Canadian Occupational Performance Measure (COPM) Changes in Children during Inpatient Rehabilitation in an Institute for Physically Handicapped Children
Bibliographic record
Abstract
目的：近年，障害児入所施設（旧肢体不自由児施設）にリハビリテーション目的で入園してくる患者は，重症化してきている．そのため，従来の評価法では，リハビリテーションの効果を判定することが困難となってきている．我々は，Canadian Occupational Performance Measure（COPM）を用いて，入院前後の変化を調べ，入園リハビリテーションの効果判定の指標としての有用性を検討した．方法：当院に1 カ月以上入院し，リハビリテーションを行った81 例に対しCOPMを実施した．結果：COPM遂行スコアは入院時3.4から退院時5.7，満足スコアは入院時3.22から退院時5.88とともに有意に改善した．GMFCSレベルは，各スコアに影響を与えなかった．結論：COPM従来の評価法では判定しきれない子供独自の問題点を評価できるため，比較的短期の入院リハビリテーションにおける効果判定に有用である可能性が示唆された．
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".