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Occupational Performance 1 Year After a Distal Radius Fracture From the Perspective of the International Classification of Functioning, Disability and Health Publisher



Farzad M1 ; Macdermid J2 ; Hemmati M3 ; Farhoud AR4
Authors
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Authors Affiliations
  1. 1. School of Physical Therapy, Department of Health and Rehabilitation Sciences, University of Western Ontario, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  2. 2. Department of Physical Therapy and Surgery, Western University, Clinical Research, Department of Rehabilitation Science, McMaster University, Hamilton, ON, Canada
  3. 3. Motahar Hemmati, BSc OT, Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  4. 4. Department of Orthopedic Surgery, Imam Hospital Complex, Tehran University of Medical Sciences, Joint Reconstruction Research Center, Tehran, Iran

Source: American Journal of Occupational Therapy Published:2023


Abstract

Importance: Distal radius fractures (DRFs) frequently compromise independent functioning. Objective: To analyze occupational performance post-DRF using the Canadian Occupational Performance Measure (COPM) and related interviews, guided by the International Classification of Functioning, Disability and Health (ICF). COPM score was compared with standard metrics: Patient-Reported Wrist Evaluation (PRWE) and Participation Behavior Questionnaire (PBQ). Method: Through a semistructured COPM interview, participants highlighted self-care, productivity, and leisure. They completed the PRWE and PBQ, linking results to ICF sets. Design: Prospective cohort. Setting: Outpatient hand surgery clinic at a trauma center. Participants: Patients (N 5 120), 1 yr post-DRF. Outcomes and Measures: Incorporated COPM, PRWE, and PBQ, linked to ICF. Results: Analysis identified 73 codes, aligning with 30 ICF Hand Conditions codes. Main concerns related to self-care (15.21%), leisure (12.16%), and productivity (16.22%). Major challenges pertained to domestic (67.00%) and civic life (64.53%) within ICF. Occupational performance was positively correlated with participation (r 5 .62) and inversely with disability (r 5 –.62). © 2023 American Occupational Therapy Association, Inc. All rights reserved.