Association between Canadian Occupational Performance Measure (COPM) and the International Classification of Functioning, Disability and Health (ICF) in post-stroke subjects.
Keywords: Stroke. Activities of Daily Living. International Classification of Functionality, Disability and Health. Occupational Therapy.
Introduction: Stroke is a global public health problem. In addition to the high mortality rate, it is considered the most disabling neurological disease. The participation restrictions caused by the stroke can include different areas of occupation, like activities of daily living (ADLs), instrumental activities of daily living (IADLs), work, leisure and social participation. To measure the main damage caused by stroke in the activities of daily living of these individuals, one of the scales used is the Canadian Occupational Performance Measure (COPM). COPM has the advantage of being a self-report measure and person-centered. The International Classification of Functionality (ICF) is the worldwide standard for conceptualizing and classifying functionality and disability and offers a freely available technical resource that is the international frame of reference for health and disability information. The link between instruments used in practice and the ICF could improve communication and understanding between health professionals, as the ICF should be used as a unifying model and a common language in all health professions. Objective: to analyze the difficulties of occupational performance in the levels of activity and participation of post-stroke subjects through COPM; as well as, codify and link data collected by COPM to the domains of the International Classification of Functionality, Disability and Health (ICF). Methods: This is a cross-sectional observational study. Male and female patients diagnosed with stroke sequelae, aged over 18 years, unilateral involvement, active wrist and finger movement and absence of cognitive deficits suggested by the Mini Mental State Examination (MMSE) were included. Participants underwent a single assessment using the instruments: Modified Rankin Scale and COPM. Subsequently, after analyzing the results, a link was made between the activities of the COPM and the categories of the ICF. Results: The findings of this research suggest that the association between occupational performance problems identified by COPM and the ICF domains showed a high correlation. The main results found were that the MMSS was the most reported as difficulties, as well as self-care. Gait was cited in 5 patients who had Rankin 3-4.