en کاردرمانی Occupational therapy پژوهشي Original Research Articles <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Tahoma;"><span style="line-height:2;"><strong>Objectives</strong>: Occupational performance occurs in a dynamic interaction between the people, their occupations, and context. Stroke could affect the individual&rsquo;s occupational performance, which is the basis of social life.<br> This study aimed to investigate the factors affecting stroke patients&rsquo; occupational performance.<br> <strong>Methods</strong>: In this descriptive-analytic study, 55 people with stroke participated. The patients completed the Canadian occupational performance measure (COPM), Barthel index, Brunnstrom stage, Montreal cognitive assessment, and a demographic questionnaire.<br> <strong>Results</strong>: The results showed a significant correlation between occupational satisfaction and performance with cognition, the activities of daily living (ADL), and the severity of impairment in the upper and lower extremities (P <0.01). The results of linear regression show that cognition level could significantly predict occupational performance (R= 0.83, P <0.01) and satisfaction (R= 0.81, P <0.01) after stroke.&nbsp;<br> <strong>Discussion</strong>: Results show that the cognitive level could predict occupational performance in patients with stroke. Performing daily living activities and lower limb impairment could predict satisfaction with occupational performance. Therefore, it is recommended that therapists consider the cognition in stroke patients through a proper therapeutic plan to prevent participation restrictions.</span></span></span></div> Stroke, Occupational performance, Cognition, Participation, Activity of daily living (ADL) 673 680 http://irj.uswr.ac.ir/browse.php?a_code=A-10-2080-1&slc_lang=en&sid=1 Zahra Ahmadizadeh ahmadizade.z@gmail.com 0000-0001-8768-7041 No Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran. Seyed Afshin Samaei afshinsamaei12@gmail.com 0000-0003-0526-5414 No Department of Internal Medicine, Neuromuscular Rehabilitation Research Center, School of Medicine, Semnan, University of Medical Sciences, Semnan, Iran. Hossein Alibakhshi halibakhshi_m@yahoo.com 0000-0003-2893-7893 No Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran. Aliakbar Pahlevanian alipahlevnian@yahoo.com 0000-0002-9221-6081 No Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran. Maryam Binesh maryami.binesh@yahoo.com 0000-0003-3527-2674 Yes Department of Occupational Therapy, Faculty of Rehabilitation Sciences, Semnan University of Medical Sciences, Semnan, Iran.