ABSTRACT

Objective: This study is aimed at a systematical discussion on the CO-OP approach for cerebral palsy. Methods: Published studies in the PubMed, SCOPUS, Embase, and RISS databases, which were published from January 2010 to November 2020, were searched. Key words used for search were (‘Cognitive orientation to daily occupational performance’ OR ‘Cognitive orientation’ OR ‘Cognitive approach’ OR ‘CO-OP’) AND cerebral palsy. Among 260 searched studies, 7 selected studies that match the thesis of this study were analyzed based on the subject characteristics and target activities, intervention effects, outcome measurement tools, and sessions. Results: The selected studies showed a relatively high level of evidence overall, including three randomized experimental studies, three individual experimental studies, and a one non-random two-group study. Most of the subjects were categorized as children by age, and GMFCS I and MACS II by function. The range of intervention activities the subjects wanted were ADL, play, and education. Intervention effects showed positive outcomes on the occupation performance, motor domain, and psychological domain. For measuring the effectiveness of CO-OP, COPM was mainly used, and most of applicable sessions were conducted 10 times during a 1-h period. Conclusion: This study was identified as helpful when applying the CO-OP approach to cerebral palsy subjects by providing the characteristics, goal activities, intervention effects, outcome measurement tools, and sessions regarding the CO-OP targeted subjects.