Department of Rehabilitation Medicine, Charles University, Albertov 7, Prague, 128 00 Czech Republic.
Disabil Rehabil. 2010;32 Suppl 1:S68-77. doi: 10.3109/09638288.2010.511690. Epub 2010 Oct 7.
To describe functioning and disability in patients with traumatic brain injury (TBI) according to the model endorsed by the International Classification of Functioning Disability and Health (ICF).
Adult patients with acquired TBI were consecutively enrolled. The Functional Independence Measure (FIM), the WHO Disability Assessment Schedule II (WHO-DAS II) and the ICF checklist were administered in individual sessions. Descriptive analyses were performed to report on FIM and WHO-DAS II scores. ICF categories reported as a problem by more than 20% of patients were described in detail.
One hundred patients (66 males, mean age 36.1) were enrolled. Mean WHO-DAS II score was 16.8, mean FIM was 116.5 and 87 ICF categories were selected: 27 Body Functions (mainly mental and movement-related) and Structures, 43 Activities and Participation (mainly connected with mobility) and 17 Environmental Factors. Negligible difference between capacity and performance qualifiers was observed.
The ICF can be successfully implemented in clinical and rehabilitation of patients with TBI, because it enables to describe the variety of problems they encounter: ICF-derived data provide a holistic view of disability and enable the impact of service interventions on functioning and participation, and enable clinicians to tailor intervention according to patient's actual needs.
根据《国际功能、残疾和健康分类》（ICF）所认可的模式，描述创伤性脑损伤（TBI）患者的功能和残疾情况。
连续纳入成年外伤性脑损伤患者。在个别会议中进行功能独立性测量（FIM）、世界卫生组织残疾评定量表 II（WHO-DAS II）和 ICF 检查表的评估。采用描述性分析报告 FIM 和 WHO-DAS II 评分。详细描述超过 20%的患者报告有问题的 ICF 类别。
共纳入 100 名患者（66 名男性，平均年龄 36.1 岁）。平均 WHO-DAS II 评分为 16.8，平均 FIM 为 116.5，共选择了 87 个 ICF 类别：27 个身体功能（主要与精神和运动相关）和结构，43 个活动和参与（主要与移动性相关）以及 17 个环境因素。能力和表现指标之间几乎没有差异。
ICF 可以成功地应用于 TBI 患者的临床和康复中，因为它能够描述他们所遇到的各种问题：ICF 衍生的数据提供了残疾的整体观点，并使服务干预对功能和参与的影响，使临床医生能够根据患者的实际需求定制干预措施。
