Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Department of Occupational Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Occup Ther Health Care. 2024 Apr;38(2):177-195. doi: 10.1080/07380577.2022.2114612. Epub 2022 Aug 27.
Stroke can affect all aspects of a person's health and functioning. Therefore, it is important occupational therapists, have a comprehensive understanding of various levels of function and the factors affecting function. The ICF (International Classification of Functioning, Disability, and Health) and the selections of ICF categories or Core Sets relevant for people with a specific health condition, offer a model for intervention. This study aimed to investigate the effect of ICF-CS-based occupational therapy interventions on the function and satisfaction of individuals with chronic stroke. This study was designed as a randomized, single-blind, parallel-group clinical trial. Twenty-five patients with stroke were randomly assigned to the control group (which received traditional occupational therapy) or the treatment group (Stroke ICF-CS based occupational therapy). Patients were evaluated before and after the intervention (two months, three sessions per week, 45 minutes each session), as well as two weeks after the end of the intervention, using Fugl-Meyer and COPM (Canadian Occupational Performance Measure) tools. The independent T-test, Chi-square, and ANOVA with repeated measures were used to analyze the data. The results showed that the interaction effect of time and group was not significant in none of the Fugl-Meyer test sections (p > 0. 05), but it was significant in the performance and satisfaction of COPM (p < 0.05). The results suggest that ICF-CS-based occupational therapy interventions may assist persons with chronic stroke improve their functional level and satisfaction.
中风会影响一个人的健康和功能的各个方面。因此，职业治疗师需要全面了解各种功能水平和影响功能的因素。国际功能、残疾和健康分类（ICF）和与特定健康状况人群相关的 ICF 类别或核心集的选择为干预提供了一个模型。本研究旨在调查基于 ICF-CS 的职业治疗干预对慢性中风患者功能和满意度的影响。本研究设计为随机、单盲、平行组临床试验。25 名中风患者被随机分配到对照组（接受传统职业治疗）或治疗组（基于 ICF-CS 的中风职业治疗）。在干预前（基线）、干预后（两个月，每周三次，每次 45 分钟）以及干预结束后两周，使用 Fugl-Meyer 和 COPM（加拿大职业表现测量）工具对患者进行评估。采用独立 T 检验、卡方检验和重复测量方差分析对数据进行分析。结果表明，Fugl-Meyer 测试各部分中时间和组的交互作用均不显著（p>0.05），但 COPM 的表现和满意度显著（p<0.05）。结果表明，基于 ICF-CS 的职业治疗干预可能有助于慢性中风患者提高其功能水平和满意度。
