Occupational Adaptation Model Versus Biomechanical–Rehabilitation Model in the Treatment of Patients With Hip Fractures

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  • John P. Jackson
    John P. Jackson, MA, OTR, is Director of Inpatient Rehab Services, Covenant Health System Rehabilitation Services, Lubbock, Texas
  • Janette K. Schkade
    Janette K. Schkade, PhD, OTR, FAOTA, is Professor and Dean, School of Occupational Therapy, Texas Woman’s University, PO Box 425648, Denton, Texas 76204; jschkade@twu.edu

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<jats:title>Abstract</jats:title> <jats:p>Objective. This study compared the effectiveness of the Occupational Adaptation frame of reference with the bio mechanical–rehabilitation model in the treatment of two groups of 20 patients post–hip fracture.</jats:p> <jats:p>Method. Using a quasi-experimental design, groups were compared on changes in scores on the Functional Independence Measure (FIM™), a satisfaction questionnaire developed for this study, and discharge environment.</jats:p> <jats:p>Results. No group differences in FIM changes for the total stay were found. However, average FIM score change per day of hospitalization and overall patient satisfaction were higher in the Occupational Adaptation group. No significant differences in the discharge environment were present.</jats:p> <jats:p>Conclusion. Both groups benefited from occupational therapy intervention. Occupational Adaptation was associated with a more efficient outcome and greater patient satisfaction.</jats:p>

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