Table 1.

Assessment Findings

Assessment	Findings
Occupations (assessed through clinical observations and interview)	• Martin demonstrated LE weakness as evidenced by the need to use his UEs to push up to rise from all surfaces. • He was independent in transfers but demonstrated limited functional mobility during simulated home activities. • He used significant effort to stand up from a recliner chair using both UEs for assistance and increased time to ambulate, and he held onto furniture and walls for stability. • He completed ADLs with increased time and supervision for safety. Martin reported not performing IADLs except for preparation of light meals using the countertop for stability when standing and walking. • Martin does not have a physical fitness routine and does not want to use an assistive device for mobility in public. He rates his typical daily pain as a 6 on a 0–10 visual analog scale.
COPM	• The COPM was used to assist in completion of Martin’s occupational profile (AOTA, 2017; Law et al., 2019). • His Performance score was 2 out of 10, and his Satisfaction score was 1 out of 10. • Martin was very dissatisfied with his work performance, lack of sleep, decreased functional mobility in the home and community, and limited social participation.
ACS	• Martin completed the recovery version of the ACS (Baum & Edwards, 2008). Of the 89 activities in the ACS, Martin reported previously participating in 37 (15 instrumental, 8 low-demand leisure, 5 high-demand leisure, and 9 social). • His current performance included participating in 19 activities (8 instrumental, 6 low-demand leisure, 1 high-demand leisure, and 4 social), or 51% of his previous activity level.
PSQI	• Martin scored 9 on the PSQI, a 21-item measure of sleep quality in adults, in which a score of ≥5 indicates poor sleep quality (Buysse et al., 1989). He reported getting 5 hr of sleep per night because of pain and frequent awakenings to use the bathroom.
Tinetti Balance Assessment Tool	• The Tinetti Balance Assessment Tool is a measure of fall risk in older adults (Tinetti et al., 1986). Martin scored 20 out of 28 points, in the moderate fall risk range (19–24). He had the most difficulty with standing balance when nudged or with eyes closed, with turning around, and with walking without an assistive device.

Note. ACS = Activity Card Sort; ADLs = activities of daily living; AOTA = American Occupational Therapy Association; COPM = Canadian Occupational Performance Measure; IADLs = instrumental activities of daily living; LE = lower extremity; PSQI = Pittsburgh Sleep Quality Index; UE = upper extremity.