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

Cecilia Perin, Marta Bolis, Marco Limonta, Roberto Meroni, Katarzyna Ostasiewicz, Cesare Maria Cornaggia, Sandra Regina Alouche, Gabriela da Silva Matuti, Cesare Giuseppe Cerri and Daniele Piscitelli
Additional contact information
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
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

IJERPH, 2020, vol. 17, issue 12, 1-15

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.

Keywords: international classification of functioning; Disability and Health; stroke; personal factors; rehabilitation; age (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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