Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .
Comparison of constraint-induced movement therapy and bilateral treatment of equal intensity in people with chronic upper-extremity dysfunction after cerebrovascular accident.
OBJECTIVE We compared the effectiveness of constraint-induced movement therapy ( CIMT ) with bilateral treatment of equal intensity for chronic upper-extremity ( UE ) dysfunction caused by cerebrovascular accident ( CVA ) . DESIGN We conducted a 2-group , r and omized intervention trial with stratification by severity of UE dysfunction . Twelve community-dwelling adults were provided with 6 hr of occupational therapy for 10 days plus additional home practice . Six participants wore a mitt on the unimpaired UE , and 6 participants were intrusively and repetitively cued to use both UEs . The Wolf Motor Function Test ( WMFT ) and the Canadian Occupational Performance Measure ( COPM ) were administered before and after treatment and at 6-mo follow-up . RESULTS Significant improvements were found in WMFT and COPM scores across time in both groups . No significant between-group differences were found on the WMFT . CONCLUSION High-intensity occupational therapy using a CIMT or a bilateral approach can improve UE function  in people with chronic UE dysfunction after CVA . Treatment intensity rather than restraint may be the critical therapeutic factor
Conclusion ] This review indicates that the Canadian Occupational Performance Measure is appropriate for clinicians , including physiotherapists , in assessing outcome for patients with stroke .