Date Presented 04/03/2025
Individuals with movement disorders present with motor and nonmotor symptoms that differ from individual to individual and across diagnoses. The Canadian Occupational Performance Measure (COPM) provides a systematic means of addressing meaningful daily activity in this population.
Primary Author and Speaker: Abdullah Alsaeed
Additional Authors and Speakers: Abigail Bradfield, Stephanie Shoaf, Sarah A. Zurawski, Kristen A. Pickett
PURPOSE: Motor and non-motor features of Movement disorders (MDs) significantly impact an individual’s ability to perform everyday occupations. This impact is often poorly measured by common clinical assessment batteries. A tool such as the Canadian Occupational Performance Measure (COPM) may provide greater insight into the overall impact of MDs on everyday function and allow for targeted interventions.
DESIGN: This systematic review utilize PRISMA guidelines to examine research that used the COPM with populations of adults with movement disorders.
METHOD: Eligible studies used the COPM as an outcome measure, were conducted with human subjects with MDs, were experimental or quasi-experimental, were published in English, and peer reviewed. Studies were excluded if any participant in the study was under the age of 18 years old, if the study was any type of case study, meta-analysis or review of the literature. Search results from PubMed, CINAHL, PsycINFO, Scopus and Cochrane Central Register of Controlled Trials were input into Covidence for review and then screened at the title, abstract and full-text level by members of the study team. Risk of bias data were extracted for each paper included in the final analysis.
RESULTS: 519 articles were identified, 471 of these papers were excluded during title and abstract review. Of the remaining 48 publications selected for full-text review, 9 total papers met eligibility criteria and were selected for data extraction. 7 of the 9 papers focused on Parkinson disease, while the remaining 2 examined functional neurological symptom disorders.
CONCLUSION: Individuals with MDs, such as Parkinson disease, present with a vast array of motor and non-motor symptoms that affect a wide range of daily functions. The findings of this study highlight areas for future use of the COPM in research focused on individuals with MDs, as this tool allows for unique insight into the self-perceived impact of MDs on everyday function
References
Carswell, A., McColl, M. A., Baptiste, S., Law, M., Polatajko, H., & Pollock, N. (2004). The Canadian Occupational Performance Measure: A research and clinical literature review. Canadian Journal of Occupational Therapy, 71, 210–222. https://doi.org/10.1177/00084174040710040615586853
Eiji Kobayashi, Nobuaki Himuro, Yuji Mitani, Takuya Tsunashima, Kyouhei Nomura, & Susumu Chiba (2022). Feasibility and informativeness of the Canadian occupational performance measure for identifying priorities in patients with Parkinson’s disease. Physiotherapy Theory and Practice. https://doi.org/10.1080/09593985.2021.2023926
