The Use of the ICF Classification Sheet to Assess Cognitive-Behavioral Disorders and Verbal Communication in Patients after Ischemic and Hemorrhagic Stroke during Rehabilitation

Lucka, Ewa; Lucki, Mateusz; Cybulski, Marcin; Daroszewski, Przemysław; Lisiński, Przemysław

doi:10.3390/ijerph191912127

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“…Researchers have developed appropriate ICF tools in different steps of the rehabilitation cycle for different diseases, such as pre-rehabilitation assessment and evaluation of rehabilitation outcomes [ 17 ]. The ICF was applied in the assessment and documentation of rehabilitation for cerebral palsy and non-traumatic acquired brain injury, stroke, chronic low back pain, rheumatoid arthritis, and knee osteoarthritis [ 18 , 19 ]. Similarly, studies have demonstrated that the ICF score can describe the function of COPD patients to evaluate rehabilitation outcomes [ 15 , 20 ].…”

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confidence: 99%

Pulmonary rehabilitation assessment in COPD based on the ICF brief core set: a latent profile analysis

Wang

Meng

et al. 2023

Annals of Medicine

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Background Chronic obstructive pulmonary disease (COPD) is the most burdened chronic respiratory disease in the world, resulting in a reduced quality of life and limited physical activity for patients. Pulmonary rehabilitation (PR) is an effective therapy for COPD. Effective PR relies on an accurate pulmonary rehabilitation program. An adequate pre-rehabilitation assessment helps healthcare professionals to develop an accurate pulmonary rehabilitation program. However, pre-rehabilitation assessment strategies lack specific selection criteria and an assessment of the patient’s overall functioning. Methods This study explored the functional characteristics of COPD patients before pulmonary rehabilitation and collected COPD patients from October 2019 to March 2022. A cross-sectional survey of 237 patients was conducted using the ICF brief core set as the study tool. Latent profile analysis identified subgroups of patients with different rehabilitation needs based on body function and activity participation. Results Four subgroups of functional dysfunction were identified: 5.42%, 21.03%, 29.44%, and 34.11% in the high dysfunction group, the moderate dysfunction group, the lower-middle dysfunction but high mobility impairment group, and the low dysfunction group, respectively. Patients in the high dysfunction group were older, had a higher proportion of widowed spouses, and experienced more exacerbation. Most patients in the low-dysfunction group did not use inhaled medication and had a lower participation rate in oxygen therapy. Patients with a more severe disease classification and symptom burden mostly belonged to the high dysfunction group. Conclusions COPD patients require an adequate assessment before implementing a pulmonary rehabilitation program to determine their rehabilitation needs. The four subgroups were heterogeneous in terms of the degree of functional impairment in body function and activity participation. Patients in the high dysfunction group can improve basic cardiorespiratory fitness; patients in the moderate dysfunction group should focus on improving cardiorespiratory endurance and muscle fitness, patients in the lower-middle-dysfunction but high mobility impairment group should focus on improving mobility and patients in the low functional disability group should focus more on preventive measures. Healthcare providers can tailor rehabilitation programs to the functional impairments of patients with different characteristics. Trial registration This study has been registered in the Chinese Clinical Trials Registry (ChiCTR2000040723).

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