Deans' stroke musings: The Correlation Between ICF and Clinical Assessment Tools in Chronic Stroke Patients

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Saturday, September 19, 2020

The Correlation Between ICF and Clinical Assessment Tools in Chronic Stroke Patients

Assessments do nothing to get you to 100% recovery, unless they are objectively used to select the next recovery protocol to use.

The Correlation Between ICF and Clinical Assessment Tools in Chronic Stroke Patients

만성 뇌졸중 환자의 국제 기능ㆍ장애ㆍ건강 분류와 임상 평가도구의 상관관계. Journal of Special Education & Rehabilitation Science , Volume 57(3) , Pgs. 395-411.

NARIC Accession Number: I246482. What's this?
Author(s): Lee, Jeong-A; Lee, Hyun-Min; Kim, Jin-Cheol.
Publication Year: 2018.

Abstract:

The purpose of this study was to investigate the association between the d4 Mobility subcategories of the International Classification of Functioning, Disability, and Health (ICF) that are used in clinical practice, and objective, standardized functional assessment tools such as 10m Walking test (10MWT), Berg Balance Scale (BBS), Dynamic Gait Index (DGI), and Timed Up and Go test (TUG). Study participants were 40 chronic stroke patients admitted to C rehabilitation hospital and W general hospital in Gwangju metropolitan city. Two experienced therapists who had completed 100 hours of ICF training assessed mobility based on 10 subcategories of d4. Mobility, which correspond to 10MWT, BBS, DGI, and TUG (d4103 sitting, d4104 standing, d4105 bending, d4106 shifting the body’s center of gravity, d4153 maintaining a sitting position, d4154 maintaining a standing position, d4452 reaching, and d4500 walking short distances, d4503 walking around obstacles, and d4551 climbing). The performance and ability assessments were conducted by physical therapists with at least 5 years of clinical experience. The correlation between the subcategories of ICF d4 Mobility and 10MWT, BBS, DGI, and TUG was analyzed using the Pearson correlation coefficient. There were significant correlations between the d4 Mobility and the clinical assessment tools. There was a moderate positive correlation between d4153 (maintaining a sitting position) and 10MWT (r=.72); there was a high negative correlation between d4106 (shifting the body’s center of gravity) and BBS (r=-.81), and between d4452 (reaching) and DGI (r=-.84); and there was a high positive correlation between d4153 (maintaining a sitting position) and TUG (r=.78). There were significant correlations between the d4 Mobility subcategories and the clinical assessment tools. These results indicate that d4 Mobility will be useful in identifying the functional status of individuals in clinical practice and establishing evaluation and intervention goals.
Descriptor Terms: Assessment, Mobility, Measurements, Stroke, ICF.
Language: Korean
Geographic Location(s): Republic of Korea, East & Southeast Asia.

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Citation: Lee, Jeong-A, Lee, Hyun-Min, Kim, Jin-Cheol. (2018). The Correlation Between ICF and Clinical Assessment Tools in Chronic Stroke Patients. 만성 뇌졸중 환자의 국제 기능ㆍ장애ㆍ건강 분류와 임상 평가도구의 상관관계. Journal of Special Education & Rehabilitation Science , 57(3), Pgs. 395-411. Retrieved 9/19/2020, from REHABDATA database.