Describing Functioning, Disability, and Health with the International Classification of Functioning, Disability, and Health Brief Core Set for Stroke

摘要

Objective: The aim of this article was to demonstrate that stroke diagnosis alone does not explain differences and variety in the functioning and disability of patients. We suggest that the Intemational Classification of Functioning, Disability, and Health Brief Core Set for Stroke is a useful, brief, and functional instrument to produce a functioning profile for stroke patients. Design: This article reports the baseline results of a longitudinal study with 111 patients with stroke and their functioning profiles obtained with the Intemational Classification of Functioning, Disability, and Health Brief Core Set for Stroke. Results: Most frequently reported problems in body functions were memory, muscle power functions, and attention functions. Walking activities, speaking, and understanding spoken messages are the main restricted and limited activities. Principal differences between capacity and performance (i.e., the impact of environment in performing the activities) were found in activities of self-care, such as washing oneself or dressing. Immediate family and health professionals are the main facilitators reported by patients. Conciusions: The Intemational Classification of Functioning, Disability, and Health Brief Core Set for Stroke reports accurately on the main problematic areas of functioning and activities of daily living of people after stroke. It is a brief and useful instrument to use in clinical practice and it can be proposed as a "starting point" to plan interventions and organize services for patients after stroke.