Department of Physical Medicine and Rehabilitation, Innlandet Hospital Trust, Gjøvik, Norway.
Faculty of Health Sciences, Oslo Metropolitan University, Oslo, Norway; Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Oslo, Norway.
J Rehabil Med. 2024 Jan 16;56:jrm15305. doi: 10.2340/jrm.v56.15305.
To explore the rehabilitation goals measured with the Patient-Specific Functional Scale (PSFS) in patients undergoing acute and subacute stroke rehabilitation. In addition, to assess whether PSFS goals corresponded to impairments and activity limitations, as identified by standardized measures.
Observational study.
A total of 71 participants undergoing inpatient stroke rehabilitation.
The PSFS goals were linked to second-level categories in the International Classification of Functioning, Disability and Health (ICF), using established linking rules. Frequencies of the linked ICF categories were calculated. Frequencies of participants with limitations in walking, activities of daily living (ADL), vision, language, and cognition, were calculated, along with goals in corresponding areas of functioning.
The participants' goals were linked to 50 second-level ICF categories, comprising areas such as walking and moving, ADL, language, vision, and cognition. The most frequent ICF categories were "Moving around in different locations" (n = 24), "Walking" (n = 23), "Toileting" (n = 16), "Hand and arm use (n = 12) and "Fine hand use (n = 12)". Of participants with limitations in walking, cognition, and vision, 85%, 10%, and 16%, respectively, had goals in these areas.
Participants' goals included walking, ADL, language, vision, and cognition. Few with impairments in cognition or vision had goals in these corresponding areas on the PSFS.
探讨使用患者特定功能量表（PSFS）测量的康复目标，该量表用于评估急性和亚急性脑卒中康复患者。此外，评估 PSFS 目标是否与通过标准化评估确定的损伤和活动受限相对应。
观察性研究。
共 71 名接受住院脑卒中康复治疗的患者。
PSFS 目标与国际功能、残疾和健康分类（ICF）的二级类别相关联，使用既定的关联规则。计算关联后的 ICF 类别的频率。计算在行走、日常生活活动（ADL）、视力、语言和认知方面受限的参与者的频率，以及在相应功能领域的目标。
参与者的目标与 50 个 ICF 二级类别相关联，涵盖了行走和移动、ADL、语言、视力和认知等领域。最常见的 ICF 类别为“在不同地点移动”（n=24）、“行走”（n=23）、“如厕”（n=16）、“手和手臂使用”（n=12）和“精细手使用”（n=12）。在行走、认知和视力受限的参与者中，分别有 85%、10%和 16%的人在这些领域有目标。
参与者的目标包括行走、ADL、语言、视力和认知。在认知或视力受损的参与者中，很少有人在 PSFS 中这些对应领域有目标。
