ICF Based Comprehensive Evaluation for Post-Acute Spinal Cord Injury

Abstract

ObjectiveTo evaluate the feasibility of the ICF for initial comprehensive evaluation of early post-acute spinal cord injury.MethodA comprehensive evaluation of 62 early post-acute spinal cord injury (SCI) patients was conducted by rehabilitation team members, such as physicians, physical therapists, occupational therapists, nutritionists, medical social-workers, and nurses. They recorded each of their evaluation according to the ICF first level classification. The contents of the comprehensive evaluation were linked to the ICF second level categories, retrospectively. The linked codes were analyzed descriptively and were also compared with the brief ICF core set for early post-acute SCI.ResultsIn the evaluation of early post-acute SCI patients based on the ICF first level categories, 19 items from the body functions domain, such as muscle power functions (b730) and urination functions (b620), 15 items from the body structures domain, including spinal cord and related structures (s120), 11 items from the activities and participation domain, such as transferring oneself (d420) and walking (d450), and 9 items from the environmental factors domain, e.g., health professionals (e355), were linked to the ICF second level categories. In total, 82.4% of all contents were linked to the brief ICF core set. Prognosis insight, a personal factor not linkable to an ICF code, was mentioned in 29.0% of all patients.ConclusionFirst level ICF categories can provide a structural base for a comprehensive evaluation in early post-acute spinal cord injury. However, frequently linked items, including the brief core set, as well as personal factors should be considered via a checklist in order to prevent the omission of significant contents.

Information on functioning found in the medical records of patients with stroke

“…The consultation reports by specialists contained relevant physiological investigation data with prescribed medications. These results are consistent with other studies3, 6 ) .…”

“…Meanwhile, sensory functions and pain-related information such as seeing functions, articulation and speech functions were not always found to be correlating with structural data. These results were found to be consistent with those found in previous studies3, 6 ) .…”

“…Electronic medical recording system is common in clinical settings in Korea. It is composed of clinical information of patients that commenced at their point of contact with the health care system and done by all involved health care professionals making the information available across the continuum of care3 ) . It includes biological and physiological factors, often applied as a routine clinical assessment, focusing on the function of cells, organs, and organ systems.…”

ICF Personal Factors Strengthen Commitment to Person-Centered Rehabilitation – A Scoping Review

“…In sum, the PFs reflected on in this group of articles largely concerned person-and client-centered care (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39). PFs support a bio-psycho-social point of view of rehabilitation (40) and allow a comprehensive observation of functioning (8).…”

Development of an ICF Core Set Based Instrument for Individuals with Non-traumatic Spinal Cord Injury

“…Over the years, individuals with spastic paraparesis progressively present with modified gait patterns and a loss of functional independence [13]. Because walking can be performed even long after the onset of this health condition and represents such an important functional achievement, it was necessary to include this category in the instrument.…”