Canadian Occupational Performance Measure (COMP)

Posted on: March 6, 2016 | By: ccavalletto | Filed under: Canadian Occupational Performance Measure (COMP)

As of March 2016, all data previously reported is still accurate and up to date. An MCID is still unavailable, however, the MDC’s are available and remain unchanged.

Gimeno H, Tustin K, Lumsden D, Ashkan K, Selway R, Lin JP. Evaluation of functional goal outcomes using the Canadian Occupational Performance Measure (COPM) following Deep Brain Stimulation (DBS) in childhood dystonia. Eur J Paediatr Neurol. 2014;18(3):308-16.

This study looked at functional outcomes of pallidal deep brain stimulation (DBS) on childhood dystonia by using the Canadian Occupation Performance Measure (COMP) and the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS). This was a prospective study of 30 children and caregivers between the ages of 3-17 with dystonic movement disorders. The Gross Motor Functional Classification System (GMFCS) (n=19/30 GMFCS IV-V) and the Manual Ability Classification System (MACS) (n=20/30 MACS IV-V) were used on both CP and non-CP cases and split into two groups of “severely impaired” and “more functional.” They were also classified as primary (n=9/30) and secondary dystonia (n=21/30) and the secondary dystonia was further classified as CP (n=14/30) or non-CP related dystonia (n=7/30). The top 5 major concerns prior to DBS surgery were identified for each child and caregiver using the COMP and were converted into their primary goals. The COMP – performance and satisfaction scores and the BFMDRS – movement severity and disability scores were completed prior to surgery and 1 year post-surgery and if possible at 6 months post-surgery. For the COMP, the primary dystonia group showed statistically significant improvements in the satisfaction portion at 6 months and 1 year and in the performance portion at 1 year. The secondary dystonia with CP group showed statistically significant improvements in both portions at 6 months and 1 year. The secondary dystonia without CP group showed statistically significant improvements in both portions at 1 year only. For the BFMDRS, at baseline the secondary dystonia group showed higher movement severity scores than the primary dystonia group. At 6 month and 1 year, the secondary dystonia group did not exceed the >20% improvement that has been adopted to show improvements in BFMDRS-M, but the primary dystonia group was able to exceed the >20% improvements. At 1 year follow up correlations were drawn between the COMP and the BFMDRS for primary dystonia but not for secondary dystonia. However, the secondary dystonia group did show functional gains but were not significant enough to show changes in the COMP or BFMDRS.

 

One response to “Canadian Occupational Performance Measure (COMP)”

  1. jcanuto says:

    The COMP appears to be another great tool Physical Therapists can use in the clinic, especially since it can be used with all populations. I was intrigued by how this tool targets the 5 most important problems perceived by the patient because therapy can be tailored to address those problems. I liked how the authors decided to administer the test prior to surgery and post-surgery to improvements in satisfaction. Is there a similar test that we as future PTs can administer since OTs can only use the COMP?

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