Monitoring of Inpatient Rehabilitation in Child and Parent Pairs with the Canadian Occupational Performance Measure / The Japanese Journal of Rehabilitation Medicine

ABSTRACT

Objective：Our institute provides inpatient intensive rehabilitation to severely disabled children and their parents. Rehabilitation aims are patient-specific, thus using individual scales to evaluate rehabilitation is essential. Here, we adopted the Canadian Occupational Performance Measure (COPM) to perform this evaluation in thirty-one cases.Methods：For the COPM, patients set goals in five subjects, and evaluates their performance levels and satisfaction levels on a scale of 1-10, before and after rehabilitation, and the mean scores are compared.Results：The COPM scores were significantly elevated in all cases at discharge. Patient had an average increase of 3.9 points for both performance and satisfaction scores. The scores of children with medical complexity tended to exceed those who did not require complex medical care. We identified a correlation between satisfaction and performance scores.Conclusion：We quantitatively measured the development of patients to measure the effectiveness of our intervention for two months using the COPM, which cannot be clarified by other objective evaluation tools for gross motor skills, functional independence, etc.. Although satisfaction scores are subjective, herein, their validity was shown by the correlation to the performance scores. Overall, COPM can contribute to top-down approaches to rehabilitation.