Schepers V P M, Ketelaar M, van de Port I G L, Visser-Meily J M A, Lindeman E
Center of Excellence for Rehabilitation Medicine, Utrecht, The Netherlands.
Disabil Rehabil. 2007 Feb 15;29(3):221-30. doi: 10.1080/09638280600756257.
To examine the content of outcome measures that are frequently used in stroke rehabilitation and focus on activities and participation, by linking them to the International Classification of Functioning, Disability and Health (ICF). Method. Constructs of the following instruments were linked to the ICF: Barthel Index, Berg Balance Scale, Chedoke McMaster Stroke Assessment Scale, Euroqol-5D, Functional Independence Measure, Frenchay Activities Index, Nottingham Health Profile, Rankin Scale, Rivermead Motor Assessment, Rivermead Mobility Index, Stroke Adapted Sickness Impact Profile 30, Medical Outcomes Study Short Form 36, Stroke Impact Scale, Stroke Specific Quality of Life Scale and Timed Up and Go test. Results. It proved possible to link most constructs to the ICF. Most constructs fitted into the activities and participation component, with mobility being the category most frequently covered in the instruments. Although instruments were selected on the basis of their focus on activities and participation, 27% of the constructs addressed categories of body functions. Approximately 10% of the constructs could not be linked.
The ICF is a useful tool to examine and compare contents of instruments in stroke rehabilitation. This content comparison should enable clinicians and researchers to choose the measure that best matches the area of their interest.
通过将中风康复中常用的、关注活动与参与的结果测量指标与《国际功能、残疾和健康分类》（ICF）相联系，来审视这些指标的内容。方法：将以下工具的结构与ICF相联系：巴氏指数、伯格平衡量表、切多克-麦克马斯特中风评定量表、欧洲五维健康量表、功能独立性测量、法恩赛活动指数、诺丁汉健康概况、兰金量表、里弗米德运动评估、里弗米德活动能力指数、中风适应性疾病影响概况30、医学结局研究简明健康调查36项、中风影响量表、中风特异性生活质量量表以及定时起立行走测试。结果：事实证明，大多数结构能够与ICF相联系。大多数结构适合纳入活动与参与部分，其中移动性是这些工具中最常涵盖的类别。尽管工具的选择基于其对活动与参与的关注，但27%的结构涉及身体功能类别。约10%的结构无法建立联系。
ICF是审视和比较中风康复工具内容的有用工具。这种内容比较应能使临床医生和研究人员选择最符合其感兴趣领域的测量方法。
