Cecilia Perin1, Marta Bolis2, Marco Limonta3, Roberto Meroni4, Katarzyna Ostasiewicz5, Cesare Maria Cornaggia1, Sandra Regina Alouche6, Gabriela da Silva Matuti6,7, Cesare Giuseppe Cerri1, Daniele Piscitelli1,8. 1. School of Medicine and Surgery, University of Milano Bicocca, 20126 Milano, Italy. 2. Casa di cura Beato Palazzolo, 24122 Bergamo, Italy. 3. Istituti Clinici Zucchi, 20841 Carate Brianza, Italy. 4. Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, Differdange, 4671 Differdange, Luxembourg. 5. Department of Statistics, Wroclaw University of Economics, 53-345 Wrocław, Poland. 6. Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo 03071-000, Brazil. 7. Associação de Assistência à Criança Deficiente (AACD), 04027-000 São Paulo, Brazil. 8. School of Physical and Occupational Therapy, McGill University, Montreal, QC H3G 1Y5, Canada.
Abstract
Background: Successful rehabilitation is associated with physical, psychological, environmental, social, and personal factors based on the International Classification of Functioning, Disability and Health (ICF) framework. The influence of age has been suggested as crucial personal factors that may affect rehabilitation needs in post-stroke survivors. The aim of this study was to investigate the qualifiers of the ICF core set for stroke to detect differences in rehabilitation needs and goals between older (O, >65 years old) and younger (Y, ≤65 years old,) post-stroke individuals. Materials and methods: In this observational study, the comprehensive core set for stroke was filled during the rehabilitation period. Patient information was obtained using disability scales was translated into certain ICF categories using linking rules. Frequency, similarity, and linear regression analyses were performed for ICF qualifier profiles among Y and O patients. Results: Forty-eight ICF variables were significantly different between Y (n = 35, 46.17 ± 11.27 years old) and O (n = 35, 76.43 ± 6.77 years old) patients. Frequency analysis showed that activity of daily living and basic needs were more prevalent in O patients, whereas regaining of social role and social life were more prevalent in Y patients. The average Jaccard Index result (similarity analysis) was more homogeneous in O than in Y patients. Conclusions: ICF qualifiers are useful to design patient-centered care. Y patients have more heterogeneous needs and require more personalized program than O patients.
Background: Successful rehabilitation is associated with physical, psychological, environmental, social, and personal factors based on the International Classification of Functioning, Disability and Health (ICF) framework. The influence of age has been suggested as crucial personal factors that may affect rehabilitation needs in post-stroke survivors. The aim of this study was to investigate the qualifiers of the ICF core set for stroke to detect differences in rehabilitation needs and goals between older (O, >65 years old) and younger (Y, ≤65 years old,) post-stroke individuals. Materials and methods: In this observational study, the comprehensive core set for stroke was filled during the rehabilitation period. Patient information was obtained using disability scales was translated into certain ICF categories using linking rules. Frequency, similarity, and linear regression analyses were performed for ICF qualifier profiles among Y and O patients. Results: Forty-eight ICF variables were significantly different between Y (n = 35, 46.17 ± 11.27 years old) and O (n = 35, 76.43 ± 6.77 years old) patients. Frequency analysis showed that activity of daily living and basic needs were more prevalent in O patients, whereas regaining of social role and social life were more prevalent in Y patients. The average Jaccard Index result (similarity analysis) was more homogeneous in O than in Y patients. Conclusions: ICF qualifiers are useful to design patient-centered care. Y patients have more heterogeneous needs and require more personalized program than O patients.
Entities:
Keywords:
Disability and Health; age; international classification of functioning; personal factors; rehabilitation; stroke
Authors: Aviva Beit Yosef; Nirit Refaeli; Jeremy M Jacobs; Jeffrey Shames; Yafit Gilboa Journal: Int J Environ Res Public Health Date: 2022-09-10 Impact factor: 4.614
Authors: Ewa Lucka; Mateusz Lucki; Marcin Cybulski; Przemysław Daroszewski; Przemysław Lisiński Journal: Int J Environ Res Public Health Date: 2022-09-25 Impact factor: 4.614
Authors: Ken-Wei Chang; Chih-Ming Lin; Chen-Wen Yen; Chia-Chi Yang; Toshiaki Tanaka; Lan-Yuen Guo Journal: Int J Environ Res Public Health Date: 2021-03-01 Impact factor: 3.390