University Rehabilitation Institute, Republic of Slovenia, Linhartova 51, Ljubljana, Slovenia.
J Rehabil Med. 2011 Jun;43(7):590-601. doi: 10.2340/16501977-0832.
To determine whether the International Classification of Functioning, Disability and Health (ICF) model is adequate for assessing disability patterns in stroke survivors in the sub-acute rehabilitation setting in terms of potential changes in functional profiles over time.
Functional profiles of 197 stroke patients were assessed using the ICF Checklist and the Functional Independence Measure (FIMTM) at admission and discharge from rehabilitation hospital. The ICF Checklist was applied based on medical documentation and rehabilitation team meetings. Descriptive analyses were performed to identify changes in ICF categories and qualifiers from admission to discharge, and correlations between different improvement measures were calculated.
Mean rehabilitation duration was 60 days; patients' mean age was 60 years, with mean FIM-score 75 at admission. Mean FIM-score improvement at discharge was 12.5. Within Body Functions, changes in at least 10% of patients were found regarding 13 categories; no categories within Body Structures, 24 within Activities and Participation, and 2 within Environmental Factors. Changes were mostly due to improvement in qualifiers, except for within Environmental Factors, where they were due to use of additional categories. Correlations between improvements in Body Functions and Activities and Participation (regarding capacity and performance), as well as between capacity and performance within Activities and Participation, were approximately 0.4.
Rating ICF categories with qualifiers enables the detection of changes in functional profiles of stroke patients who underwent an inpatient rehabilitation programme. :
为了确定国际功能、残疾和健康分类（ICF）模型是否适用于评估亚急性康复环境中中风幸存者的残疾模式，考虑到功能谱随时间的潜在变化。
使用 ICF 检查表和功能独立性测量（FIMTM）对 197 名中风患者进行功能谱评估，在康复医院入院和出院时进行评估。ICF 检查表是根据医疗记录和康复团队会议应用的。进行描述性分析以确定从入院到出院时 ICF 类别的变化和限定符，以及不同改善措施之间的相关性。
平均康复时间为 60 天；患者平均年龄为 60 岁，入院时平均 FIM 评分为 75。出院时平均 FIM 评分提高了 12.5。在身体功能方面，至少有 10%的患者在 13 个类别中发生了变化；身体结构没有类别，活动和参与中有 24 个类别，环境因素中有 2 个类别。变化主要是由于限定符的改善，除了环境因素外，它们是由于使用了额外的类别。身体功能和活动及参与（关于能力和表现）方面的改善之间，以及活动和参与中的能力和表现之间的相关性约为 0.4。
使用带有限定符的 ICF 类别进行评定，能够检测接受住院康复计划的中风患者功能谱的变化。
