S, Whitehead V, Collin I, et al. The montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society. 2005; 53(4):695-9. [DOI:10.1111/j.1532-5415.2005.53221.x] [PMID]
Dozois DJ, Dobson KS, Ahnberg JL. A psychometric evaluation of the Beck Depression Inventory-II. Psychological Assessment. 1998; 10(2):83-9. [DOI:10.1037/1040-3590.10.2.83]
Carswell A, McColl MA, Baptiste S, Law M, Polatajko H, Pollock N. The Canadian Occupational Performance Measure: A research and clinical literature review. Canadian Journal of Occupational Therapy. 2004; 71(4):210-22. [DOI:10.1177/000841740407100406] [PMID]
Henshaw E, Polatajko H, McEwen S, Ryan JD, Baum CM. Cognitive approach to improving participation after stroke: Two case studies. American Journal of Occupational Therapy. 2011; 65(1):55-63. [DOI:10.5014/ajot.2011.09010] [PMID]
Dawson DR, Gaya A, Hunt A, Levine B, Lemsky C, Polatajko HJ. Using the cognitive orientation to occupational performance (CO-OP) with adults with executive dysfunction following traumatic brain injury. Canadian Journal of Occupational Therapy. 2009; 76(2):115-27. [DOI:10.1177/000841740907600209] [PMID]
Skidmore ER, Holm MB, Whyte EM, Dew MA, Dawson D, Becker JT. The feasibility of meta-cognitive strategy training in acute inpatient stroke rehabilitation: Case report. Neuropsychological Rehabilitation. 2011; 21(2):208-23. [DOI:10.1080/09602011.2011.552559] [PMID] [PMCID]
Polatajko HJ, Mandich AD, Missiuna C, Miller LT, Macnab JJ, Malloy-Miller T, et al. Cognitive orientation to daily occupational performance (CO-OP) part III-the protocol in brief. Physical & Occupational Therapy in Pediatrics. 2001; 20(2-3):107-23. [DOI:10.1080/J006v20n02_07]
Lawrence BJ, Gasson N, Kane R, Bucks RS, Loftus AM. Activities of daily living, depression, and quality of life in Parkinson’s disease. PloS One. 2014; 9(7):e102294. [DOI:10.1371/journal.pone.0102294] [PMID] [PMCID]
Jorm AF. Is depression a risk factor for dementia or cognitive decline? A review. Gerontology. 2000; 46(4):219-27. [DOI:10.1159/000022163] [PMID]
Sachs-Ericsson N, Joiner T, Plant EA, Blazer DG. The influence of depression on cognitive decline in community-dwelling elderly persons. The American Journal of Geriatric Psychiatry. 2005; 13(5):402-8. [DOI:10.1097/00019442-200505000-00009] [PMID]
| Files | ||
| Issue | Vol 17 No 3 (2023) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/jmr.v17i3.13075 | |
| Keywords | ||
| Cognitive orientation to daily occupational performance (CO-OP) Parkinson’s disease | ||
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