Kamioka Yumiko, Miura Yuji, Matsuda Tomoyuki, Iijima Yayoi, Suzuki Ai, Nakazato Kazuhiro, Saito Hideyuki, Arita Motohide
Department of Physical Therapy, School of Health Sciences, Ibaraki Prefectural University of Health Sciences: 4669-2 Ami, Ami-Machi, Inashiki-gun, Ibaraki 300-0394 Japan.
Narushima Clinic Home-based Rehabilitation, Japan.
J Phys Ther Sci. 2020 Jun;32(6):375-384. doi: 10.1589/jpts.32.375. Epub 2020 Jun 2.
[Purpose] This study aimed to examine whether we were able to measure changes in social participation and life-space mobility of newly enrolled home-based rehabilitation (HR) users by using the activities and participation components of the International Classification of Functioning, Disability and Health (ICF) and Life-Space Assessment (LSA) over a 6-months period. [Participants and Methods] We enrolled 47 HR users who had suffered from a stroke or other condition within the previous year. A 6-month prospective cohort study was conducted. The performance qualifiers "d6 domestic life" and "d9 community, social and civic life" in the activities and participation components of the ICF and LSA were used. [Results] We observed significant improvements in the performance qualifier "d9 community, social and civic life" of the ICF over 3 months, and the LSA over a 6-months period. We also identified significant improvements in "d910 community life" and "d920 recreation and leisure" of the ICF. The LSA results showed that HR users had more frequent mobility within the neighborhood. [Conclusion] This study showed that newly enrolled HR users improved their social activities in the community, recreational activities, and life-space mobility over a 6-months period. These were measured using performance qualifiers from the ICF and LSA.
[目的] 本研究旨在探讨使用国际功能、残疾和健康分类(ICF)的活动与参与部分以及生活空间评估(LSA),能否在6个月的时间里测量新登记的居家康复(HR)使用者的社会参与和生活空间移动性变化。[参与者与方法] 我们招募了47名在前一年中患有中风或其他疾病的居家康复使用者。进行了一项为期6个月的前瞻性队列研究。使用了ICF和LSA活动与参与部分中的性能限定词“d6家庭生活”和“d9社区、社会和公民生活”。[结果] 我们观察到,ICF的性能限定词“d9社区、社会和公民生活”在3个月内有显著改善,LSA在6个月内有显著改善。我们还发现ICF的“d910社区生活”和“d920娱乐与休闲”有显著改善。LSA结果显示,居家康复使用者在邻里范围内的移动更为频繁。[结论] 本研究表明,新登记的居家康复使用者在6个月内改善了他们在社区的社交活动、娱乐活动和生活空间移动性。这些是使用ICF和LSA的性能限定词进行测量的。