1.Desire for Rehabilitation Services of Stroke Patients Admitted in Post-acute Rehabilitation Facilities.
Eun Kyoung KANG ; Won Seok KIM ; Suk Hwae JEONG ; Hyung Ik SHIN ; Tai Ryoon HAN
Journal of the Korean Academy of Rehabilitation Medicine 2007;31(4):404-409
OBJECTIVE: To determine whether the rehabilitation desire of stroke patients in post-acute rehabilitation facilities was suitable to objective parameters, and to figure out the discharge plan after post-acute rehabilitation facilities. METHOD: 107 stroke patients in post-acute rehabilitation facilities were included. In order to identify rehabilitation desire, interviews were conducted among patients or their family members in a direct line. Discharge plans of patients after post-acute rehabilitation facilities were surveyed. All participants completed demographic measures, Mini Mental Status Examination (MMSE), Korean Modified Barthel Index (K-MBI) and International Classification of Functioning, Disability and Health (ICF) core set for patients with neurological problems in post-acute rehabilitation facilities to determine the influences on rehabilitation desire. RESULTS: Most (81.3%) of the patients desired more intensive rehabilitation service and 65 patients (60.7%) purposed to get physical therapy focused on motor recovery. Only 24 patients (22.4%) planned home discharge, most (67.3%) of them did re-admission. CONCLUSION: The desire of patients in post-acute rehabilitation facilities would have a tendency of hospital staying for motor recovery in large percentage of patients. Rehabilitation desire and goal were not affected by the affected side and onset duration. Social support and extended educational program for rehabilitation for the patients and their relatives should be performed to overcome these problems.
Humans
;
International Classification of Functioning, Disability and Health
;
Rehabilitation*
;
Stroke*
3.Linking of Items in Two Function-related Questionnaires to the International Classification of Functioning, Disability and Health: Shoulder Pain.
Journal of Korean Physical Therapy 2018;30(6):239-245
PURPOSE: This study was to identify international classification of functioning, disability and health (ICF) categories that could be linked conceptually to disability of arm, shoulder and hand (DASH) items and short form of health survey 36 (SF-36) items for persons with shoulder pain. METHODS: Linkage between each item in DASH and SF-36 and the categories in the ICF were assessed. The linking process was performed by ten health professionals following the linking rule. One hundred four patients with shoulder pain were enrolled from 12 private clinic outpatient departments and participated in this study. Pearson correlation coefficients were used to assess the relationships between each scale item and the linked ICF code. RESULTS: Thirty DASH items were able to be linked to 30 ICF codes, whereas the 36 items in SF-36 were only linked to 17 ICF codes. General health items included in SF-36 could not be linked to a relevant ICF concept. There was a high correlation between the two measurement tools and the linked ICF codes, DASH and its ICF code list (r=0.91), SF-36-Physical Health and its code list (r=−0.62), and SF-36-Mental Health and its code list (r=−0.72). CONCLUSION: The results suggest that concepts within each item in DASH can be linked to ICF codes for patients with shoulder pain, however, the concepts in the SF-36 items had limited linkage to ICF codes. The shoulder-specific functional tool, DASH can be expressed with ICF codes and, therefore, its use can promote data standardization and improve communication between professionals.
Arm
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Hand
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Health Occupations
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Health Surveys
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Humans
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International Classification of Functioning, Disability and Health*
;
Outpatients
;
Shoulder Pain*
;
Shoulder*
4.Impact and Application of the Internal Classification Functioning, Disability and Health in the Medical Rehabilitation.
Journal of the Korean Academy of Rehabilitation Medicine 2004;28(5):401-411
Historically WHO has concentrated on infection control and mortality reduction. However, diagnosis alone does not explain what patients can do, what their prognosis will be. To answer these questions, significant challenges are presented in model the International Classification of Impairment, Disability and Handicap (ICIDH) announced in 1980. Following several revisions of ICIDH, WHO (2001) finally approved the International Classification of Functioning, Disability and Health (ICF), which is universal and clear terminology with qualifiable assessment measures. The ICF is a new form which (1) is not based on disability, rather on human function, (2) is interactive rather than linearly progressive, and (3) is not medical or social model, rather integration model. Also, the new language ICF is an landmark event for rehabilitation. Key to successful rehabilitation management is the understanding and proper assessment of the relationship between disease (ICD-10) and impaired body functions and structures and psychosocial and environmental factors(ICF).
Classification*
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Diagnosis
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Humans
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Infection Control
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International Classification of Functioning, Disability and Health
;
Mortality
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Prognosis
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Rehabilitation*
5.Assessment Using the ICF-core set for Children and Youth with Cerebral Palsy: A Single Case Study
YuNa YUN ; GoEun CHOI ; Hyoung won LIM
Journal of Korean Physical Therapy 2019;31(2):103-110
PURPOSE: This study evaluated the usefulness of International Classification of Functioning, disability and health core set for children and youths with cerebral palsy (ICF-core set for CP) by comparing the Gross Motor Function Measure-88 (GMFM-88), which is the most widely used outcome measure in children with cerebral palsy (ICF-core set for CP). METHODS: One subject (Female, 14) was evaluated by GMFM-88 and ICF-core set for CP. In addition, the concept of GMFM-88 was compared with the concept of the ICF-core set for CP in compliance with ICF linking rules. The numerical values both of the GMFM-88 categories and the ICF-core set for CP's items were compared. RESULTS: The ICF b760 was linked to the GMFM-88 59~61. d415 was linked to 57~58 of GMFM-88. d450 was linked to GMFM-88's 65~72. d455 was linked to GMFM-88 at 77and 80~83. CONCLUSION: The association of the ICF-core set for CP and GMFM-88 was confirmed. In addition, the number of categories of ICF-core set for CP was smaller than the number of items of GMFM-88. In conclusion, the ICF-core set for CP is an evaluation tool that can identify the various features of children. In addition, GMFM-88 was linked to the ICF core set for CP according to the ICF linking rules.
Adolescent
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Cerebral Palsy
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Child
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Compliance
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Humans
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International Classification of Functioning, Disability and Health
;
Outcome Assessment (Health Care)
6.Predictors of Community Participation Among Individuals With First Stroke: A Thailand Study.
Jatuporn SUTTIWONG ; Mantana VONGSIRINAVARAT ; Vimonwan HIENGKAEW
Annals of Rehabilitation Medicine 2018;42(5):660-669
OBJECTIVE: To describe perceived participation among persons with first stroke and to identify the predictors based on the International Classification of Functioning, Disability and Health (ICF) concept of participation after stroke. METHODS: A total of 121 participants completed 4 questionnaires: the Impact on Participation and Autonomy (IPA), Personal Resource Questionnaire (PRQ2000), Hospital Anxiety and Depression Scale (HADS), and personal history. They were evaluated for their balance, motor function, functional and walking ability. RESULTS: The majority of participants perceived participation restriction in family role as poor to very poor. The best predictors of participation included social support, walking and balance, functional ability, number of secondary health problems and affected side, account for 66.6% of the variances in participation. CONCLUSION: The study highlights the importance of social support, walking and balance performance, functional ability in daily living, and number of secondary health problems after stroke. These factors that facilitate participation after stroke should be addressed by health personnel during rehabilitation.
Anxiety
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Consumer Participation*
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Depression
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Health Personnel
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Humans
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International Classification of Functioning, Disability and Health
;
Rehabilitation
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Stroke*
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Thailand*
;
Walking
7.Feasibility of Applying the Extended ICF Core Set for Stroke to Clinical Settings in Rehabilitation: A Preliminary Study.
Kyu Yong HAN ; Hyo Jong KIM ; Heui Je BANG
Annals of Rehabilitation Medicine 2015;39(1):56-65
OBJECTIVE: To evaluate the potential feasibility of application of the extended International Classification of Functioning, Disability and Health (ICF) Core Set for stroke. METHODS: We retrospectively reviewed the medical records of 40 stroke outpatients (>6 months after onset) admitted to the Department of Rehabilitation Medicine for comprehensive rehabilitation. Clinical information of the patients were respectively evaluated to link to the 166 second-level categories of the extended ICF Core Set for stroke. RESULTS: Clinical information could be linked to 111 different ICF categories, 58 categories of the body functions component, eight categories of the body structures component, 38 categories of the activities and participation component, and seven categories of the environmental factors component. CONCLUSION: The body functions component might be feasible for application of the extended ICF Core Set for stroke to clinical settings. The activities and participation component and environmental factors component may not be directly applied to clinical settings without additional evaluation tools including interview and questionnaire.
Humans
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International Classification of Functioning, Disability and Health
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Medical Records
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Outpatients
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Rehabilitation*
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Retrospective Studies
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Stroke*
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Surveys and Questionnaires
8.Therapeutic Intervention for Visuo-Spatial Neglect after Stroke: A Meta-Analysis of Randomized Controlled Trials.
Osong Public Health and Research Perspectives 2018;9(2):59-65
OBJECTIVES: The aims of this meta-analysis were to examine intervention methods of qualitatively, well-designed studies from the past 10 years for treating visuo-spatial neglect (VSN) in patients who had suffered a stroke, and to evaluate the combined effects of intervention. METHODS: Studies published between 2008 and 2017 on the theme of VSN were collected from PubMed, CINAHL, and MEDLINE, representative academic databases and search engines. The PEDro scale was used for evaluating the quality of methodology. The sample size, mean, and standard deviation of identified studies were used for meta-analysis. RESULTS: Eight studies were selected for analysis. The PEDro scores of the selected studies were ≥ 7, with 237 subjects analyzed. The results of intervention were classified into “mental function” and “activity and participation” based on the International Classification of Functioning, Disability and Health. The analyzed effect sizes for combined outcomes, mental function and, activity and participation, were 0.728 (medium effect size), 0.850 (large effect size), and 0.536 (medium effect size), respectively. CONCLUSION: Intervention methods for treating VSN had a short-term effect on cognitive function (visual perception). In particular, non-invasive brain stimulation therapy showed a large effect size for VSN treatment.
Brain
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Cognition
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Humans
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International Classification of Functioning, Disability and Health
;
Sample Size
;
Search Engine
;
Stroke*
;
Visual Perception
9.Korean Cultural Adaptation of WHODAS 2.0 (36-Item Version): Reliability and Linking to ICF.
Journal of Korean Physical Therapy 2018;30(6):246-255
PURPOSE: This study was to conduct a Korean cultural adaptation of the WHO disability assessment schedule (WHODAS) 2.0: 36-item version. METHODS: An internationally standardized process of translation and cultural adaptation of an instrument was used to develop a Korean version of WHODAS 2.0: 36-item version. Linking each item into the international classification of functioning, disability and health (ICF) was also conducted in order to ensure the concepts in the translated instrument were compatible with ICF. All translated versions of the instrument, linking results and feedback from participants were used for the final adaptation of the Korean version of the instrument. The Korean version of the instrument was assessed twice on different occasions to examine inter- and intra-rater reliability, and the intra-class correlation coefficient (ICC) was calculated. RESULTS: Twelve participants were involved in the translation and linking process. Ninety-five volunteers were invited to participate to examine the reliability of the instrument. Fifty participants completed the self-rated version of the instrument and 45 finished the interviewer version. The Korean WHODAS 2.0: 36-item version was found to have excellent reliability: self-rated version and interviewer version reliability coefficients were ICC=0.92 and ICC=0.94, respectively. Thirty-four items of the translated instrument were to be linked to ICF categories. Some adaptation was made; details and a familiar example were added to help respondents answer the questions. CONCLUSION: The study results show that the adaptation of the 36-item version of WHODAS 2.0 to Korean was successful and the instrument is ready for use in testing its psychometric properties.
Appointments and Schedules
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International Classification of Functioning, Disability and Health
;
Psychometrics
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Surveys and Questionnaires
;
Volunteers
10.Effect of rehabilitation treatment based on the ICF-CY Core Sets on activities of daily living in children with cerebral palsy: a prospective randomized controlled study.
Lei YANG ; San-Song LI ; Guang-Yu ZHANG ; Ming-Mei WANG ; Gong-Xun CHEN ; Deng-Na ZHU
Chinese Journal of Contemporary Pediatrics 2021;23(6):608-612
OBJECTIVE:
To study the effect of rehabilitation treatment based on the International Classification of Functioning, Disability and Health-Children and Youth Version (ICF-CY) Core Sets on activities of daily living in children with cerebral palsy.
METHODS:
The children with cerebral palsy were divided into an observation group (
RESULTS:
There was no significant difference in the scores of the WeeFIM and Social-Life Abilities scales between the two groups before treatment (
CONCLUSIONS
The rehabilitation treatment regimen for cerebral palsy based on the CF-CY Core Sets pays more attention to the influence of environmental factors in the process of rehabilitation and can effectively improve the activities of daily living of children with cerebral palsy.
Activities of Daily Living
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Adolescent
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Cerebral Palsy
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Child
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Child, Preschool
;
Disability Evaluation
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Humans
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International Classification of Functioning, Disability and Health
;
Prospective Studies