Jp. Jackson et Jk. Schkade, Occupational adaptation model versus biomechanical-rehabilitation model inthe treatment of patients with hip fractures, AM J OCCU T, 55(5), 2001, pp. 531-537
Objective. This study compared the effectiveness of the Occupational Adapta
tion frame of reference with the biomechanical-rehabilitation model in the
treatment of two groups of 20 patients post-hip fracture.
Method. Using a quasi-experimental design, groups were compared on changes
in scores on the Functional Independence Measure (FIM(TM)), a satisfaction
questionnaire developed for this study, and discharge environment.
Results. No group differences in FIM changes for the total stay were found.
However, average FIM score change per day of hospitalization and overall p
atient satisfaction were higher in the Occupational Adaptation group. No si
gnificant differences in the discharge environment were present.
Conclusion. Both groups benefited from occupational therapy intervention. O
ccupational Adaptation was associated with a more efficient outcome and gre
ater patient satisfaction.