Ann Rehabil Med.  2012 Dec;36(6):804-814.

ICF Based Comprehensive Evaluation for Post-Acute Spinal Cord Injury

• Nam HS
• Kim KD
• Shin HI

Abstract

OBJECTIVE
To evaluate the feasibility of the ICF for initial comprehensive evaluation of early post-acute spinal cord injury. METHOD: A comprehensive evaluation of 62 early post-acute spinal cord injury (SCI) patients was conducted by rehabilitation team members, such as physicians, physical therapists, occupational therapists, nutritionists, medical social-workers, and nurses. They recorded each of their evaluation according to the ICF first level classification. The contents of the comprehensive evaluation were linked to the ICF second level categories, retrospectively. The linked codes were analyzed descriptively and were also compared with the brief ICF core set for early post-acute SCI.
RESULTS
In the evaluation of early post-acute SCI patients based on the ICF first level categories, 19 items from the body functions domain, such as muscle power functions (b730) and urination functions (b620), 15 items from the body structures domain, including spinal cord and related structures (s120), 11 items from the activities and participation domain, such as transferring oneself (d420) and walking (d450), and 9 items from the environmental factors domain, e.g., health professionals (e355), were linked to the ICF second level categories. In total, 82.4% of all contents were linked to the brief ICF core set. Prognosis insight, a personal factor not linkable to an ICF code, was mentioned in 29.0% of all patients.
CONCLUSION
First level ICF categories can provide a structural base for a comprehensive evaluation in early post-acute spinal cord injury. However, frequently linked items, including the brief core set, as well as personal factors should be considered via a checklist in order to prevent the omission of significant contents.

Keyword

Spinal cord injury; ICF; Post-acute rehabilitation; Comprehensive evaluation; Framework

MeSH Terms

Checklist
Health Occupations
Humans
Muscles
Physical Therapists
Prognosis
Retrospective Studies
Spinal Cord
Spinal Cord Injuries
Urination
Walking

Figure

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  Fig. 1 Templates for the comprehensive evaluation of early post-acute SCI. (A) Each member of the rehabilitation team fills out the patient's status in their point of view, independently. (B) The template is divided by major ICF first level categories, and for each category, members of the rehabilitation team fill the form according to their view.

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