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Related Experiment Video

Updated: Feb 19, 2026

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
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Goal Setting According to Level of Mobility Independence in Home-Visit Rehabilitation Using Canadian Occupational

Rie Narukawa1, Eri Otaka2, Kenji Sato1

  • 1Department of Rehabilitation Medicine, National Center for Geriatrics and Gerontology, Obu, Japan.

Progress in Rehabilitation Medicine
|February 18, 2026
PubMed
Summary

Home-visit rehabilitation goal setting differs based on mobility independence. Self-care goals show significant improvement across all mobility levels after rehabilitation.

Keywords:
activities of daily livingfunctional mobilityhome-based rehabilitationsatisfactionself-perceived performance

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Area of Science:

  • Rehabilitation Medicine
  • Gerontology
  • Occupational Therapy

Background:

  • Home-visit rehabilitation is crucial for maintaining functional independence.
  • Understanding patient goals is key to effective rehabilitation planning.
  • Mobility levels significantly influence rehabilitation trajectories.

Purpose of the Study:

  • To investigate goal-setting patterns in home-visit rehabilitation.
  • To analyze goal achievement trends across different mobility independence levels.
  • To compare goal categories and outcomes using the Canadian Occupational Performance Measure (COPM).

Main Methods:

  • Retrospective analysis of goals set using the Canadian Occupational Performance Measure (COPM).
  • Classification of 245 participants' goals into nine categories across three domains.
  • Grouping participants into assisted, supervised, and independent mobility levels.
  • Comparison of goal proportions and COPM scores (performance and satisfaction) pre- and post-rehabilitation.

Main Results:

  • Functional mobility was the most common goal across all groups.
  • Significant differences in goal categories were observed among mobility groups, particularly in personal care, community, household management, and recreation.
  • All groups demonstrated significant improvements in self-care performance and satisfaction scores post-rehabilitation.

Conclusions:

  • Goal categories in home-visit rehabilitation are influenced by a patient's mobility independence level.
  • Self-care domain goals are consistently achieved regardless of mobility status following home-visit rehabilitation.