Jane Case-Smith1. 1. The Ohio State University, 1583 Perry Street, Columbus, Ohio 43210, USA. case-smith.1@osu.edu
Abstract
OBJECTIVE: The purpose of this study was to measure functional outcomes after outpatient occupational therapy for clients who had upper-extremity injury and surgery or both. METHODS: A sample of 33 clients referred to occupational therapy outpatient intervention was recruited from five clinics in Ohio. The Canadian Occupational Performance Measure (COPM) was used to guide the occupational therapy sessions and to measure outcomes. The Disability of Arm, Shoulder, and Hand (DASH) questionnaire and the Short Form 36 (SF-36) were also administered to the clients pre and post 6 to 8 weeks of hand rehabilitation services. Two to three months after discharge, the clients responded by the telephone to the Community Integration Questionnaire. RESULTS: The clients received a mean of 13 hours of outpatient occupational therapy services and received no other rehabilitation service. Functional performance gains following 6 to 8 weeks of services were significant (COPM; t(32) = -11.5, p < .001; t(32) = -11.31, p < .001; DASH; t(32) = 9.22, p < .001; t(32) = -9.02, p < .001). Effect sizes on the COPM and DASH ranged between 1.43 and 2.52. Progress in the clients' goals was moderately correlated to progress in functional measures. CONCLUSION: Clients with upper-extremity injury or surgery made strong, positive gains in functional measures following client-centered occupational therapy services. The COPM was the most sensitive to client change, followed by the DASH, and then the SF-36.
OBJECTIVE: The purpose of this study was to measure functional outcomes after outpatient occupational therapy for clients who had upper-extremity injury and surgery or both. METHODS: A sample of 33 clients referred to occupational therapy outpatient intervention was recruited from five clinics in Ohio. The Canadian Occupational Performance Measure (COPM) was used to guide the occupational therapy sessions and to measure outcomes. The Disability of Arm, Shoulder, and Hand (DASH) questionnaire and the Short Form 36 (SF-36) were also administered to the clients pre and post 6 to 8 weeks of hand rehabilitation services. Two to three months after discharge, the clients responded by the telephone to the Community Integration Questionnaire. RESULTS: The clients received a mean of 13 hours of outpatient occupational therapy services and received no other rehabilitation service. Functional performance gains following 6 to 8 weeks of services were significant (COPM; t(32) = -11.5, p < .001; t(32) = -11.31, p < .001; DASH; t(32) = 9.22, p < .001; t(32) = -9.02, p < .001). Effect sizes on the COPM and DASH ranged between 1.43 and 2.52. Progress in the clients' goals was moderately correlated to progress in functional measures. CONCLUSION: Clients with upper-extremity injury or surgery made strong, positive gains in functional measures following client-centered occupational therapy services. The COPM was the most sensitive to client change, followed by the DASH, and then the SF-36.
Authors: Christopher Stephen Crowe; Benjamin Ballard Massenburg; Shane Douglas Morrison; James Chang; Jeffrey Barton Friedrich; Gdiom Gebreheat Abady; Fares Alahdab; Vahid Alipour; Jalal Arabloo; Malke Asaad; Maciej Banach; Ali Bijani; Antonio Maria Borzì; Nikolay Ivanovich Briko; Chris D Castle; Daniel Youngwhan Cho; Michael T Chung; Ahmad Daryani; Gebre Teklemariam Demoz; Zachary V Dingels; Hoa Thi Do; Florian Fischer; Jack T Fox; Takeshi Fukumoto; Abadi Kahsu Gebre; Berhe Gebremichael; Juanita A Haagsma; Arvin Haj-Mirzaian; Demelash Woldeyohannes Handiso; Simon I Hay; Chi Linh Hoang; Seyed Sina Naghibi Irvani; Jacek Jerzy Jozwiak; Rohollah Kalhor; Amir Kasaeian; Yousef Saleh Khader; Rovshan Khalilov; Ejaz Ahmad Khan; Roba Khundkar; Sezer Kisa; Adnan Kisa; Zichen Liu; Marek Majdan; Navid Manafi; Ali Manafi; Ana-Laura Manda; Tuomo J Meretoja; Ted R Miller; Abdollah Mohammadian-Hafshejani; Reza Mohammadpourhodki; Mohammad A Mohseni Bandpei; Ali H Mokdad; Mukhammad David Naimzada; Duduzile Edith Ndwandwe; Cuong Tat Nguyen; Huong Lan Thi Nguyen; Andrew T Olagunju; Tinuke O Olagunju; Hai Quang Pham; Dimas Ria Angga Pribadi; Navid Rabiee; Kiana Ramezanzadeh; Kavitha Ranganathan; Nicholas L S Roberts; Leonardo Roever; Saeed Safari; Abdallah M Samy; Lidia Sanchez Riera; Saeed Shahabi; Catalin-Gabriel Smarandache; Dillon O Sylte; Berhe Etsay Tesfay; Bach Xuan Tran; Irfan Ullah; Parviz Vahedi; Amir Vahedian-Azimi; Theo Vos; Dawit Habte Woldeyes; Adam Belay Wondmieneh; Zhi-Jiang Zhang; Spencer L James Journal: Inj Prev Date: 2020-03-13 Impact factor: 2.399