Impact on activities of daily living using a functional electrical stimulation device to improve dropped foot in people with multiple sclerosis, measured by the Canadian Occupational Performance Measure

2010 ◽  
Vol 16 (9) ◽  
pp. 1141-1147 ◽  
Author(s):  
JE Esnouf ◽  
PN Taylor ◽  
GE Mann ◽  
CL Barrett
Keyword(s):  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Activities Of Daily Living ◽  
Functional Electrical Stimulation ◽  
Daily Living ◽  
Exercise Group ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Research Volunteers

Background: Dropped foot is a common problem following multiple sclerosis. Functional electrical stimulation can elicit an active muscle contraction providing dorsiflexion and eversion. Objective: To determine if the Odstock dropped foot stimulator (ODFS), improved Activities of Daily Living for people with multiple sclerosis. Method: 64 people with unilateral dropped foot due to secondary progressive multiple sclerosis took part in a randomized controlled trial. Research volunteers were assigned to a group using the ODFS or a group who received physiotherapy exercises for 18 weeks. Outcome measures were the Canadian Occupational Performance Measure (COPM) and a falls diary. Results: Results of 53 research volunteers are reported. Improvements in performance and satisfaction scores were greater in the ODFS group than the exercise group; ( p < 0.05). Use of the ODFS was also perceived as effective in reducing tripping and increasing walking distance. The median number of falls were 5 in the ODFS group and 18 in the exercise group ( p = 0.036) over the study period. Conclusion: The study shows that people with multiple sclerosis using the ODFS increased their COPM performance and satisfaction scores of their identified problems of Activities of Daily Living more than a matched group who received physiotherapy exercises. ODFS users also experienced fewer falls.

scholarly journals Assessment of impairment in activities of daily living in mild cognitive impairment using an individualized scale

2016 ◽  
Vol 74 (7) ◽  
pp. 549-554 ◽  
Author(s):  
Giseli de Fátima dos Santos Chaves ◽  
Alexandra Martini Oliveira ◽  
Juliana Aparecida dos Santos Chaves ◽  
Orestes Vicente Forlenza ◽  
Ivan Aprahamian ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Functional Impairment ◽  
Daily Living ◽  
Performance Measure ◽  
Occupational Performance ◽  
Validity And Reliability ◽  
Canadian Occupational Performance Measure ◽  
Mild Impairment

ABSTRACT Mild impairment in activities of daily living (ADL) can occur in Mild Cognitive Impairment (MCI), but the nature and extent of these difficulties need to be further explored. The Canadian occupational performance measure (COPM) is one of the few individualized scales designed to identify self-perceived difficulties in ADL. The present study investigated impairments in ADL using the COPM in elderly with MCI. A total of 58 MCI patients were submitted to the COPM for studies of its validity and reliability. The COPM proved a valid and consistent instrument for evaluating ADL in elderly MCI patients. A total of 74.6% of the MCI patients reported difficulties in ADL. Of these problems, 41.2% involved self-care, 31.4% productivity and 27.4% leisure. This data further corroborates recent reports of possible functional impairment in complex ADL in MCI.

Achieving patient-centred goals in oncology: A retrospective analysis of a domestic activities of daily living group

2020 ◽  
Vol 83 (12) ◽  
pp. 773-779
Author(s):  
Anthea Udovicich ◽  
Lara Edbrooke ◽  
Ted Brown ◽  
Celia Marston
Keyword(s):  
Activities Of Daily Living ◽  
Retrospective Analysis ◽  
Daily Living ◽  
Intervention Group ◽  
Performance Measure ◽  
T Test ◽  
Occupational Performance ◽  
Domestic Activities ◽  
Canadian Occupational Performance Measure ◽  
Living Group

Introduction This retrospective study aimed to investigate the effectiveness of a domestic activities of daily living group on the occupational performance and satisfaction of adult inpatients with cancer. Method A retrospective analysis was completed with an initial cohort of patients who participated in the group during their acute inpatient oncology admission. As part of their routine care, patients completed the Canadian Occupational Performance Measure before and after their participation in the group. The occupational performance and satisfaction scores of 31 adults (mean age 71.61 years, 19 females) were reported descriptively and within-group changes analysed using one-sample t-test analyses and bootstrapping. Results Most (71%) of the 31 patients were discharged home following their inpatient stay. Canadian Occupational Performance Measure mean (SD) change scores were 3.44 (3.90) for performance and 2.04 (2.16) for satisfaction following participation in one domestic activities of daily living intervention group session. Statistically significant improvements in patients’ Canadian Occupational Performance Measure performance and satisfaction scores were demonstrated in the one-sample t-test ( p < .002) and bootstrapping sampling ( p < .002). Conclusion Acute oncology inpatients who attended a domestic activities of daily living intervention group reported a positive change in Canadian Occupational Performance Measure occupational performance and satisfaction. This study highlights the potential benefit of a group-based domestic activities of daily living intervention in an acute oncology setting.

Validity and Community Utility of the Canadian Occupational Performance Measure

2000 ◽  
Vol 67 (1) ◽  
pp. 22-30 ◽  
Author(s):  
Mary Ann McColl ◽  
Margo Paterson ◽  
Diane Davies ◽  
Lorna Doubt ◽  
Mary Law
Keyword(s):  
Life Satisfaction ◽  
Occupational Therapy ◽  
Daily Living ◽  
Multivariate Analyses ◽  
Performance Measure ◽  
National Standard ◽  
Occupational Performance ◽  
Project Coordinator ◽  
Canadian Occupational Performance Measure ◽  
Therapy Services

This study addressed the validity and community utility of the Canadian Occupational Performance Measure (COPM) (Law et al., 1991; 1994; 1998): a measure that now represents a national standard in clinical practice and research in occupational therapy in Canada. The study employed a crosssectional design. Participants for the study were former consumers of occupational therapy services, recruited from the Queen's University catchment area (Kingston, North Bay, Oshawa, Perth, Peterborough). A sample of 61 disabled individuals living in the community were recruited. Each individual was sent a package of self-administered measures including the Satisfaction with Performance Scaled Questionnaire, the Reintegration to Normal Living Index, the Life Satisfaction Questionnaire, and the Perceived Problems List. An interview was also arranged with the project coordinator, which was based on the COPM and the Consumer Utility Questionnaire. Multivariate analyses showed that construct validity was supported; scores on the COPM were significantly related to theoretically related constructs: satisfaction with performance, reintegration to normal living and life satisfaction. In addition, criterion validity was supported. A majority of participants (53%), when asked about problems of daily living, spontaneously reported at least one of the problems raised on the COPM. Community utility was evaluated highly by participants, 75% of whom found the COPM useful in identifying and rating their problems, and 100% of whom reported no problems in understanding the COPM.

scholarly journals Functional Electrical Stimulation to Augment Poststroke Reach and Hand Opening in the Presence of Voluntary Effort

2013 ◽  
Vol 28 (3) ◽  
pp. 241-249 ◽  
Author(s):  
Nathaniel S. Makowski ◽  
Jayme S. Knutson ◽  
John Chae ◽  
Patrick E. Crago
Keyword(s):  
Electrical Stimulation ◽  
Activities Of Daily Living ◽  
Upper Extremity ◽  
Stroke Patient ◽  
Functional Electrical Stimulation ◽  
Daily Living ◽  
Hand Movements ◽  
Generate Functional ◽  
First Time ◽  
Hand Opening

Background. Hemiparesis after stroke can severely limit an individual’s ability to perform activities of daily living. Functional electrical stimulation (FES) has the potential to generate functional arm and hand movements. We have observed that FES can produce functional hand opening when a stroke patient is relaxed, but the FES-produced hand opening is often overpowered by finger flexor coactivation in response to patient attempts to reach and open the hand. Objective. To determine if stimulating both reaching muscles and hand opening muscles makes it possible to achieve useful amounts of simultaneous reach and hand opening even in the presence of submaximal reaching effort. Methods. We measured reach and hand opening during a reach-then-open the hand task under different combinations of voluntary effort and FES for both reach and hand opening. Results. As effort was reduced and stimulation generated more movement, a greater amount of reach and hand opening was achieved. For the first time, this study quantified the effect of voluntary effort for reach and hand opening on stimulated hand opening. It also showed variability in the interaction of voluntary effort and stimulation between participants. Additionally, when participants were instructed to reach with partial effort during simultaneous FES, they achieved greater reach and hand opening. Conclusions. Simultaneous reaching and FES hand opening is improved by including FES for reach and reducing voluntary effort. In the future, an upper extremity neuroprosthesis that uses a combination of voluntary effort and FES assistance may enable users to perform activities of daily living.

scholarly journals Self-reported Reasons for Changes in Performance of Everyday Activities During a 2-Year Multidisciplinary Multiple Sclerosis Rehabilitation

2021 ◽  
Author(s):  
Maarit E. Karhula ◽  
Katja Kanelisto ◽  
Päivi Hämäläinen ◽  
Juhani Ruutiainen ◽  
Pertti Era ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Environmental Factors ◽  
Severe Disabilities ◽  
Rehabilitation Program ◽  
Performance Measure ◽  
The Self ◽  
Outpatient Rehabilitation ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Activity Performance

Abstract Background: Few multidisciplinary rehabilitation studies with a heterogeneous design have focused on people with multiple sclerosis (MS). This study compared subjective-reported changes in performance and satisfaction with daily activities among moderately and severely disabled people with MS during a 2-year, multidisciplinary, group-based, outpatient rehabilitation program comprising education in self-management and compensatory techniques, exercise, and guided peer support. Methods: Thirty-eight adults with moderate disability (Expanded Disability Status Scale [EDSS] score of 4.0–5.5, 74% women, mean age of 48 years) and 41 persons with severe disability (EDSS 6.0–8.5, 63% women, mean age of 48 years) were assessed at baseline and after 12 and 21 months of outpatient rehabilitation using the Canadian Occupational Performance Measure. Group × time interactions were analyzed using mixed analysis of variance. Participants’ explanations of reasons for changes in activity performance were collected via semistructured interviews and content analyzed. Results: Statistically significant improvements in Canadian Occupational Performance Measure performance and satisfaction scores were reported in both groups from baseline to 21 months of rehabilitation. No significant between-group differences in improvement were observed. The self-reported reasons for improvement were mainly linked to environmental factors. Conclusions: The outpatient rehabilitation program, including four themes—cognition, mood, energy conservation, and body control—improved the self-reported performance of patients with MS with moderate and severe disabilities. Environmental factors warrant consideration during rehabilitation.

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