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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

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.
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