Silva Maria Heloiza Araujo, Dantas Thaissa Hamana de Macedo, Araújo Ana Cecília de Medeiros, Dantas Diego de Sousa, Dantas Maria Isabelle de Araújo, de Lucena Beatriz Cristina Medeiros, Moura Isabelly Cristina Rodrigues Regalado, Fernandes Aline Braga Galvão Silveira
Center for Health Sciences, Federal University of Rio Grande do Norte, Natal 59078-900, Brazil.
Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, Santa Cruz 59200-000, Brazil.
Int J Environ Res Public Health. 2025 Aug 15;22(8):1277. doi: 10.3390/ijerph22081277.
Stroke rehabilitation requires comprehensive assessments aligned with the International Classification of Functioning, Disability, and Health (ICF) biopsychosocial model. Linking assessment tools to the ICF helps integrate this approach by identifying aspects of functioning they address. This study aimed to analyze the content of the most used assessment tools for post-stroke rehabilitation through systematic linkage with the ICF. A scoping review was conducted, including (1) the identification of clinical trials on post-stroke rehabilitation published between 2014 and 2024 in the PubMed, LILACS, SciELO, and PEDro databases to select the most commonly used assessment tools, followed by (2) the ICF linkage methodology to map the most cited tools to the content of ICF categories and domains. From the 897 studies reviewed, 29 tools were identified-21 were newly linked and 8 had pre-existing ICF links. The analysis identified 261 ICF categories: 53% related to Activities, 31% to Body Functions, 15% to Participation, and 1% to Environmental Factors. No tool covered the Body Structure domain. The findings highlight a focus on Activities and Body Functions, reinforcing the need to integrate Participation and Environmental Factors into post-stroke rehabilitation assessments. The results offer an overview of ICF categories covered by each tool, supporting informed decisions in rehabilitation research and practice.
中风康复需要依据国际功能、残疾和健康分类（ICF）生物心理社会模型进行全面评估。将评估工具与ICF相联系，有助于通过确定它们所涉及的功能方面来整合这种方法。本研究旨在通过与ICF进行系统关联，分析中风后康复最常用评估工具的内容。进行了一项范围综述，包括：（1）在PubMed、LILACS、SciELO和PEDro数据库中识别2014年至2024年间发表的中风后康复临床试验，以选择最常用的评估工具，随后（2）采用ICF关联方法，将引用最多的工具映射到ICF类别和领域的内容。在审查的897项研究中，识别出29种工具——21种是新关联的，8种已有ICF关联。分析确定了261个ICF类别：53%与活动相关，31%与身体功能相关，15%与参与相关，1%与环境因素相关。没有工具涵盖身体结构领域。研究结果突出了对活动和身体功能的关注，强化了将参与和环境因素纳入中风后康复评估的必要性。结果提供了每种工具所涵盖的ICF类别的概述，为康复研究和实践中的明智决策提供了支持。
