PNF and Movement

Korea Proprioceptive Neuromuscular Facilitation Association (대한고유수용성신경근촉진법학회)
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Evaluation Tools for Patients with Neurologic Disorders Based on the ICF Model: A Survey of Korean Physical Therapists

ICF 모델 기반 신경계 환자 물리치료 평가 도구 사용 조사

  • Lee, Ji-ah (Dept. of Rehabilitation Science, Graduate School, Jeonju University) ;
  • Woo, Yong-Keun (Dept. of Rehabilitation Science, Graduate School, Jeonju University) ;
  • Won, Jong-Im (Dept. of Rehabilitation Science, Graduate School, Jeonju University) ;
  • Kim, Su-jin (Dept. of Rehabilitation Science, Graduate School, Jeonju University)
  • 이지아 (전주대학교 일반 대학원 재활과학과) ;
  • 우영근 (전주대학교 일반 대학원 재활과학과) ;
  • 원종임 (전주대학교 일반 대학원 재활과학과) ;
  • 김수진 (전주대학교 일반 대학원 재활과학과)
  • Received : 2022.09.23
  • Accepted : 2022.10.20
  • Published : 2022.12.31
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Abstract

Purpose: Physical therapists are required to properly choose the most appropriate treatment for each patient within the framework of the International Classification of Functioning, Disability, and Health (ICF model). The aims of this study were to determine whether neurological physical therapists in clinical settings in South Korea know about the ICF model and to investigate the current trends of outcome measures (OMs) used by them. Methods: Two hundred and one physical therapists who worked with patients with neurological disorders participated in this study. The survey was conducted via e-mail and asked about commonly used OMs and the considerations for selecting OMs. Results: All physical therapists involved in this study responded completely, and 45.8% of participants learned about the ICF model, while 37.3% understood the detailed information related to the ICF model. The rest of the participants did not know or just heard about the ICF model. The most frequently used tools at the body function/structure level were the Range of Motion (98%), Manual Muscle Test (97%), Berg Balance Scale (83.1%), and Modified Ashworth Scale (70.6%) when allowing repetition. At the activity level, the 10-meter walk test (71.1%), 6-minute walk test (54.2%), and Functional Ambulatory Category (43.3%) were used, while the Activity-Specific Balance Confidence Scale (23.9%) was used at the participation level. There was a positive relationship between the number of tools used and years of work, as well as the level of understanding of the ICF model. Conclusion: The results of this study suggest that it is necessary to learn the ICF model in a clinical setting. In addition, the medical system needs to be modified to encourage physical therapists in South Korea to use proper OMs within the ICF model.

Keywords

Acknowledgement

이 성과는 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임 (No. NRF-2021R1F1A1045506)

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