Characterization of an Italian population with neurological disorders in a rehabilitation setting using ClinFIT
DOI:
https://doi.org/10.2340/jrm.v56.18262Keywords:
functioning, International Classification of Functioning, Disability and Health, neurological disease, cardiac rehabilitationAbstract
Objective: To examine the functioning profile of people with neurological disorders who access rehabilitation services through ClinFIT Generic-30.
Methods: The functioning profile of people with neurological disorders accessing rehabilitation services was examined using the ClinFIT Generic-30, and the results compared with existing core set (neurological health conditions acute and post-acute,stroke, Multiple Sclerosis, Traumatic Brain Injury,Spinal Cord Injury).
Results: Data for 364 people were analysed. The 10 most commonly impaired ICF categories included 3 for Body Functions (exercise tolerance functions (b455), mobility of joint functions (b710), and muscle power functions (b730)) and 7 for Activities and Participation (carrying out daily routine (d230), handling stress and other psychological demands (d240), changing basic body position (d410), maintaining a body position (d415), transferring oneself (d420), walking (d450), and moving around (d455)), while the ICF categories that were severely impaired (ICF qualifiers 3 and 4) in more than 30% of the study cohort were: muscle power functions (b730), carrying out daily routine (d230), walking (d450), moving around (d455), doing housework (d640), and assisting others (d660).
Discussion: The current study data suggests that ClinFIT Generic-30 appears to effectively identify impairments and/or restrictions, as perceived by individuals affected by selected health conditions.
Conclusion: ClinFIT Generic-30 is a tool that can be used to characterize functioning profile in people with different neurological disorders and to collect important information not addressed by the disease-specific core sets (neurological health conditions acute and post-acute,stroke, Multiple Sclerosis, Traumatic Brain Injury,Spinal Cord Injury).
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References
Feigin VL, Vos T, Nichols E, Owolabi MO, Carroll WM, Dichgans M, et al. The global burden of neurological disorders: translating evidence into policy. Lancet Neurol 2020; 19: 255–265. DOI: https://doi.org/10.1016/S1474-4422(19)30411-9
Deuschl G, Beghi E, Fazekas F, Varga T, Christoforidi KA, Sipido E, et al. The burden of neurological diseases in Europe: an analysis for the Global Burden of Disease Study 2017. Lancet Public Health 2020; 5: e551–e567.
https://doi.org/10.1016/S2468-2667(20)30190-0 DOI: https://doi.org/10.1016/S2468-2667(20)30190-0
Stucki G, Bickenbach J, Gutenbrunner C, Melvin J. Rehabilitation: the health strategy of the 21st century. J Rehabil Med 2018; 50: 309–316.
https://doi.org/10.2340/16501977-2200 DOI: https://doi.org/10.2340/16501977-2200
WHO. International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization, 2001. [Accessed July 2023] Available from: http://www.who.int/classifications/icf/en/
Selb M, Escorpizo R, Kostanjsek N, Stucki G, Üstün B, Cieza A. A guide on how to develop an International Classification of Functioning, Disability and Health Core Set. Eur J Phys Rehabil Med 2015; 51: 105–117.
Prodinger B, Cieza A, Oberhauser C, Bickenbach J, Üstün TB, Chatterji S, et al. Toward the International Classification of Functioning, Disability and Health (ICF) rehabilitation set: a minimal generic set of domains for rehabilitation as a health strategy. Arch Phys Med Rehabil 2016; 97: 875–884.
https://doi.org/10.1016/j.apmr.2015.12.030 DOI: https://doi.org/10.1016/j.apmr.2015.12.030
Frontera W, Gimigliano F, Melvin J, Li J, Li L, Lains J, et al. ClinFIT: ISPRM’s Universal Functioning Information Tool based on the WHO’s ICF. J Int Soc Phys Rehabil Med 2019; 2: 19–21. DOI: https://doi.org/10.4103/jisprm.jisprm_36_19
Prodinger B, Reinhardt JD, Selb M, Stucki G, Yan T, Zhang X, et al. Towards system-wide implementation of the International Classification of Functioning, Disability and Health (ICF) in routine practice: developing simple, intuitive descriptions of ICF categories in the ICF Generic and Rehabi-litation Set. J Rehabil Med 2016; 48: 508–514.
https://doi.org/10.2340/16501977-2066 DOI: https://doi.org/10.2340/16501977-2066
Selb M, Gimigliano F, Prodinger B, Stucki G, Pestelli G, Iocco M, et al. Toward an International Classification of Functioning, Disability and Health cli-nical data collection tool: the Italian experience of developing simple, intuitive descriptions of the Rehabilitation Set categories. Eur J Phys Rehabil Med 2017; 53: 290–298.
https://doi.org/10.23736/S1973-9087.16.04250-7 DOI: https://doi.org/10.23736/S1973-9087.16.04250-7
Mukaino M, Prodinger B, Yamada S, Senju Y, Izumi SI, Sonoda S, et al. Supporting the clinical use of the ICF in Japan – development of the Japanese version of the simple, intuitive descriptions for the ICF Generic-30 set, its operationalization through a rating reference guide, and interrater relia-bility study. BMC Health Serv Res 2020; 20: 66.
https://doi.org/10.1186/s12913-020-4911-6 DOI: https://doi.org/10.1186/s12913-020-4911-6
Senju Y, Mukaino M, Prodinger B, Selb M, Okouchi Y, Mizutani K, et al. Development of a clinical tool for rating the body function categories of the ICF generic-30/rehabilitation set in Japanese rehabilitation practice and examination of its interrater reliability. BMC Med Res Methodol 2021; 21: 121. DOI: https://doi.org/10.1186/s12874-021-01302-0
Gimigliano F, de Sire A, Gastaldo M, Maghini I, Paoletta M, Pasquini A, et al. Use of the International Classification of Functioning, Disability and Health Generic-30 Set for the characterization of outpatients: Italian Society of Physical and Rehabilitative Medicine Residents Section Project. Eur J Phys Rehabil Med 2019; 55: 258–264.
https://doi.org/10.23736/S1973-9087.18.05324-8 DOI: https://doi.org/10.23736/S1973-9087.18.05324-8
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP; STROBE Initiative. The Strengthening the Reporting of Observational Stu-dies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol 2008; 61: 344–349. doi: 10.1016/j.jclinepi.2007.11.008. PMID: 18313558. DOI: https://doi.org/10.1016/j.jclinepi.2007.11.008
Ewert T, Grill E, Bartholomeyczik S, Finger M, Mokrusch T, Kostanjsek N, et al. ICF Core Set for patients with neurological conditions in the acute hospi-tal. Disabil Rehabil 2005; 27: 367–373.
https://doi.org/10.1080/09638280400014014 DOI: https://doi.org/10.1080/09638280400014014
Stier-Jarmer M, Grill E, Ewert T, Bartholomeyczik S, Finger M, Mokrusch T, et al. ICF Core Set for patients with neurological conditions in early post-acute rehabilitation facilities. Disabil Rehabil 2005; 27: 389–395.
https://doi.org/10.1080/09638280400014022 DOI: https://doi.org/10.1080/09638280400014022
Coenen M, Cieza A, Freeman J, Khan F, Miller D, Weise A, et al. The development of ICF Core Sets for multiple sclerosis: results of the International Consensus Conference. J Neurol 2011; 258: 1477–1488.
https://doi.org/10.1007/s00415-011-5963-7 DOI: https://doi.org/10.1007/s00415-011-5963-7
Laxe S, Zasler N, Selb M, Tate R, Tormos JM, Bernabeu M. Development of the International Classification of Functioning, Disability and Health core sets for traumatic brain injury: an International consensus process. Brain Inj 2013; 27: 379–387.
https://doi.org/10.3109/02699052.2012.750757 DOI: https://doi.org/10.3109/02699052.2012.750757
Kirchberger I, Cieza A, Biering-Sørensen F, Baumberger M, Charlifue S, Post MW, et al. ICF Core Sets for individuals with spinal cord injury in the early post-acute context. Spinal Cord 2010; 48: 297–304.
https://doi.org/10.1038/sc.2009.128 DOI: https://doi.org/10.1038/sc.2009.128
Cieza A, Kirchberger I, Biering-Sørensen F, Baumberger M, Charlifue S, Post MW, et al. ICF Core Sets for individuals with spinal cord injury in the long-term context. Spinal Cord 2010; 48: 305–312.
https://doi.org/10.1038/sc.2009.183 DOI: https://doi.org/10.1038/sc.2009.183
Geyh S, Cieza A, Schouten J, Dickson H, Frommelt P, Omar Z, et al. ICF Core Sets for stroke. J Rehabil Med 2004; Suppl 44: 135–141.
https://doi.org/10.1080/16501960410016776 DOI: https://doi.org/10.1080/16501960410016776
Algurén B, Lundgren-Nilsson A, Sunnerhagen KS. Functioning of stroke survivors – a validation of the ICF core set for stroke in Sweden. Disabil Rehabil 2010; 32: 551–559.
https://doi.org/10.3109/09638280903186335 DOI: https://doi.org/10.3109/09638280903186335
Braley TJ, Chervin RD. Fatigue in multiple sclerosis: mechanisms, evaluation, and treatment. Sleep 2010; 33: 1061–1067.
https://doi.org/10.1093/sleep/33.8.1061 DOI: https://doi.org/10.1093/sleep/33.8.1061
Gill CJ, Sander AM, Robins N, Mazzei DK, Struchen MA. Exploring experiences of intimacy from the viewpoint of individuals with traumatic brain injury and their partners. J Head Trauma Rehabil 2011; 26: 56–68.
https://doi.org/10.1097/HTR.0b013e3182048ee9 DOI: https://doi.org/10.1097/HTR.0b013e3182048ee9
Raggi A, Leonardi M, Ajovalasit D, Carella F, Soliveri P, Albanese A, et al. Disability and profiles of functioning of patients with Parkinson’s disease described with ICF classification. Int J Rehabil Res 2011; 34: 141–50.
https://doi.org/10.1097/MRR.0b013e328344ae09 DOI: https://doi.org/10.1097/MRR.0b013e328344ae09
Bos I, Stallinga HA, Middel B, Kuks JB, Wynia K. Validation of the ICF core set for neuromuscular diseases. Eur J Phys Rehabil Med 2013; 49: 179–187.
Lexell J, Brogårdh C. The use of ICF in the neurorehabilitation process. NeuroRehabilitation 2015; 36: 5–9.
https://doi.org/10.3233/NRE-141184 DOI: https://doi.org/10.3233/NRE-141184
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Copyright (c) 2024 Sara Liguori, Melissa Selb, Antimo Moretti, Marco Paoletta, Marco Invernizzi, Pietro Fiore, Giovanni Iolascon, Francesca Gimigliano
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