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
AbstractBackground: 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.
|Journal series||International Journal of Environmental Research and Public Health, ISSN 1661-7827, e-ISSN 1660-4601, (N/A 70 pkt)|
|Publication size in sheets||0.65|
|Keywords in English||: international classification of functioning; disability and health; stroke; personal factors; rehabilitation; age|
|Publication indicators||: 2018 = 1.129; : 2018 = 2.468 (2) - 2018=2.948 (5)|
* presented citation count is obtained through Internet information analysis and it is close to the number calculated by the Publish or Perish system.