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The latest version of disability model, the International Classification of Functioning, Disability and Health (ICF) has been adopt d by rehabilitation professionals for presenting health status of patients with stroke. The objective of this study was to explore the content validity of the comprehensive ICF stroke core set in Thai patients. The responsive patterns in different rehabilitation settings were also compared. The participants were 80 individuals affected by stroke with variety of chronicity and severity. These patients were receiving rehabilitation program in two physical therapy clinics and two communities. Four physical therapists evaluated the patients by performing interview and physical examination. These evaluators received a specific training session to use the ICF core set in patients with stroke. Standard evaluation form with description of assessment guideline was also provided.
The results showed that 36 and 26 categories of the “Body Functions” domain and 50 and 39 categories
of the “Activity and Participation” domain were validated with responses of having problem in more than
10% and 20% of participants respectively. All of eight categories of “Body Function” and five of “Activity
and Participation” were movement and mobility related, reported as having problem in more than half of
participants. The response patterns of 12 categories of “Body Function” and 13 “Activity and Participation’
were different between clinic and community groups. The set of validated categories was similar to ones
previously validated in other four countries. With Thai cultural concern, two items related with sexual function and intimate relationship were largely unresponsive. Some items were also very specific to subgroups of sex and working status.
Authors recommended more emphasis on more effective treatment plan for stroke patients to be movement related in impairment level and mobility related in activity and participation level. The different sets of ICF categories are recommended in different stages of stroke as well as different rehabilitation settings.
2. Stucki G. International Classification of Functioning, Disability, and Health (ICF): a promising framework and classification for rehabilitation medicine. Am J Phys Med Rehabil. 2005 Oct;84(10):733-40. PubMed PMID: 16205428. Epub 2005/10/06. eng.
3. Stucki G, Ewert T, Cieza A. Value and application of the ICF in rehabilitation medicine. Disabil Rehabil. 2002 Nov 20;24(17):932-8. PubMed PMID: 12523361. Epub 2003/01/14. eng.
4. Rentsch HP, Bucher P, Dommen Nyffeler I, Wolf C, Hefti H, Fluri E, et al. The implementation of the 'International Classification of Functioning, Disability and Health' (ICF) in daily practice of neurorehabilitation: an interdisciplinary project at the Kantonsspital of Lucerne, Switzerland. Disabil Rehabil. 2003 Apr 22;25(8):411-21. PubMed PMID: 12745951. Epub 2003/05/15. eng.
5. Tempest S, McIntyre A. Using the ICF to clarify team roles and demonstrate clinical reasoning in stroke rehabilitation. Disabil Rehabil. 2006 May 30;28(10):663-7. PubMed PMID: 16690581. Epub 2006/05/13. eng.
6. Lohmann S, Decker J, Muller M, Strobl R, Grill E. The ICF forms a useful framework for classifying individual patient goals in post-acute rehabilitation. Journal of rehabilitation medicine. 2011 Jan;43(2):151-5. PubMed PMID: 21234515. Epub 2011/01/15. eng.
7. Helgeson K, Smith AR, Jr. Process for applying the international classification of functioning, disability and health model to a patient with patellar dislocation. Physical therapy. 2008 Aug;88(8):956-64. PubMed PMID: 18556399. Epub 2008/06/17. eng.
8. Jette AM. Toward a Common Language for Function, Disability, and Health. Physical therapy. 2006;86(5):726-34.
9. Rauch A, Escorpizo R, Riddle DL, Eriks-Hoogland I, Stucki G, Cieza A. Using a case report of a patient with spinal cord injury to illustrate the application of the International Classification of Functioning, Disability and Health during multidisciplinary patient management. Physical therapy. 2010 Jul;90(7):1039-52. PubMed PMID: 20508027. Epub 2010/05/29. eng.
10. Rauch A, Cieza A, Stucki G. How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. European journal of physical and rehabilitation medicine. 2008 Sep;44(3):329-42. PubMed PMID: 18762742. Epub 2008/09/03. eng.
11. Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustun B, Stucki G. ICF linking rules: an update based on lessons learned. Journal of rehabilitation medicine. 2005 Jul;37(4):212-8. PubMed PMID: 16024476. Epub 2005/07/19. eng.
12. Geyh S, Cieza A, Schouten J, Dickson H, Frommelt P, Omar Z, et al. ICF Core Sets for stroke. Journal of rehabilitation medicine. 2004 Jul(44 Suppl):135-41. PubMed PMID: 15370761. Epub 2004/09/17. eng.
13. Lemberg I, Kirchberger I, Stucki G, Cieza A. The ICF Core Set for stroke from the perspective of physicians: a worldwide validation study using the Delphi technique. European journal of physical and rehabilitation medicine. 2010 Sep;46(3):377-88. PubMed PMID: 20927004. Epub 2010/10/12. eng.
14. Quintas R, Cerniauskaite M, Ajovalasit D, Sattin D, Boncoraglio G, Parati EA, et al. Describing functioning, disability, and health with the International Classification of Functioning, Disability, and Health Brief Core Set for Stroke. Am J Phys Med Rehabil. 2012 Feb;91(13 Suppl 1):S14-21. PubMed PMID: 22193306. Epub 2011/12/24. eng.
15. Institute SNMR. Handout of central standard performance evaluation according to disability types and ICF coding. ICF Bangkok: Thai Health Coding Center; 2012. (in Thai). Available from: https://thcc.or.th/ICF/BOOK_ICF.pdf.
16. Alguren B, Lundgren-Nilsson A, Sunnerhagen KS. Functioning of stroke survivors--A validation of the ICF core set for stroke in Sweden. Disabil Rehabil. 2010;32(7):551-9. PubMed PMID: 20136473. Epub 2010/02/09. eng.
17. Goljar N, Burger H, Vidmar G, Leonardi M, Marincek C. Measuring patterns of disability using the International Classification of Functioning, Disability and Health in the post-acute stroke rehabilitation setting. Journal of rehabilitation medicine. 2011 Jun;43(7):590-601. PubMed PMID: 21603849. Epub 2011/05/24. eng.
18. Riberto M, Lopes KA, Chiappetta LM, Lourencao MI, Battistella LR. The use of the comprehensive International Classification of Functioning, Disability and Health core set for stroke for chronic outpatients in three Brazilian rehabilitation facilities. Disabil Rehabil. 2013 Mar;35(5):367-74. PubMed PMID: 22725672. Epub 2012/06/26. eng.
19. Wang P, Li H, Guo Y, Xie Y, Ge R, Qiu Z. The feasibility and validity of the comprehensive ICF core set for stroke in Chinese clinical settings. Clin Rehabil. 2014 Feb;28(2):159-71. PubMed PMID: 23945163. Epub 2013/08/16. eng.
20. Glassel A, Coenen M, Kollerits B, Cieza A. Validation of the extended ICF core set for stroke from the patient perspective using focus groups. Disabil Rehabil. 2012;34(2):157-66. PubMed PMID: 21967046. Epub 2011/10/05. eng.
21. Saltychev M, Tarvonen-Schroder S, Barlund E, Laimi K. Differences between rehabilitation team, rehabilitants, and significant others in opinions on functioning of subacute stroke survivors: Turku ICF study. Int J Rehabil Res. 2014 Sep;37(3):229-35. PubMed PMID: 24802977. Epub 2014/05/08. eng.
22. Geyh S, Kurt T, Brockow T, Cieza A, Ewert T, Omar Z, et al. Identifying the concepts contained in outcome measures of clinical trials on stroke using the International Classification of Functioning, Disability and Health as a reference. Journal of rehabilitation medicine. 2004 Jul(44 Suppl):56-62. PubMed PMID: 15370749. Epub 2004/09/17. eng.
23. Schepers VP, Ketelaar M, van de Port IG, Visser-Meily JM, Lindeman E. Comparing contents of functional outcome measures in stroke rehabilitation using the International Classification of Functioning, Disability and Health. Disabil Rehabil. 2007 Feb 15;29(3):221-30. PubMed PMID: 17364773. Epub 2007/03/17. eng.
24. Studenski SA, Wallace D, Duncan PW, Rymer M, Lai SM. Predicting stroke recovery: three- and six-month rates of patient-centered functional outcomes based on the orpington prognostic scale. J Am Geriatr Soc. 2001 Mar;49(3):308-12. PubMed PMID: 11300243. Epub 2001/04/13. eng.