Evidence map›Paper›PMID 34542256›Full record

ArticleEuropean journal of physical and rehabilitation medicine2022

Functional profiles derived from the ICF Generic set and the responsiveness and validity of the Generic-6 set's Functioning score among persons after stroke.

Johanna Jonsdottir, Thomas Bowman, Anna Casiraghi, Marina Ramella, Angelo Montesano, IRCCS FDG-ICF Group

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Article in European journal of physical and rehabilitation medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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4 citing papers in PubMed.

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6 authors.

Johanna JonsdottirIRCCS Don Gnocchi Foundation, Milan, Italy - jjonsdottir@dongnocchi.it.
Thomas BowmanIRCCS Don Gnocchi Foundation, Milan, Italy.
Anna CasiraghiIRCCS Don Gnocchi Foundation, Milan, Italy.
Marina RamellaIRCCS Don Gnocchi Foundation, Milan, Italy.
Angelo MontesanoIRCCS Don Gnocchi Foundation, Milan, Italy.
IRCCS FDG-ICF Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe International Classification of Functioning, Disability and Health (ICF) parsimonious Generic set can provide identification of functional profiles and recovery after rehabilitation in persons post stroke.

aimTo explore concurrent validity of the ICF Generic-6_Functioning score with the Barthel Index (BI) and responsiveness after rehabilitation in persons post stroke. Further, the feasibility of applying the ICF Brief Stroke Core set in routine rehabilitation recovery was evaluated.

designProspective study.

settingInpatient rehabilitation setting. POPULATION: Persons post stroke.

methodsThe study included 71 persons post stroke (mean age 66.8 [standard deviation 14.5], mean onset 199.3 [565.3] days, BI score improvement: 17/100), N.=44 acute stroke (<3 months, stroke subacute [SA]_group) and N.=27 chronic stroke (>3 months, Stroke chronic [SC]_group). The Brief Stroke core set, including the Generic set, was used for classification at admission and at discharge using the five grade qualifiers. The median value of the groups' qualifiers on the Generic set (excluding item 850) was used to form a Functioning score (Generic-6 FS). Responsiveness was assessed with effect sizes (ES) and confidence intervals (CI). The concurrent validity of the Generic-6 FS was explored with the BI as a gold standard using Spearman's correlation coefficient. P was set at 0.05.

resultsThe Generic-6 FS proved responsive with ES being moderate for the Generic-6 FS and the BI for the whole group (0.48, CI 0.14-0.82 and 0.67, CI -1.02--0.32 respectively). ES of the Generic-6 FS was significant only for the SA_group (0.62, CI 0.27-0.96. Correlation between the Generic-6 FS and the BI at baseline and discharge were respectively r=-0.59 and r=0.60, while correlation between change values was lower (r=0.44). The Generic-6 FS did not distinguish between the SA_group and the SC_group. Classification with the ICF brief stroke core set was feasible with 89% of the persons being classified both at admission and discharge.

conclusionsICF classification of persons post stroke during rehabilitation recovery was feasible. The Generic-6 FS detected changes in functioning and health in persons recovered for rehabilitation after stroke and distinguished between different recovery rates of persons in the acute and chronic phase after stroke.

Indexed as

Persons with DisabilitiesStrokeStroke RehabilitationActivities of Daily LivingAgedDisability EvaluationHumansInternational Classification of Functioning, Disability and HealthProspective Studies

Identifiers

PMID34542256
PMCPMC9980530

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