Funcionalidade de pacientes oncológicos: um estudo transversal com o core set genérico da classificação internacional de funcionalidade, incapacidade e saúde / Functionality of oncologic patients: a cross-sectional study with the international classification of functioning, disability and health generic core set

Introdução: O câncer é considerado uma doença crônica e um dos principais problemas de saúde enfrentados pela população. Embora o tratamento possa melhorar a sobrevida dos pacientes oncológicos, os efeitos colaterais influenciam a qualidade de vida e impactam na capacidade funcional diária. Desde 2001, com a aprovação da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF), o entendimento da funcionalidade e o da incapacidade humana passaram a ser vistos sob nova dimensão. Objetivo: Classificar a funcionalidade de pacientes oncológicos em tratamento quimioterápico por meio do core set genérico da CIF. Método: Foi realizado um estudo transversal com 117 indivíduos em tratamento quimioterápico. Para classificar a funcionalidade foi aplicado o core set genérico da CIF, que possui sete categorias em três componentes da CIF. Resultados: Os maiores comprometimentos e deficiências relatados foram nas categorias: sensação de dor (69,2%); andar (61,5%); e funções emocionais (54,7%). Conclusão: Foi identificada uma amostra de pacientes oncológicos em tratamento quimioterápico com diferentes níveis de incapacidade funcional em todas as categorias classificadas.

Introduction: Cancer is considered a chronic disease and one of the main health problems faced by the population. Although treatment can improve the survival of cancer patients, side effects influence quality of life and impact on daily functional capacity. Since 2001, with the approval of the International Classification of Functioning, Disability and Health (ICF), the understanding of functionality and disability began to be seen under a new dimension. Objective: To classify the functionality of oncologic patients in chemotherapy using the ICF generic core set. Method: A cross-sectional was conducted with 117 patients in chemotherapy. To classify the functionality, the ICF generic core set was applied, which has seven categories in three ICF components. Results: The ICF categories with the highest reported impairments and disabilities were: sensation of pain (69.2%), walking (61.5%) and emotional functions (54.7%). Conclusion: The sample of cancer patients in chemotherapy showed different levels of functional disability in all classified categories.

O uso do core set da CIF para avaliação de pacientes com distúrbios cardiorrespiratórios / The use of the ICF core set for the evaluation of patients with cardiorespiratory disorders

Introdução: A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) categoriza a saúde e deficiência do indivíduo considerando a funcionalidade e os fatores contextuais. No entanto, a CIF apresenta muitas categorias que dificultam o seu uso diário e, por isso, foram criados os core sets. Entre os diversos core sets propostos, existe um core set para condições cardiorrespiratórias pós-agudas. Objetivo: classificar os pacientes com alterações cardíacas, respiratórias e mistas, assistidos ambulatoriais por meio de um core sets para esta população, além de verificar se existem diferenças entre os grupos na aplicação deste core set. Métodos: Foram avaliados indivíduos com diagnóstico clínico de doenças cardiorrespiratórias em acompanhamento fisioterapêutico ambulatorial para reabilitação cardiopulmonar. A amostra foi dividida em três grupos: cardíacos, respiratórios e mistos. Os pacientes foram avaliados por meio da versão abreviada do core set para condições cardiorrespiratórios pós-agudas, funcionalidade, força de preensão palmar e dos músculos respiratórios. Resultados: A amostra foi composta por 67 indivíduos alocados de acordo com seu comprometimento. Verificou-se que apenas as funções de energia e impulso, cardíaca e de ingestão, estrutura do sistema respiratório e a atividade andar apresentaram respostas significativamente diferentes entres os grupos. Pacientes com distúrbios respiratórios, cardíacos e mistos apresentam perfis funcionais semelhantes, porém as categorias com diferença desse perfil foram as relacionadas ao sistema respiratório, atividades e funções relacionadas ao aumento da demanda metabólica como andar. Conclusão: Assim é possível afirmar que o core set auxilia a identificar as disfunções dos pacientes sem depender se sua disfunção é cardíaca, respiratória ou mista que pode ser uma ferramenta utilizada no meio clínico.

Introduction: The International Classification of Functioning, Disability and Health (ICF) categorizes an individual's health and disability considering functionality and contextual factors. However, the ICF has many categories that make it difficult to use daily, and that's why core sets were created. Among the various proposed core sets, there is a core set for post-acute cardiorespiratory conditions. Objective: to classify patients with cardiac, respiratory and mixed alterations assisted in outpatient clinics using a core set for this population, in addition to verifying whether there are differences between the groups in the application of this core set. Methods: Individuals with a clinical diagnosis of cardiorespiratory in outpatient physical therapy follow-up for cardiopulmonary rehabilitation diseases were evaluated. The sample was divided into three groups: cardiac, respiratory and mixed. Patients were evaluated using the abbreviated version of the core set for post-acute cardiorespiratory conditions, functionality, handgrip strength and respiratory muscles. Results: The sample consisted of 67 individuals allocated according to their commitment. It was found that only the energy and impulse, cardiac and ingestion functions, structure of the respiratory system and walking activity showed significantly different responses between the groups. Patients with respiratory, cardiac and mixed disorders have similar functional profiles, but the categories with difference in this profile were those related to the respiratory system, activities and functions related to increased metabolic demand such as walking. Conclusion: Thus, it is possible to affirm that the core set helps to identify the patients' dysfunctions without depending on whether their dysfunction is cardiac, respiratory or mixed, which can be a tool used in the clinical environment.

Effect of track body weight support walking training on lower limb motor function in stroke patients: based on ICF Core Set for Stroke / 中国康复理论与实践

ObjectiveTo evaluate the effect of track body weight support walking training on lower limb motor function in stroke patients using International Classification of Functioning, Disability and Health (ICF) Core Sets for Stroke. MethodsFrom April to October, 2021, 15 stroke patients from Wudang Mountain Hospital received track body weight support walking training everyday for 30 minutes, five times a week for four weeks. Before and after treatment, they were evaluated with Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Berg Balance Scale (BBS), 6-minute Walking Test (6MWT), ICF Core Set for Stroke (gait), and three-dimensional gait analysis. ResultsAfter treatment, the ICF gait function qualifier, FMA-LE score, BBS score, the distance of 6MWT, gait speed, gait symmetry and and the maximum motion angle of hip and knee increased (|t| > 4.141, P < 0.01). ConclusionTrack body weight support walking training could improve the lower limb motor function and gait of stroke patients.

Effect of Physical Therapy and Heel Sound Feedback on Motor Function of Lower Limbs for Patients with Stroke Based on ICF Core Set / 中国康复理论与实践

Objective:To study the effect of physical therapy and heel sound feedback on lower limbs motor function, mobility and activities of daily living (ADL) for stroke patients based on International Classification of Functioning, Disability and Health (ICF) core set. Methods:From April, 2018 to May, 2020, 113 stroke patients with motor dysfunction were divided into ischemia group (n = 67) and hemorrhagia group (n = 46) according to the cause of stroke. They received physical therapy for lower limbs and heel sound feedback for eight weeks, and assessed with ICF core set for stroke-gait, Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Timed 'Up and Go' Test (TUGT), and modified Barthel index (MBI) before and after intervention. Results:The main effect of time was significant for qualifiers of ICF core set for stroke-gait, the scores of FMA-LE and MBI, and TUGT time (F > 100.59, P < 0.001), and it improved time by time as Post Hoc test. The main effect of groups was not significant (F < 2.29, P > 0.05), nor as Post Hoc test. The interactive effect between time and groups was significant for TUGT time (F = 6.45, P < 0.01), perhaps improved more in the hemorrhagia group, however, the interactive effect was not significant for the others. Conclusion:Physical therapy and heel sound feedback can improve motor function of lower limb, mobility and ADL for stroke patients.

Assessment Using the ICF-core set for Children and Youth with Cerebral Palsy: A Single Case Study

PURPOSE: This study evaluated the usefulness of International Classification of Functioning, disability and health core set for children and youths with cerebral palsy (ICF-core set for CP) by comparing the Gross Motor Function Measure-88 (GMFM-88), which is the most widely used outcome measure in children with cerebral palsy (ICF-core set for CP). METHODS: One subject (Female, 14) was evaluated by GMFM-88 and ICF-core set for CP. In addition, the concept of GMFM-88 was compared with the concept of the ICF-core set for CP in compliance with ICF linking rules. The numerical values both of the GMFM-88 categories and the ICF-core set for CP's items were compared. RESULTS: The ICF b760 was linked to the GMFM-88 59~61. d415 was linked to 57~58 of GMFM-88. d450 was linked to GMFM-88's 65~72. d455 was linked to GMFM-88 at 77and 80~83. CONCLUSION: The association of the ICF-core set for CP and GMFM-88 was confirmed. In addition, the number of categories of ICF-core set for CP was smaller than the number of items of GMFM-88. In conclusion, the ICF-core set for CP is an evaluation tool that can identify the various features of children. In addition, GMFM-88 was linked to the ICF core set for CP according to the ICF linking rules.

Application of Comprehensive ICF Core Set for Stroke for Evaluation for Stroke Patients: A Multi-center Study / 中国康复理论与实践

Objective:To evaluate the body function, structure, activities and participation, and environmental factors of stroke patients using the Comprehensive ICF Core Set for Stroke, and explore the correlation among them. Methods:From July, 2012 to June, 2014, 2822 stroke inpatients from 57 health service centres were assessed with Comprehensive ICF Core Set for Stroke. The ICF categories and the relationship among them were analyzed. Results:The most serious barriers for the stroke patients involved in gait pattern, muscle power, control of voluntary movement, driving, doing housework, and remunerative employment in the domains of body functions and activities and participation; and products and technology of design, building and construction of buildings, products and technology for personal indoor and outdoor mobility and transportation, labor and employment services and policies in the domains of environmental factors. There was positive correlation between the categories of body functions and activities and participation (r = 0.712, r = 0.694, P < 0.001), activities and participation-performance and activities and participation-capacity (r = 0.877, P < 0.001), and environmental factors-barrier and activities and participation-performance (r = 0.308, P < 0.001). Conclusion:Comprehensive ICF Core Set for Stroke may be used as a standard tool for evaluation for stroke patients, which benefit for rehabilitation practice.

Experimentação animal e seus limites: core set e participação pública / Animal experimentation and its limits: core set and public participation

As controvérsias em ciência e tecnologia são cada vez mais reconhecidas como questões éticas e morais, e não somente técnicas. É o caso da experimentação animal, foco deste trabalho. Visando clarificar quais grupos tiveram seus interesses e reivindicações atendidos e quais foram ignorados, foi efetuada uma análise da legislação do estado de São Paulo sobre o assunto, a partir do referencial teórico dos Estudos Sociais da Ciência e Tecnologia. O estudo abordou aspectos como a relação entre a comunidade científica, a camada política e o público leigo, a autoridade da ciência e as estratégias para inclusão/exclusão de grupos. Concluiu-se que, apesar dos crescentes questionamentos sobre as consequências sociais, éticas e morais da prática científica, a ciência ainda desempenha um papel central na resolução de controvérsias, ocupando um lugar privilegiado dentro do core set...

Controversies in science and technology are increasingly recognized as ethical and moral issues, not just technical. It is the case of animal experimentation, the central issue of this work. Using the theoretical framework of Social Studies of Science and Technology, the work analyses the law of the State of São Paulo, Brazil, about animal experimentation, aiming to clarify which groups had their interests and demands met, and which were ignored. The study addressed issues such as the relationship between the scientific community, the lay public and the policy layer, the authority of science and the strategies for inclusion/exclusion of groups. It was concluded that, despite the growing doubts about the social, moral and ethical consequences of scientific practice, science still plays a central role in the resolution of controversies, occupying a privileged place within the core set...

Evaluation of Functioning and Cost-effect of Inpatients with Stroke at Post Acute Stage: Using ICF Core Set (Comprehensive Version for Stroke) / 中国康复理论与实践

@# This research analyzed the functioning and cost-effect of 93 inpatients with Stroke at post acute Stage using ICF Core Set (Comprehensive Version for Stroke). The main functioning impairments are in ICF categories of b147, b152, b176, b235, b420, b715, s110,s720, s730, s750, d1, d2, d4, and d5. The main improvement of function are in the fields of b1, b4, b7, d1, d2, d4, d5, d6, d7, d8 and d9 (P<0.05). The total expenses of rehabilitation medicine averages 6713.97 RMB. It cost 320.50 RMB to impove 1 score of functioning.

Contents of Functional Outcome Measurements for Stroke:in View of Comprehensive ICF Core Set for Stroke / 中国康复理论与实践

Objective To compare the contents of functional outcome measurements for stroke. Methods The concepts of 14 kinds of functional measurement tools were coded matching with comprehensive ICF Core Set for stroke. Results The difference of measurement tools was displayed after coded with ICF. Conclusion The content comparison based on the ICF can ease the choice of measurement tools.

Using the International Classification of Functioning, Disability, and Health core set with organ transplant patients at the acute stage / 中华物理医学与康复杂志

Objective To compare the functional profiles of organ transplant patients using the International Classification of Functioning,Disability,and Health (ICF) core set.Methods The patients were enrolled 5 to 10 days after discharge following an organ transplant.The Functional Independence Measure (FIM),Barthel Index (BI) and the ICF core set were used to assess them.Analysis was conducted by grouping the kidney transplant patients (group A) separately from the heart,lung and liver transplant patients (group B).The prevalence of sevcre impairment in each group was calculated and compared.Results Average FIM and BI secores were both significantly higher in group A than in group B.No severe or total impairment was observed in group A,but in group B,the prevalence of 5 categories (ie.b455,b730,s430,d415 and d450) was significantly greater than in group A.The most prevalent were poor exercise tolerance (b455,56.8％),low muscle power (b730,54.5％),difficulty in maintaining a body position (d415,54.5％),and impaired walking (d450,45％) With regard to the environment factors,the prevalence of e110 (products or substances for personal consumption) and e120 (products and technology for personal use in daily living) were both significantly different in the two groups.Conclusion Heart,lung and liver transplant patients transplant demonstrated more impairments than the kidney transplant patients.All the organ transplant patients deserve early evaluation for detecting any possible impairment.

Validation of the International Classification of Functioning,Disability and Health Core Set for patients with organ transplantation in early postoperation stage / 中华物理医学与康复杂志

Objective To evaluate content validity and construct validity of International Classification of Functioning,Disability and Health(ICF)Core Set for patients with organ transplantation.Methods Patients with kidney,liver,heart,or lung transplantation were assessed with ICF Core Set questionnaire,Functional Independence Measure(FIM)and Barthel Index(BI).Content validity was evaluated with frequency and percentage of patients with a problem for each ICF category,while construct validity was evaluated with Spearman correlation between ICF categories with FIM and BI.Results A consecutive sample of 102 patients completed this study.In body functions,10 categories were reported as a problem by more than 30% of the patients,of which 22 categories correlated significantly with FIM or BI.In body structures,structure areas of skin(s810)were reported as a problem by 30% of the patients,of which 3 categories correlated significantly with FIM or BI.In activities and participation,3 categories were reported as a problem by 30% of the patients,of which 15 categories correlated significantly with FIM and BI.In environmental factors,8 categories were reported as a facilitator by 30% of the patients,of which 8 categories correlated significantly with FIM or BI.Conclusion The content validity and construct validity of ICF Core Set for patients early after organ transplantation were good.

Reliability and validity of the COPD ICF Core Sets / 中华物理医学与康复杂志

Objective To test the reliability and validity of ICF Core Sets for Chinese COPD patients.Methods Fifty-two COPD patients were measured with ICF Core Sets for COPD patients and SF-36. For reliability test, the internal consistency was analyzed and expressed by Cronbach α coefficients and split-half reliability. For va-lidity test, the content validity and criterion validity were analyzed and expressed with Spearman rank correlation coef-ficients. Results For body function, body structure and activity and participation, there were good internal consis-tency (Cronbach α coefficients 0. 698～0.957). For environmental factors Crnnbach α coefficient and split-half reli-ability did not exist. Most items of body function, activity and participation and body structure possessed good content validity. There was concurrent validity for ICF components of body function, body structure and activity and participa-tion with SF-36, FEV1/FVC, COPD grade and health self-assessment. The environmental factors demonstrated poor reliability and validity. Conclusion The ICF Core Sets for COPD patients showed good reliability and validity. It is a good comprehensive functional measurement scale for COPD patients, but it is necessary to test the generality of this result, and some items need to be adjusted.