ABSTRACT
PURPOSE: Stroke is a leading cause of death and disability in Brazil. The multiple aspects of disability in these patients require proportionally comprehensive tools for their assessment. The International Classification of Functioning, Disability and Health (ICF) core set for stroke intends to comprehensively describe the experience of such patients with their functioning. This study aimed to empirically validate the ICF core set for stroke by checking the frequency of problems in each of its categories, thus verifying content validity. METHOD: A cross-sectional study in which data were collected from clinical charts, physical examination, tests, and interviews with 132 stroke outpatients under rehabilitation and their caregivers. Categories were considered "not validated" if less than 20% of the sample would present some degree of problems in them. RESULTS: Only 20 categories (14 body functions, 5 body structures, and 1 activity and participation) were considered not validated. Neuromusculoskeletal functions and mobility were the aspects of functioning most often described with problems. All environmental factors were qualified as facilitators or barriers and acted as modulators of disability. CONCLUSIONS: The comprehensive ICF core sets for stroke can be used by multidisciplinary teams to classify the life experience of stroke survivors, although efforts to enable and enhance reproducibility are needed to warrant its reliable routine use.
Subject(s)
Activities of Daily Living , Disability Evaluation , Disabled Persons/classification , International Classification of Diseases , Quality of Life , Stroke Rehabilitation , Adult , Aged , Aged, 80 and over , Brazil , Cross-Sectional Studies , Disabled Persons/psychology , Female , Health Status , Humans , Male , Middle Aged , Outpatients , Recovery of Function , Rehabilitation Centers , Reproducibility of Results , Severity of Illness Index , Surveys and QuestionnairesABSTRACT
OBJETIVO: Validar empiricamente o core set da CIF para lombalgia e descrever a funcionalidade de uma amostra de pacientes com lombalgia mecânica crônica inespecífica. MÉTODOS: Vinte e nove pacientes de um centro de reabilitação foram avaliados por meio do core set da CIF para lombalgia e pelo questionário de Roland Morris (QRM) e SF-36. RESULTADOS: Todas as categorias de estruturas do corpo do core set se mostraram comprometidas em ao menos 80 por cento dos pacientes, sendo consideradas validadas. Entre as 19 categorias de Funções do corpo, apenas quatro estavam comprometidas em menos que 80 por cento dos pacientes, sendo consideradas não-validadas, o mesmo foi observado para cinco das 29 de Atividades e participações e cinco das 25 categorias de Fatores ambientais. CONCLUSÕES: As categorias selecionadas para o core set da CIF para lombalgia foram consideradas empiricamente validadas e em conjunto permitiram descrever a multiplicidade de repercussões dessa condição de saúde sobre a funcionalidade das pessoas. O core set da CIF serve para guiar a intervenção terapêutica interdisciplinar.
OBJECTIVE: To empirically validate the ICF Core Set for low back pain, describing functioning, in a sample of chronic unspecific mechanical low back pain patients. METHODS: Twenty-nine patients from a rehabilitation center were assessed with the ICF Core Set for low back pain, Roland Morris Questionnaire (RMQ) and SF-36. RESULTS: All Body structures categories of this ICF Core Set were impaired in at least 80 percent of the patients, thus they were considered validated. Among the 19 Body functions categories, only four were impaired in less than 80 percent, thus not-validated, the same was observed in five out of the 29 Activities and participation categories and five of the 25 Environmental factors categories. CONCLUSIONS: The selected categories of the ICF Core Set for low back pain were empirically validated, and together, they allowed the description of functioning of those patients. This ICF Core Set can be used to guide interdisciplinary therapeutic interventions.
OBJETIVO: Validar empíricamente el core set de la CIF para dorsalgia y describir la funcionalidad de una muestra de pacientes con dorsalgia mecánica crónica inespecífica. MÉTODOS: Veintinueve pacientes de un centro de rehabilitación fueron evaluados por medio del core set de la CIF para dorsalgia, y mediante el cuestionario Roland Moris (QRM) y SF-36. RESULTADOS: Todas las categorías de Estructuras del cuerpo del core set se mostraron comprometidas en por lo menos 80 por ciento de los pacientes, siendo consideradas validadas. Entre las 19 categorías de Funciones del cuerpo, sólo cuatro estaban comprometidas en menos de 80 por ciento de los pacientes, siendo consideradas como no validadas; lo mismo fue observado para 5 de las 29 categorías de Actividades y participaciones, y 5 de las 25 categorías de Factores ambientales. CONCLUSIONES: Las categorías seleccionadas para el core set de la CIF cuanto a dorsalgia fueron consideradas como empíricamente validadas y, en conjunto, permitieron describir la multiplicidad de repercusiones de esa condición de salud sobre la funcionalidad de las personas. Este core set de la CIF sirve para guiar la intervención terapéutica interdisciplinaria.
