THE ANALYSIS AND PLANNING OF THE REHABILITATION EFFECTIVENESS IN THE PATIENTS PRESENTING WITH RHEUMATOID ARTHRITIS BASED ON THE APPLICATION OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH CORE SET

The objective of the present study was the analysis of the comprehensive rehabilitation programs for the patients suffering from rheumatoid arthritis (RA). They were based on the International Classification of Functioning, Disability and Health (ICF) core set. The authors have undertaken the evaluation of the effectiveness of rehabilitation for two groups of patients with rheumatoid arthritis who had received the treatment based at different medical facilities (clinical hospitals, spa and health resorts). It was demonstrated that the use of the ICF core set for rheumatoid arthritis proved helpful for the development of a comprehensive rehabilitation program, the optimal distribution of responsibilities between the professionals, and the correct evaluation of the effectiveness of the programs. The implementation of the rehabilitation program based on the ICF core set resulted in a more effective sequence of the rehabilitation measures. The comprehensive rehabilitation program elaborated based the core set of the International Classification of Functioning, Disability and Health possesses ensured a highly efficient rehabilitation that permits to consider it as a practical rehabilitation technology that can be recommended for a wide clinical application.

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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041630 ◽

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.

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Responsiveness of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis

Annals of the Rheumatic Diseases ◽

10.1136/ard.2008.088708 ◽

2008 ◽

Vol 68 (6) ◽

pp. 879-884 ◽

Cited By ~ 13

Author(s):

T Uhlig ◽

R Moe ◽

S Reinsberg ◽

T K Kvien ◽

A Cieza ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health ◽

Icf Core Set ◽

Core Set

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Does the Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis capture nursing practice? A Delphi survey

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2009.04.006 ◽

2009 ◽

Vol 46 (10) ◽

pp. 1320-1334 ◽

Cited By ~ 22

Author(s):

Agnes Rauch ◽

Inge Kirchberger ◽

Christine Boldt ◽

Alarcos Cieza ◽

Gerold Stucki

Keyword(s):

Rheumatoid Arthritis ◽

Nursing Practice ◽

Delphi Survey ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health ◽

Icf Core Set ◽

Core Set

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Validation of the Comprehensive International Classification of Functioning, Disability and Health Core Set for Rheumatoid Arthritis: The Perspective of Physical Therapists

Physical Therapy ◽

10.2522/ptj.20050237 ◽

2007 ◽

Vol 87 (4) ◽

pp. 368-384 ◽

Cited By ~ 26

Author(s):

Inge Kirchberger ◽

Andrea Glaessel ◽

Gerold Stucki ◽

Alarcos Cieza

Keyword(s):

Rheumatoid Arthritis ◽

Psychological Distress ◽

Physical Therapists ◽

Muscle Tone ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health ◽

Icf Core Set ◽

Core Set

Background and PurposeThe Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Rheumatoid Arthritis (RA) represents the typical spectrum of problems in the functioning of patients with RA. The objective of this study was to validate this ICF Core Set from the perspective of physical therapists.MethodsPhysical therapists were asked about their intervention goals in a 3-round Delphi survey. Intervention goals were compiled, and the physical therapists were asked whether they considered the goal classes to be relevant. The goal classes then were linked to the ICF.ResultsA total of 82 physical therapists in 12 countries named 562 intervention goals. A total of 45 goal classes covering all ICF components were identified. The goal classes addressing muscle tone, balance and coordination, and psychological distress were not represented in the ICF Core Set for RA.Discussion and ConclusionThe validity of the ICF Core Set for RA was largely supported. However, some categories currently not covered by the ICF Core Set for RA will need to be investigated further.

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Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for chronic widespread pain from the perspective of fibromyalgia patients

Arthritis Research & Therapy ◽

10.1186/ar2696 ◽

2009 ◽

Vol 11 (3) ◽

pp. R67 ◽

Cited By ~ 30

Author(s):

Robin Hieblinger ◽

Michaela Coenen ◽

Gerold Stucki ◽

Andreas Winkelmann ◽

Alarcos Cieza

Keyword(s):

Chronic Widespread Pain ◽

International Classification ◽

International Classification Of Functioning ◽

Widespread Pain ◽

Disability And Health ◽

Icf Core Set ◽

Core Set

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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

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18083970 ◽

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.

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