Abstract
Ten men with severe burn injuries were interviewed to examine their perceptions of the residual impact of severe burn on performance in self-care, home management, work, and leisure occupations within the year after rehabilitation. Three patterns of occupational role performance after a burn were identified: (a) a resumption of participation in all four occupational categories; (b) a return to independence in self-care with substantive impairment in home management, work, and/or leisure roles; and (c) substantive disruption in all occupational roles. Role loss or disruption was commonly associated with reduced endurance, intolerance for standing and walking, and impaired grip strength and upper extremity skill. Suggestions for rehabilitation programming and research are made.