Pre-stroke physical activity in relation to post-stroke outcomes – linked to the International Classification of Functioning, Disability and Health (ICF): A scoping review

Objective: This scoping review aims to identify how pre-stroke physical activity (PA) has been studied in relation to outcomes after stroke using the ICF framework. Methods: MEDLINE, CINAHL, Scopus, and grey literature databases were systematically searched from inception to March 15, 2021, with no language restrictions. Risk of bias was evaluated for all included studies. Identified outcome measures were linked to ICF components using linking rules, and the main findings were summarized. Results: Of 3664 records screened, 35 studies were included. The risk of bias was graded as moderate to critical for all studies. There were 60 unique outcome measures studied in relation to pre-stroke PA, covering the hyper acute to chronic phases of stroke recovery. Outcome measures linked to body functions were most common (n=19), followed by activities and participation (n=14), body structures (n=7), environmental factors (n=4) and personal factors (n=2). There were large differences in assessments of pre-stroke PA, and only one study analysed haemorrhagic cases separately. Conclusions: Pre-stroke PA has been studied in relation to all components in the ICF framework. However, this review highlights the high risk of bias, heterogeneity in pre-stroke PA assessments, and the lack of information regarding haemorrhagic strokes in the current literature. Lay Abstract We used the International Classification of Functioning, Disability and Health (ICF) to categorise the outcome measures of 35 studies. The ICF includes the following domains of health: body functions, body structures, activities, participation, and environmental factors. We identified 60 outcome measures, covering all domains of the ICF. Most common were measures related to body functions such as stroke symptoms, cognition or respiratory function, and activities or participation, such as functional recovery and walking ability. Few studies evaluated personal and environmental factors. Most studies collected information on physical activity before the stroke after the stroke had occurred, and all studies used self-reported information which is problematic from a scientific point of view and can lead to erroneous results. Future studies are needed to determine the true impact of physical activity on outcomes after stroke.

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Is it possible to sort the disability of individuals with migraine based on the International Classification of Functioning, Disability and Health? — A Scoping Review

Headache Medicine ◽

10.48208/headachemed.2021.19 ◽

2021 ◽

pp. 92-104

Author(s):

Hugo Feitosa ◽

Débora Wanderley ◽

Manuella Morais Monteiro Barbosa Barros ◽

Suellen Freitas da Silva ◽

Alyne Karine de Lima Santos ◽

...

Keyword(s):

Environmental Factors ◽

Scoping Review ◽

Adult Population ◽

Activity Limitation ◽

International Classification ◽

International Classification Of Functioning ◽

Participation Restriction ◽

Disability And Health ◽

Main Components

PurposeTo identify the most frequent outcomes related to disability assessed in individuals with migraine and to correlate these findings with the categories of International Classification of Functioning, Disability and Health.Material and methodThis scoping review was developed based on studies with adult population (18-55 years) of both sexes and assessing the disability generated by migraine. We included studies in which patients had a diagnosis of migraine based on International Classification of Headache Disorders.Results52 articles were found with 42 outcomes related to 17 categories of International Classification of Functioning, Disability and Health, including the four main components of the classification, with seven categories in "Body Functions", one in "Body Structures", four in “Activities and Participation” and five in "Environmental Factors".ConclusionThe findings show that disabilities, activity limitation, or participation restriction generated by migraine can be classified by International Classification of Functioning, Disability and Health. The components "body functions", "environmental factors" and "activities and participation" were the most identified in the present study. Thus, this classification is important to classify the disability caused by migraine and to guide a rehabilitation more focused onthe patient's real demands, as well as directing the research involving this population.

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Physical activity participation among older adults with diabetes: Applying the World Health Organization’s International Classification of Functioning, Disability and Health (ICF) Guidelines

Australian Journal of Rehabilitation Counselling ◽

10.1017/jrc.2021.7 ◽

2021 ◽

pp. 1-15

Author(s):

Chenchen Yang ◽

Elias Mpofu ◽

Xiaoli Li ◽

Diana Dorstyn ◽

Qiwei Li ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

International Classification ◽

World Health ◽

International Classification Of Functioning ◽

Activity Participation ◽

Personal Factors ◽

Disability And Health ◽

The World

Abstract Objective: Physical activity (PA) is a known benefit to older adults with diabetes; however, the determinants of PA are less well studied in this population. Applying the World Health Organization’s International Classification of Functioning, Disability and Health (ICF), a well-established biopsychosocial framework, we explored PA participation among older adult with type 2 diabetes. Method: Using data from the Health and Retirement Study and the RAND Center for the Study of Aging (N = 2,016; mean age = 73.19; SD = 6.16), we conducted hierarchical stepwise regression analysis to evaluate the relative contribution of different biopsychosocial predictors to PA – namely, body functions and structure, activity and participation, personal, and environmental factors. Results: Altogether, biopsychosocial factors accounted for 20% of the variance in PA participation. Of the personal factors, high extraversion and low neuroticism explained approximately 54% of the variance in PA among the older adults – beyond sociodemographics. Low body mass index, reduced pain, reduced depression, and higher cognitive functioning also had good explanatory power (25% of explained variance), whereas activity participation and environment did not (10% each). Conclusion: Aligning care with components of the ICF will help to ensure a focus on person-centric practices and, in turn, optimize participation outcomes such as PA.

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Measuring common outcome measures and their concepts using the International Classification of Functioning, Disability and Health (ICF) in adults with burn injury: A systematic review

Burns ◽

10.1016/j.burns.2011.02.012 ◽

2011 ◽

Vol 37 (6) ◽

pp. 913-924 ◽

Cited By ~ 30

Author(s):

Jason Wasiak ◽

Margaret McMahon ◽

Stefan Danilla ◽

Anneliese Spinks ◽

Heather Cleland ◽

...

Keyword(s):

Systematic Review ◽

Outcome Measures ◽

Burn Injury ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health

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Development International Classification of Functioning, Disability and Health Core Set for Post Total Knee Replacement Rehabilitation Program: Delphi-Based Consensus Study in Taiwan

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041630 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1630

Author(s):

Shih-Wei Huang ◽

Yi-Wen Chen ◽

Reuben Escorpizo ◽

Chun-De Liao ◽

Tsan-Hon Liou

Keyword(s):

Environmental Factors ◽

Rehabilitation Program ◽

International Classification ◽

International Classification Of Functioning ◽

Disability And Health ◽

Icf Core Set ◽

Core Set ◽

Orthopedic Rehabilitation ◽

Total Knee

Osteoarthritis is one of the leading causes of disability. Total knee arthroplasty (TKA) is a surgical intervention for patients with severe osteoarthritis. Post TKA rehabilitation is crucial for improving patient’s quality of life. However, traditional rehabilitation has only focused on physical function; a systemic analysis of other dimensions such as social participation and environmental factors of post TKA rehabilitation is lacking. The aim of this study was to develop a core set from the International Classification of Functioning, Disability and Health (ICF) to create a comprehensive rehabilitation program for patients with osteoarthritis post TKA. Before the Delphi-based consensus process, a literature review process was performed for related ICF categories selection. We used a three-round Delphi-based consensus among 20 physical therapists with orthopedic rehabilitation expertise in a university-based hospital. A five-point Likert scale was used to rate the importance of each item. The consensus of ratings was analyzed using Spearman’s rho and semi-interquartile range indices. The ICF core set for post TKA rehabilitation was determined based on a high level of consensus and a mean score of ≥4.0 in the third Delphi-based consensus round. The ICF core set comprised 32 categories, with 13 regarding body function, four regarding body structures, nine regarding activities and participation, four regarding environmental factors, and two regarding personal factors. Our ICF core set for post TKA rehabilitation can provide information on effective rehabilitation strategies and goal setting for patients post TKA. However, further validation and feasibility assessments are warranted.

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