TURKISH JOURNAL OF PHYSIOTHERAPY REHABILITATION-FIZYOTERAPI REHABILITASYON, cilt.22, sa.3, ss.231-239, 2011 (ESCI)
Purpose: This study was designed to analyze the activities of daily living of patients with neuromuscular disease (NMD) and to investigate the effect of occupational therapy programme on activity level and occupational performance. Methods: Sixty adult NMD patients were randomized into two groups. The intervention group was trained with client centred activity adaptation education and the control group received only physiotherapy programme as home exercise. Fatigue Severity Scale (FSS), The Functional Independence Measure (FIM), The Disabilities of the Arm Shoulder and Hand Questionnaire (DASH), and The Canadian Occupational Performance Measurement (COPM) were used. Results: According to FIM and COPM the most difficult activities of daily living were "climbing stairs" and according to DASH "doing garden or yard work". Statistically significant difference was found for FSS, FIM (self care, locomotion and motor total), DASH, and COPM scores in the intervention group (p<0.05). Conclusion: Comprehensive rehabilitation programmes including occupational therapy have positive effects on activity level and occupational performance in patients with NMD.