Abstract
The case experienced total knee arthroplasty (TKA) which resulted in anxiety, depression and decreased self-efficacy. The Canadian Occupational Performance Measure (COPM) indicated difficulty moving up and down stairs, resulting in cognitive behavioral therapy to alleviate the anxiety caused by the preoperative fall experience. As a result, the case became experienced cognitive distortion, and began to carry out climbing in stages, leading to a sense of accomplishment, and improved self-efficacy and stair climbing. Furthermore, COPM indices improved from 1 to 6 in both the categories of performance and satisfaction. This indicates that cognitive behavioral therapy in cases where occupational therapy is difficult due to anxiety and distortion can promote goal achievement.
