Differences in Rehabilitation Needs after Stroke: A Similarity Analysis on the ICF Core Set for Stroke

Cecilia Perin , Marta Bolis , Marco Limonta , Roberto Meroni , Katarzyna Ostasiewicz , Cesare Maria Cornaggia , Sandra Regina Alouche , Gabriela Da Silva Matuti , Cesare Giuseppe Cerri , Daniele Piscitelli


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.
Author Cecilia Perin - University of Milan
Cecilia Perin,,
, Marta Bolis - Casa di cura Beato Palazzolo
Marta Bolis,,
, Marco Limonta - Istituti Clinici Zucchi
Marco Limonta,,
, Roberto Meroni - LUNEX University
Roberto Meroni,,
, Katarzyna Ostasiewicz (E&F / DoS)
Katarzyna Ostasiewicz,,
- Department of Statistics
, Cesare Maria Cornaggia - University of Milan
Cesare Maria Cornaggia,,
, Sandra Regina Alouche - Universidade Cidade de Sao Paulo (UNICID)
Sandra Regina Alouche ,,
, Gabriela Da Silva Matuti - Universidade Cidade de Sao Paulo (UNICID)
Gabriela Da Silva Matuti,,
, Cesare Giuseppe Cerri - University of Milan
Cesare Giuseppe Cerri,,
, Daniele Piscitelli - University of Milan, McGill University
Daniele Piscitelli ,,
Journal seriesInternational Journal of Environmental Research and Public Health, ISSN 1661-7827, e-ISSN 1660-4601, (N/A 70 pkt)
Issue year2020
Publication size in sheets0.65
Article number4291
Keywords in English: international classification of functioning; disability and health; stroke; personal factors; rehabilitation; age
ASJC Classification2739 Public Health, Environmental and Occupational Health; 2307 Health, Toxicology and Mutagenesis
Languageen angielski
Perin_C_Bolis_m_Limonta_M_Meroni_R_Ostasiewicz_K_Cornaggia_C_Alouche_S_Matiti_G_Cerri_C_Piscitelli_Differences_in_Rehabilitation_Needs.pdf 384,95 KB
Score (nominal)70
Score sourcejournalList
Publication indicators Scopus SNIP (Source Normalised Impact per Paper): 2018 = 1.129; WoS Impact Factor: 2018 = 2.468 (2) - 2018=2.948 (5)
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