Evaluation of post-stroke functionality based on the International Classification of Functioning, Disability, and Health: a proposal for use of assessment tools

• Published in: Journal of Physical Therapy Science Vol. 27; no. 6; pp. 1665 - 1670
• Main Authors: Silva, Soraia Micaela, Corrêa, Fernanda Ishida, Christina Danielli Coelho de Morais Faria, Buchalla, Cássia Maria, Paula Fernanda da Costa Silva, Corrêa, João Carlos Ferrari
• Format: Journal Article
• Language: English; Japanese
• Published: Japan The Society of Physical Therapy Science 2015
• Subjects: International Classification of Functionality, Disability, and Health; Original; Physical therapy; Stroke; Disability; Stroke; International Classification of Functionality; Physical therapy; and Health
• ISSN: 0915-5287; 2187-5626
• DOI: 10.1589/jpts.27.1665

[Purpose] This study aimed to identify the International Classification of Functioning, Disability, and Health categories addressed by the assessment tools commonly used in post-stroke rehabilitation and characterize patients based on its evaluation model. [Subjects and Methods] An exploratory, descriptive, cross-sectional study was conducted involving 35 individuals with chronic post-stroke hemiparesis. Handgrip strength was assessed to evaluate body functions and structures. The 10-meter gait speed test and Timed Up and Go test were administered to evaluate activity. The Stroke Specific Quality of Life scale was used to evaluate participation. Moreover, a systematic review of the literature was performed to identify studies that have associated these assessment tools with the International Classification of Functioning, Disability, and Health categories. [Results] The tools employed in this study for evaluating function addressed 63 International Classification of Functioning, Disability, and Health categories: 24 related to body functions and structures; 36 related to activity and participation; and 3 related to environmental factors. [Conclusion] The assessment tools employed in this study addressed 63 International Classification of Functioning, Disability, and Health categories and allowed a more complete evaluation of stroke survivors with hemiparesis. Use of this classification can therefore be more easily incorporated into clinical practice.