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Research Article  |   May 2007
Recovery After Hip Fracture: What Can We Learn From the Canadian Occupational Performance Measure?
Author Affiliations
  • Mary Edwards, MHSc, OT Reg (Ont.), is Associate Clinical Professor, School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, IAHS 403, 1400 Main Street West, Hamilton, Ontario L8S 1C7 Canada; edwardsm@mcmaster.ca
  • Sue Baptiste, MHSc, OT Reg (Ont.), is Professor, School of Rehabilitation Science, Faculty of Health Sciences, McMaster University, Hamilton, Ontario
  • Paul W. Stratford, PT, MSc, is Professor, School of Rehabilitation Science, and Associate Member, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario
  • Mary Law, PhD, OT Reg (Ont.), is Professor and Associate Dean (Health Sciences), Rehabilitation Science, and Co-Director, CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Ontario
Article Information
Musculoskeletal Impairments / Canadian Occupational Performance Measure in Practice
Research Article   |   May 2007
Recovery After Hip Fracture: What Can We Learn From the Canadian Occupational Performance Measure?
American Journal of Occupational Therapy, May/June 2007, Vol. 61, 335-344. doi:10.5014/ajot.61.3.335
American Journal of Occupational Therapy, May/June 2007, Vol. 61, 335-344. doi:10.5014/ajot.61.3.335
Abstract

This study sought to determine the extent to which the Canadian Occupational Performance Measure (COPM) assessed performance in elderly people after hip fracture. Correlations were found between the COPM and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Although functional improvement was noted, participants did not attain the functional status they had before hip fracture. The greatest recovery occurred within the first 130 days after surgery. These findings suggest some central implications for occupational therapy practice, although further research is required to determine the optimal time for intervention to begin. Because the COPM is sensitive to change in function in patients recovering from hip fracture, COPM use with this population is desirable and advisable.