The Canadian Occupational Performance Measure: A Feasible Multidisciplinary Outcome Measure for Pediatric Telerehabilitation

Tanner, Lynn; Grinde, Kathy; McCormick, Cristin

doi:10.5195/ijt.2021.6372

Cited by 3 publications

(9 citation statements)

References 26 publications

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“…Additionally, 2 of the included articles were systematic reviews, which included the results of 3 relevant studies each. Therefore, the results of 11 studies were included in this review [7,10,11,[13][14][15][16][17][18][19][20] (Table 2). The findings of the included studies are summarized in Table 3.…”

Section: Search Resultsmentioning

confidence: 99%

“…This study was a pilot and was underpowered, with 58 participants required to demonstrate a generalizable difference, but only 15 were included. The outcomes were measured with the Canadian Occupational Performance Measure (COPM), which measures patient ability, functional impairment, and satisfaction with function [ 14 ], and ABILHAND-kids, which is a parent-completed questionnaire grading the child’s ability to complete tasks. Children were randomized to usual care or the intervention, which consisted of a noncompetitive and noncollaborative computer-based game, customized for arm rehabilitation for children with CP.…”

Section: Resultsmentioning

confidence: 99%

“…Positive clinical utility, and COMP b could accurately assess functional goals and measure change in the patient's functional ability after receiving telerehabilitation sessions over 4 months Tanner et al [14] 7…”

Section: Outcomes Main Author Numbermentioning

confidence: 99%

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Telehealth and Remote Interventions for Children With Cerebral Palsy: Scoping Review

Pagaki-Skaliora¹,

Morrow²,

Theologis³

2022

JMIR Rehabil Assist Technol

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Background Remote treatment, or telehealth, has shown promise for children with cerebral palsy (CP) prior to 2020; however, the beginning of the global COVID-19 pandemic limiting access to hospitals for face-to-face treatments has driven the need for telehealth and led to a surge in its development. Due to the recent developments, there has been limited synthesis of the available evidence of telehealth for children with CP. Objective This study aimed to analyze and summarize the existing evidence for telehealth interventions for the treatment of children with CP and identify any areas requiring further research. Methods A scoping review was performed. A systematic search of available literature in MEDLINE and PubMed was performed during July 2021. Inclusion criteria for articles were primary research and systematic reviews that investigated telehealth, included children with CP, were published between 2010-2021, and were written in English. Exclusion criteria were secondary research other than systematic reviews; interventions that did not meet the World Health Organization definition of telehealth; or studies where all participants were aged >18 years, children’s results were not reported separately, or there were no results reported for children with CP. A scoping review was chosen due to the expected heterogeneity of the participants, as well as the expected small sample sizes and inconsistency of measured outcomes; therefore, a narrative reporting of the results was considered appropriate. Results In all, 5 papers were identified, which included the results of 11 studies—2 of the included articles were systematic reviews, which included the results of 3 studies each. These 6 studies, together with 5 primary research articles, were included in this scoping review. The existing evidence is of low methodological quality, primarily consisting of case series. There is some evidence that the requirements of telehealth differ depending on the children’s developmental stage and functional level. Telehealth is reported to reduce caregiver burden. There is mixed evidence on children’s compliance with telehealth. Overall, the results of telehealth interventions for the treatment of children with CP were positive, indicating either comparable or improved results compared with children receiving usual face-to-face care. Conclusions The evidence base is lacking in breadth and methodological quality to provide robust clinical recommendations. Most studies investigated hand function only, indicating the limited scope of existing research. However, this review shows that telehealth has demonstrated potential to improve function for children with CP while making health care services more accessible and reducing caregiver burden. Areas requiring further research include telehealth interventions for the lower limb, postural management, and pain control and the barriers to implementing telehealth.

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Section: Search Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Telehealth and Remote Interventions for Children With Cerebral Palsy: Scoping Review

Pagaki-Skaliora¹,

Morrow²,

Theologis³

2022

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

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“…The study results illustrated that the Canadian Occupational Performance Measure (COPM) is considered a feasible measure that is perceived positively by professional pediatric therapists [33]. Around 83% of the therapists agreed or strongly agreed that COPM is easy to use and reasonable in a given period of time and can be used with children of different conditions, as shown in Table 3 [33]. The average rating for the satisfaction with the therapy was 4.7 out of 5, and it was 4.78 out of 5 for intelligibility.…”

Section: Characteristics Of the Eligible Studiesmentioning

confidence: 99%

“…Tanner, Grinde and McCormick, 2021 conducted a cross-sectional study in Canada on 86 children with different conditions who required PT. The authors included both boys and girls in their study sample [33]. The study results illustrated that the Canadian Occupational Performance Measure (COPM) is considered a feasible measure that is perceived positively by professional pediatric therapists [33].…”

Section: Characteristics Of the Eligible Studiesmentioning

confidence: 99%

Effectiveness and Acceptability of Telerehabilitation in Physical Therapy during COVID-19 in Children: Findings of a Systematic Review

Alonazi

2021

Children

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The goal of this systematic review was to determine the efficacy and acceptability of telerehabilitation in physical therapy (PT) and parental acceptance during the COVID-19 pandemic in children. In 2021, an electronic search of academic articles was performed using databases such as Embase, PubMed and Scopus. One-hundred and one articles did not satisfy the eligibility criteria after deleting duplicates and reviewing abstracts, while 16 papers did not meet eligibility after reviewing complete texts. Hence, full texts for 13 articles were retrieved, which were incorporated in the review. All these studies were observational studies assessing the effectiveness and acceptability of telerehabilitation in PT required for diverse conditions in children during the COVID-19 pandemic. All included studies revealed a positive effect of telerehabilitation in PT during the COVID-19 pandemic in children with different conditions. Moreover, the included studies revealed that both rehabilitation professionals and parents or caregivers of children were satisfied with the telerehabilitation services provided remotely. Thus, telerehabilitation appears to be a suitable and convenient strategy to offer remote services to children in need but cannot visit in person due to COVID-19. The existing evidence shows that telerehabilitation can be considered effective for children who need PT for any health condition mainly during the pandemic. However, due to the dearth of studies in this area, exploring this topic is recommended mostly in low-middle-income countries with poor access to health care services and limited resources.

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Effects of Telerehabilitation-Based Structured Home Program on Activity, Participation and Goal Achievement in Preschool Children with Cerebral Palsy: A Triple-Blinded Randomized Controlled Trial

Sel

Günel

et al. 2023

Children

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A home program is implemented as an evidence-based mode of delivering services for physiotherapy and rehabilitation. Telerehabilitation is a method applied in physiotherapy modalities for children. This study aims to determine the effectiveness of usual care plus a Telerehabilitation-Based Structured Home Program on preschool children with cerebral palsy (CP) compared to usual care. Forty-three children aged 3–6 years (mean age 4.66 ± 1.08 years) with CP were randomly assigned to the Telerehabilitation-Based Structured Home Program and usual care groups. Their motor function was assessed with the Gross Motor Function Measure (GMFM); performance and satisfaction were evaluated with the Canadian Occupational Performance Measure (COPM); goal achievement was assessed with the Goal Attainment Scale (GAS); and activity and participation were evaluated with Pediatric Evaluation of Disability Inventory (PEDI). Participants were evaluated at baseline, immediately post-intervention (12 weeks) and at follow-up (24 weeks). There was a statistically significant difference between pre- and post-test GMFM, COPM, GAS and PEDI scores in the intervention and control groups (p < 0.001). The Telerehabilitation-Based Structured Home Program showed statistically significant changes in activity, participation and goal achievement after 12 weeks of intervention (p < 0.001). However, significant results were not obtained in the usual care group. The Telerehabilitation-Based Structured Home Program may be an effective method for preschool children with CP. (Registration number: NCT04807790; no = KA-20124/26.01.2021).

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The Canadian Occupational Performance Measure: A Feasible Multidisciplinary Outcome Measure for Pediatric Telerehabilitation

Cited by 3 publications

References 26 publications

Telehealth and Remote Interventions for Children With Cerebral Palsy: Scoping Review

Telehealth and Remote Interventions for Children With Cerebral Palsy: Scoping Review

Effectiveness and Acceptability of Telerehabilitation in Physical Therapy during COVID-19 in Children: Findings of a Systematic Review

Effects of Telerehabilitation-Based Structured Home Program on Activity, Participation and Goal Achievement in Preschool Children with Cerebral Palsy: A Triple-Blinded Randomized Controlled Trial

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