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

Author

Listed:
  • Cecilia Perin

    (School of Medicine and Surgery, University of Milano Bicocca, 20126 Milano, Italy)

  • Marta Bolis

    (Casa di cura Beato Palazzolo, 24122 Bergamo, Italy)

  • Marco Limonta

    (Istituti Clinici Zucchi, 20841 Carate Brianza, Italy)

  • Roberto Meroni

    (Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, Differdange, 4671 Differdange, Luxembourg)

  • Katarzyna Ostasiewicz

    (Department of Statistics, Wroclaw University of Economics, 53-345 Wrocław, Poland)

  • Cesare Maria Cornaggia

    (School of Medicine and Surgery, University of Milano Bicocca, 20126 Milano, Italy)

  • Sandra Regina Alouche

    (Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo 03071-000, Brazil)

  • Gabriela da Silva Matuti

    (Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo 03071-000, Brazil
    Associação de Assistência à Criança Deficiente (AACD), 04027-000 São Paulo, Brazil)

  • Cesare Giuseppe Cerri

    (School of Medicine and Surgery, University of Milano Bicocca, 20126 Milano, Italy)

  • Daniele Piscitelli

    (School of Medicine and Surgery, University of Milano Bicocca, 20126 Milano, Italy
    School of Physical and Occupational Therapy, McGill University, Montreal, QC H3G 1Y5, Canada)

Abstract

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 and 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.

Suggested Citation

  • Cecilia Perin & Marta Bolis & Marco Limonta & Roberto Meroni & Katarzyna Ostasiewicz & Cesare Maria Cornaggia & Sandra Regina Alouche & Gabriela da Silva Matuti & Cesare Giuseppe Cerri & Daniele Pisci, 2020. "Differences in Rehabilitation Needs after Stroke: A Similarity Analysis on the ICF Core Set for Stroke," IJERPH, MDPI, vol. 17(12), pages 1-15, June.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:12:p:4291-:d:372145
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    References listed on IDEAS

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    1. Rouquette, Alexandra & Badley, Elizabeth M. & Falissard, Bruno & Dub, Timothée & Leplege, Alain & Coste, Joël, 2015. "Moderators, mediators, and bidirectional relationships in the International Classification of Functioning, Disability and Health (ICF) framework: An empirical investigation using a longitudinal design," Social Science & Medicine, Elsevier, vol. 135(C), pages 133-142.
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    Cited by:

    1. Ken-Wei Chang & Chih-Ming Lin & Chen-Wen Yen & Chia-Chi Yang & Toshiaki Tanaka & Lan-Yuen Guo, 2021. "The Effect of Walking Backward on a Treadmill on Balance, Speed of Walking and Cardiopulmonary Fitness for Patients with Chronic Stroke: A Pilot Study," IJERPH, MDPI, vol. 18(5), pages 1-10, March.
    2. Ewa Lucka & Mateusz Lucki & Marcin Cybulski & Przemysław Daroszewski & Przemysław Lisiński, 2022. "The Use of the ICF Classification Sheet to Assess Cognitive-Behavioral Disorders and Verbal Communication in Patients after Ischemic and Hemorrhagic Stroke during Rehabilitation," IJERPH, MDPI, vol. 19(19), pages 1-14, September.
    3. Aviva Beit Yosef & Nirit Refaeli & Jeremy M. Jacobs & Jeffrey Shames & Yafit Gilboa, 2022. "Exploring the Multidimensional Participation of Adults Living in the Community in the Chronic Phase following Acquired Brain Injury," IJERPH, MDPI, vol. 19(18), pages 1-19, September.

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