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

ABSTRACT

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.