Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .
Performance Problems of Patients With Chronic Low-Back Pain and the Measurement of Patient-Centered Outcome
Study Design . In a prospect i ve interventional study , problems with performance were evaluated in 101 consecutive patients with chronic low-back pain for more than 12 months , before and after participation in an outpatient-based multidisciplinary pain management program in Mansfield , United Kingdom . Objectives . To describe problems identified as most important by patients with chronic low-back pain and to evaluate the Canadian Occupational Performance Measure ( COPM ) as a tool for measuring problem-specific outcomes . Summary of Background Data . Patients with chronic low-back pain report difficulties with a variety of activities . The COPM permits the identification and measurement of problems of particular concern to the patient . Material s and Methods .  COPM , likert-modified Rol and and Morris Disability Question naire , Pain Self-Efficacy Question naire , and 5-minute walk test  were administered at baseline , immediately after , and 9 months after intervention . Differences and statistical interactions were determined by nonparametric tests . Results . Participants identified 60 different types of problem activity , 45 of which were identified by nine or fewer participants . Decreased walking tolerance was the most frequently identified problem ( 56 % of participants ) . Improvements were observed in all outcomes following intervention . Approximately one third of participants reported improvements two or more COPM units in overall performance and satisfaction with their performance at 9 months . Higher reported performance and satisfaction were associated with greater self-efficacy . Increased reported walking performance was associated with increased observed 5-minute walk distance ( R = 0.35 , P = 0.02 ) . Conclusions . Patients with chronic low-back pain report problems with diverse activities . The COPM provides a patient-centered outcome measure that displays good external validity and responsiveness to change when addressing the individual ’s goals
Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .