The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
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Investigating Functional Level in Patients with Stroke using ICF Concept

ICF core-set를 이용한 뇌졸중 환자의 기능수행 분석

  • Song, Jumin (Department of Physical Therapy, Silla University) ;
  • Lee, Haejung (Department of Physical Therapy, Silla University)
  • 송주민 (신라대학교 의생명과학대학 물리치료학과) ;
  • 이해정 (신라대학교 의생명과학대학 물리치료학과)
  • Received : 2014.09.15
  • Accepted : 2014.10.14
  • Published : 2014.10.25
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Abstract

Purpose: The purpose of this study was to investigate level of functioning in patients with stroke using Modified Bathel Index (MBI), World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0), and ICF core-set for stroke. Methods: Sixty-four patients with stroke were recruited for this study from nine medical institutes. The ICF core-set for stroke, WHODAS 2.0, and MBI were used to collect subjects' functional levels. ICF core-set was employed here as a standard frame to observe multi-dimension of functioning, that is physiological bodily function, activity and participation (AP) in daily life, and current environmental factors (EF) in patients with stroke. WHODAS 2.0 and MBI were also used in order to have a specific functioning level for subjects. The linkage of each item in WHODAS 2.0 and MBI into the ICF core-set for stroke was examined. Pearson correlation coefficient was used for analysis of their relationships. Results: Functioning level of participants showed moderate resulting from MBI and WHODAS 2.0 ($73.48{\pm}22.27$ and $35.55{\pm}12.53$, respectively). Strong relationship was observed between ICF core-set and WHODAS 2.0, and with MBI. Each item of disability scales was obtained its linkage into ICF in the domain of AP. However, lack of correlation between MBI and ICF in the domain of EF was found due to absence of related factors. Conclusion: MBI was found to be linked mainly into ICF in the domain of AP and to have limited linkage into EF. Therefore, it should be suggested that the ICF concept frame should be used as a multi-dimensional approach to patients with stroke.

Keywords

References

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