Article

PURPOSE: To assess self-perceived performance and satisfaction with performance
of daily activities in persons with multiple sclerosis (MS) on admission to and
at discharge from interdisciplinary rehabilitation. METHOD: A retrospective study
with a pre-post design. Twenty-seven women and 16 men with MS (mean age 51 years;
median EDSS 6.5) participated in an individualised, goal-oriented,
interdisciplinary, rehabilitation programme (average length 4 weeks). The
Canadian Occupational Performance Measure (COPM) was used on admission to
rehabilitation and at discharge. RESULTS: On admission, the persons prioritised
216 activities that they perceived difficult to perform (mean number 3, range
2-8). Of these, 136 (63%) were in the COPM area of self-care, 52 (24%) in
productivity and 28 (13%) in leisure. The lowest mean ratings of performance were
found in the subgroups active recreation, community management and socialisation,
and for satisfaction in the subgroup socialisation. For about 60% of the 216
prioritised activities, ratings of COPM performance as well as satisfaction were
higher at discharge than on admission. For 18 (42%) and 24 (56%) persons,
respectively, the mean change scores of performance and of satisfaction were
equal to or greater than 2.0 at discharge, indicating a clinically significant
change. CONCLUSIONS: Persons with MS can experience problems with all types of
daily activities upon admission to rehabilitation, but also perceive improvements
in their performance and satisfaction with performance in these activities at
discharge from rehabilitation. Using patient-reported outcome measures, such as
the COPM, may contribute to a broader understanding of the benefits of
interdisciplinary rehabilitation in persons with MS. Implications for
Rehabilitation Persons with MS can perceive problems with all types of daily
activities which have to be considered during interdisciplinary rehabilitation.
Following interdisciplinary rehabilitation, persons with MS can perceive
improvements in their performance and satisfaction with performance in all types
of daily activities. Patient-reported outcome measures can contribute to a
broader understanding of the benefits of interdisciplinary rehabilitation in
persons with MS.

Langue : ANGLAIS