scholarly journals Application of International Classification of Functioning, Disability and Health (ICF) in individuals with spinal cord injury

2011 ◽  
Vol 69 (3) ◽  
pp. 513-518 ◽  
Author(s):  
Janaina Vall ◽  
Carlos Mauricio de Castro Costa ◽  
Laura França Pereira ◽  
Tatiane Temmy Friesen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cross Sectional Study ◽  
Social Attitudes ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Cross Sectional ◽  
Cord Injury ◽  
The City

After spinal cord injury is common functionality is affected. OBJECTIVE: To evaluate the functionality of patients with spinal cord injury. METHOD: Cross-sectional study by means of the International Classification of Functionality (ICF). 109 adults with spinal cord injury in the city of Curitiba, Brazil were evaluated. RESULTS: The categories most compromised in body were intestines and bladder, sexuality, energy, sleep, emotion and weight. In the domain activities and participation, there was greater difficulty in tasks of bathing, toilet and dressing, self care and leisure. In the domain environmental factors, the categories classified as facilitators were: medications, orthoses and wheelchair, attitude of family, transport, social foresight and health services. The categories classified as barriers were: attitude of authorities, social attitudes, education and work. CONCLUSION: The application of the ICF in persons with spinal cord injury demonstrated a series of disabilities and limitations.

Headaches after traumatic spinal cord injury in Estonia

Cephalalgia ◽  
2015 ◽  
Vol 36 (5) ◽  
pp. 403-412
Author(s):  
Liis Sabre ◽  
Mariann Rugo ◽  
Toomas Asser ◽  
Janika Kõrv ◽  
Mark Braschinsky
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cross Sectional Study ◽  
Traumatic Spinal Cord Injury ◽  
Cross Sectional ◽  
Cord Injury ◽  
Headache Type ◽  
Mean Time

Background Patients with traumatic spinal cord injury (TSCI) often suffer from different types of pain. However, headaches after TSCI have not been studied. Aim The aim of this article is to examine the occurrence of headache among patients with TSCI. Methods This cross-sectional study included individuals with TSCI from 1997 to 2012 in Estonia. Patients with TSCI were interviewed via telephone. The interview was based on a questionnaire specifically designed to identify headache type using the International Classification of Headache Disorders, third edition (beta version). Results There were 73 patients with a mean age 37.1 ± 10.6 years. The mean time since TSCI was 7.5 ± 4.0 years. The most frequently mentioned pain was headache (71%), followed by back pain (60%) and pain in neck (44%). Headaches were more frequent after the trauma compared with the headaches before TSCI (71% vs 51%, p = 0.02). Headaches that arose after TSCI were not related to the concomitant brain injury ( p = 0.15). The occurrence of headache did not depend on the severity or the level of the TSCI. Eighty-five percent of patients had not contacted any physician and headache was not diagnosed. Conclusions This is the first study that evidentially shows that headache is the most prevalent pain condition after TSCI. Despite this, the majority of patients never consult a physician, nor is their headache diagnosed or appropriately managed. This indicates that further studies are needed to provide evidence regarding the prevalence and causes of headache and its impact on quality of life.

scholarly journals Using a Mobile App-Based International Classification of Functioning, Disability, and Health Set to Assess the Functioning of Spinal Cord Injury Patients: Rasch Analysis

10.2196/20723 ◽  
2020 ◽  
Vol 8 (11) ◽  
pp. e20723
Author(s):  
Mengmeng Jia ◽  
Jie Tang ◽  
Sumei Xie ◽  
Xiaokuo He ◽  
Yingmin Wang ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Rasch Model ◽  
Rasch Analysis ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Cord Injury ◽  
The Rasch Model

Background The International Classification of Functioning, Disability, and Health (ICF) is a unified system of functioning terminology that has been used to develop electronic health records and assessment instruments. Its application has been limited, however, by its complex terminology, numerous categories, uncertain operationalization, and the training required to use it well. Together is a mobile health app designed to extend medical support to the families of spinal cord injury (SCI) patients in China. The app’s core framework is a set of only 31 ICF categories. The app also provides rating guidelines and automatically transforms routine assessment results to the terms of the ICF qualifiers. Objective The goal of the research is to examine the suitability of the ICF set used in the app Together for use as an instrument for assessing the functioning of SCI patients. Methods A cross-sectional study was conducted including 112 SCI patients recruited before discharge from four rehabilitation centers in China between May 2018 and October 2019. Nurses used the app to assess patient functioning in face-to-face interviews. The resulting data were then subjected to Rasch analysis. Results After deleting two categories (family relationships and socializing) and one personal factor (knowledge about spinal cord injury) that did not fit the Rasch model, the body functions and body structures, activities and participation, and contextual factors components of the ICF exhibited adequate fit to the Rasch model. All three demonstrated acceptable person separation indices. The 28 categories retained in the set were free of differential item functioning by gender, age, education level, or etiology. Conclusions Together overcomes some of the obstacles to practical application of the ICF. The app is a reliable assessment tool for assessing functioning after spinal cord injury.

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