本文敘述臨床職能治療師如何以神經發展理論及人類職能參考架構為治療理論，將具治療性目的的鋼琴活動運用在一位重鬱症且合併有腦部外傷及頸椎椎間盤凸出的病人身上。透過質性研究的訪談方式，研究者歸納出職能治療鋼琴活動對病人工作、休閒、日常生活三方面的職能領域的幫助，文中並討論鋼琴活動應用於腦傷病人時應注意的原則，可作為日後職能復健在臨床運用上的參考。

In this research, we explored how occupational therapists used a therapeutic piano activityto cure a patient with a head injury and cervical-HIVD (Herniated Intervertebral Disc)with majordepression. The approach was based on theories of neurodevelopmental treatment and theModelof HumanOccupation.We used an in-depth interviewmethodology of qualitative research to sumup the helpfulness of a piano activity for patients at work, at leisure, and in activities of daily living,3 aspects of occupational areas. We discuss our findings of using a piano activity to treat patientswith head injuries, which may offer references for clinical use for related staff in the area ofrehabilitative care.