Banca de DEFESA: GLEYCIANA LEONIDAS CAVALCANTE BENSIMAN

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : GLEYCIANA LEONIDAS CAVALCANTE BENSIMAN
DATE: 18/03/2022
TIME: 08:00
LOCAL: Formato remoto
TITLE:

LINK BETWEEN THE CANADIAN MEASUREMENT OF OCCUPATIONAL PERFORMANCE AND THE INTERNATIONAL CLASSIFICATION OF FUNCTIONALITY, DISABILITY AND HEALTH IN POST-STROKE PATIENTS.

KEY WORDS:

Stroke. Everyday Activities. International Classification of Functioning, Disability and Health. Occupational Therapy. Cross-sectional Studies.

PAGES: 33
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: The stroke is a global public health problem and is considered the most disabling neurological disease. Activity and participation impairments caused by stroke can span different areas of occupation, including activities of daily living (ADLs), work and leisure. The Canadian Occupational Performance Measure (COPM) measures the main harm caused by stroke in these areas of occupations and has the advantage of being a self-report measure, placing the person at the center of its assessment process. The International Classification of Functioning, Disability and Health (ICF) is the world standard for the conceptualization and classification of functioning. The link between the COPM and the ICF categories could improve communication and understanding among health professionals, as the ICF should be used as a unifying model and a common language across all health professions. Objective: To link the content of the COPM scale with ICF categories, considering the instrument and its application in post-stroke patients. Methods: This is a cross-sectional observational study. Patients of both sexes, diagnosed with stroke sequelae, aged over 18 years, with unilateral involvement, active wrist and finger movement and absence of cognitive deficits suggested by the Mini-Mental State Examination (MMSE) were included. This study was carried out in three stages. In the first one, an analysis of the content of the COPM scale was performed, investigating whether there is a correlation with the ICF. After that, the subjects eligible for the research were submitted to an evaluation moment, through the application of the COPM instruments and the Modified Rankin Scale (mRankin), performed on the same day. Subsequently, the process of linking this information was carried out to identify similarities between the activities of the COPM and the categories of the ICF, aiming at a unified terminology and the identification of which activities the subjects had greater performance problems to be linked to the ICF code more need. For correlation analysis, the Kappa concordance coefficient was used, and for the analysis of sociodemographic data, the Mann-Whitney test was used. The significance level adopted was 5%. Results: The findings of this research suggest that the association between the occupational performance problems identified by the COPM and the domains of the ICF showed a high correlation. It was noted that all the problems identified by the clients through the COPM were classified in the domains of the activity and participation component of the ICF, with the domestic activities component being the most cited. The upper limb was the most reported as difficulties, as well as self-care. Gait was cited in 5 patients who had mRankin 3-4. Conclusion: The COPM proved to be viable as an evaluation instrument that allows the classification of its results in the ICF, since all activities scored by the subjects were easy to classify and fit into 6 of the 9 domains that make up the “activity and activity” component. participation” of the classification. Although the instruments do not address all components of the ICF model, those that are covered represent different levels of classification.

BANKING MEMBERS:
Interna - 2682777 - ROBERTA DE OLIVEIRA CACHO
Interna - 1803907 - SILVANA ALVES PEREIRA
Externo à Instituição - DIEGO DE SOUSA DANTAS - UFPE