scholarly journals Social Participation as a goal of the post-stroke rehabilitation program: a literature review

2020 ◽  
pp. 1-5 ◽  
Author(s):  
Felipe Heylan Nogueira de Souza ◽  
Edson Meneses da Silva Filho ◽  
Leandro Gonçalves Cezarino ◽  
Egmar Longo Araújo de Melo ◽  
Ênio Walker Azevedo Cacho
Keyword(s):  
Social Participation ◽  
Stroke Rehabilitation ◽  
Rehabilitation Program ◽  
International Classification ◽  
Assessment Tools ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Post Stroke ◽  
Human Sample

Introduction: Stroke is considered one of the leading causes of long-term disability worldwide. Physical, cognitive and psychological disabilities resulting from stroke can lead to a wide variety of activity limitations and participations restrictions. Objective: To verify the incidence of articles in the literature that used physiotherapy programs aimed at social participation and to analyze if these programs are based on domains of the International Classification of Functioning Disability and Health (ICF) in post-stroke people. Method: It was selected any type of study that presented post-stroke human sample over 18 years of age with no gender restriction, to be written in any language and year of publication, to have used physical rehabilitation as a form of treatment and social participation assessed by ICF as outcome. The descriptors and Boolean operators: stroke, rehabilitation, International Classification of Functioning Disability and Health, social participation, were used in the sample search strategy in database PEDro, PubMed, Web of Science and Scielo. Results: After applying the inclusion/exclusion criteria, five articles remaining. Assessment tools for participation in daily and social activities were not consensual in the range of areas that needed to be addressed in stroke rehabilitation. A single study used the ICF-based design model in its program. Conclusion: There are few studies that have measured the various characteristics of social participation using the ICF as a tool. More studies are needed to create an ideal standardization and strategy that direct interventions to improve specific aspects of social participation, including the involvement in activities that provide post-stroke individuals interaction with society.

scholarly journals Evaluation of post-stroke functionality based on the International Classification of Functioning, Disability, and Health: a proposal for use of assessment tools

2015 ◽  
Vol 27 (6) ◽  
pp. 1665-1670 ◽  
Author(s):  
Soraia Micaela Silva ◽  
Fernanda Ishida Corrêa ◽  
Christina Danielli Coelho de Morais Faria ◽  
Cássia Maria Buchalla ◽  
Paula Fernanda da Costa Silva ◽  
...  
Keyword(s):  
International Classification ◽  
Assessment Tools ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Post Stroke ◽  
Use Of Assessment

scholarly journals Developing a Delphi-Based Comprehensive Core Set from the International Classification of Functioning, Disability, and Health Framework for the Rehabilitation of Patients with Burn Injuries

2021 ◽  
Vol 18 (8) ◽  
pp. 3970
Author(s):  
Yu-Ru Lin ◽  
Jr-Yi Wang ◽  
Shun-Cheng Chang ◽  
Kwang-Hwa Chang ◽  
Hung-Chou Chen ◽  
...  
Keyword(s):  
Burn Injury ◽  
Functional Limitations ◽  
Rehabilitation Program ◽  
International Classification ◽  
Burn Injuries ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
The Core ◽  
Core Set

Burn injuries cause disability and functional limitations in daily living. In a 2015 fire explosion in Taiwan, 499 young people sustained burn injuries. The construction of an effective and comprehensive rehabilitation program that enables patients to regain their previous function is imperative. The International Classification of Functioning, Disability, and Health (ICF) includes multiple dimensions that can contribute to meeting this goal. An ICF core set was developed in this study for Taiwanese patients with burns. A consensus process using three rounds of the Delphi technique was employed. A multidisciplinary team of 30 experts from various institutions was formed. The questionnaire used in this study comprised 162 ICF second-level categories relevant to burn injuries. A 5-point Likert scale was used, and participants assigned a weight to the effect of each category on daily activities after burns. The consensus among ratings was assessed using Spearman’s ρ and semi-interquartile range indices. The core set for post-acute SCI was developed from categories that attained a mean score of ≥4.0 in the third round of the Delphi exercise. The core ICF set contained 68 categories. Of these, 19 comprised the component of body functions, 5 comprised body structures, 37 comprised activities and participation, and 7 comprised environmental factors. This preliminary core set offers a comprehensive system for disability assessment and verification following burn injury. The core set provides information for effective rehabilitation strategy setting for patients with burns. Further feasibility and validation studies are required in the future.

scholarly journals Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan

2021 ◽  
Vol 18 (4) ◽  
pp. 1630
Author(s):  
Shih-Wei Huang ◽  
Yi-Wen Chen ◽  
Reuben Escorpizo ◽  
Chun-De Liao ◽  
Tsan-Hon Liou
Keyword(s):  
Environmental Factors ◽  
Rehabilitation Program ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Icf Core Set ◽  
Core Set ◽  
Orthopedic Rehabilitation ◽  
Total Knee

Osteoarthritis is one of the leading causes of disability. Total knee arthroplasty (TKA) is a surgical intervention for patients with severe osteoarthritis. Post TKA rehabilitation is crucial for improving patient’s quality of life. However, traditional rehabilitation has only focused on physical function; a systemic analysis of other dimensions such as social participation and environmental factors of post TKA rehabilitation is lacking. The aim of this study was to develop a core set from the International Classification of Functioning, Disability and Health (ICF) to create a comprehensive rehabilitation program for patients with osteoarthritis post TKA. Before the Delphi-based consensus process, a literature review process was performed for related ICF categories selection. We used a three-round Delphi-based consensus among 20 physical therapists with orthopedic rehabilitation expertise in a university-based hospital. A five-point Likert scale was used to rate the importance of each item. The consensus of ratings was analyzed using Spearman’s rho and semi-interquartile range indices. The ICF core set for post TKA rehabilitation was determined based on a high level of consensus and a mean score of ≥4.0 in the third Delphi-based consensus round. The ICF core set comprised 32 categories, with 13 regarding body function, four regarding body structures, nine regarding activities and participation, four regarding environmental factors, and two regarding personal factors. Our ICF core set for post TKA rehabilitation can provide information on effective rehabilitation strategies and goal setting for patients post TKA. However, further validation and feasibility assessments are warranted.

Audiological Rehabilitation After Cochlear Implantation: A New Model Developed Based on the International Classification of Functioning, Disability and Health (ICF)

2020 ◽  
Author(s):  
Artur Lorens ◽  
Griet Mertens ◽  
Anja Kurz
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Cochlear Implantation ◽  
International Classification ◽  
Assessment Tools ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Core Sets ◽  
Icf Core Sets

Abstract Background: There is a need for a more holistic approach to treating hearing impairment, as it affects many aspects of a person’s life, not just their hearing. This article describes how The International Classification of Functioning, Disability and Health (ICF), particularly the ICF core sets for hearing loss, can be used to plan and evaluate the audiological (re)habilitation of cochlear implant (CI) recipients. Using the ICF core sets should help clinicians better address not only hearing impairment but also its consequences.Methods: The opinions of experts were gathered on their clinical experience about the most relevant ICF categories and codes to describe audiological rehabilitation after cochlear implantation. For the relevant ICF categories, the most commonly used audiological assessment tools and methods were identified.Results: The most relevant codes for Body Functions and Structures, Activity, and Participation were identified. These include: structure of the inner ear (s260), auditory nerve (s260), brainstem (s1105), midbrain (s1101), diencephalon (s1102), and cortical lobe (s110); sound detection (b2300); sound discrimination (b2301); localization of sound source (b2302); lateralization of sound (b2303); speech discrimination (b2304); listening (d115); communicating with – receiving – spoken messages (d310); handling stress and other psychological demands (d240); using communication devices and techniques (d360); conversation (d350); family relationships (d760); school education (d820); remunerative employment (d850); and community life (d910). The appropriate questionnaires as an assessment tools were proposed.Conclusions: Using the ICF can help target the holistic (re)habilitation of CI recipients and reduce hearing loss-induced deficits in function, activity, and participation.

scholarly journals Evaluation of an International Classification of Functioning, Disability and Health-based rehabilitation for thermal burn injuries: a prospective non-randomized design

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Hubert Neubauer ◽  
Annette Stolle ◽  
Sabine Ripper ◽  
Felix Klimitz ◽  
Hans Ziegenthaler ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
International Classification ◽  
Burn Injuries ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Event Scale ◽  
Rehabilitation Centers ◽  
Randomized Design ◽  
Thermal Injuries

Abstract Background Severe burn injuries result in relevant restrictions of physical capacity as well as psychological and social integrity and require a specialized rehabilitation. There is a common agreement, among national as well as international burn associations, that burn rehabilitation is a complex, dynamic process which needs an interdisciplinary and specialized treatment team. There is wide agreement that more research is needed in this field. Methods/design The aim of the study is to examine the effectiveness and efficiency of our new ICF (International Classification of Functioning, Disability and Health)-based rehabilitation for thermal injuries. Because of ethical reasons, we have chosen a prospective non-randomized design, which takes place at two different rehabilitation centers. At center A, a newly developed ICF-based rehabilitation program was established; at rehabilitation center B, a well-established rehabilitation program has existed for 20 years and is used as reference. The primary research question addresses the “Pre-post comparison of the physical and psychological outcome measurements,” secondary question I looks at the “Examination of the non-inferiority of the new treatment concept with the established concept,” and secondary question II is the “Analysis of the rehabilitation process based on the rehabilitation cycle.” Only patients of the two burn rehabilitation centers who are insured by workers’ compensation will be asked to participate in this study to avoid outcome bias by insurance status. A physical examination (physical working capacity testing, grip strength, range of motion, and scar evaluation by Cutometer and Vancouver Scar Scale) and a standardized questionnaire battery (Burn Specific Health Scale-Brief , Short Form 36, Impact of Event Scale-Revised, the German version of the Symptom Checklist, the Freiburg Social Support Questionnaire, Patient/Client Satisfaction Questionnaire, Disabilities of the Arm, Shoulder and Hand, and Lower Extremity Functional Scale ) measure physical and psychological conditions. Data will be taken on admission, during stay, and on discharge of the rehabilitation program and at follow-up 3 and 12 months after discharge. A minimum of 162 participants will be enrolled in this clinical longitudinal, prospective, observational study. Discussion The proof of the effectiveness of the ICF-based rehabilitation program for thermal injuries will give evidence in a comprehensive way for the first time in this field. As result, a standardized rehabilitation concept will be introduced, which can be provided to other rehabilitation institutions treating thermal injuries. Trial registration German Clinical Trials Register, DRKS00017702. Registered on 2 September 2019.

scholarly journals International Classification of Functioning, Disability and Health (ICFDH) and Cultural-Activity Approach of L.S. Vygotsky – A.N. Leontiev – A.R. Luria

2019 ◽  
Vol 8 (3) ◽  
pp. 143-159 ◽  
Author(s):  
N.A. Varako ◽  
R. Shilko ◽  
M.S. Kovyazina ◽  
E.I. Rasskazova ◽  
G.Ya. Menshikova ◽  
...  
Keyword(s):  
Rehabilitation Program ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Cultural Activity ◽  
Disability And Health ◽  
Actual Problem ◽  
Rehabilitation Team ◽  
Activity Structure ◽  
Psychophysiological Functions

The actual problem of implementation and use of the International Classification of Functioning, Disability and Health (ICFDH) in the work of clinical psychologists taking into account Russian psychological tradition discussed. There is a necessity of operationalizing the ICFDH domains for specialists of the multidisciplinary rehabilitation team, which will facilitate the use of the ICFDH in rehabilitation work for diagnosis, planning and implementing the rehabilitation program and evaluating its effectiveness. The operationalization of the ICFDH domains based on clinical and psychological content is considered. The cultural-activity approach as a methodological basis of clinical and psychological rehabilitation is proposed and the relationship of the major components of the ICFDH with the psychological activity structure (according to A.N. Leontiev) discussed. The different levels of human functioning considered in the ICFDH (in particular, functions, activity, participation) are compared with the levels of activity (psychophysiological functions, operations, actions and activities) according to A.N. Leontiev. It is argued that the process of clinical and psychological rehabilitation can only take place at the level of concrete actions, and not at the level of activity or operations.

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