Main Article Content
The latest version of disability model, the International Classification of Functioning, Disability and Health (ICF) has been adopt d by rehabilitation professionals for presenting health status of patients with stroke. The objective of this study was to explore the content validity of the comprehensive ICF stroke core set in Thai patients. The responsive patterns in different rehabilitation settings were also compared. The participants were 80 individuals affected by stroke with variety of chronicity and severity. These patients were receiving rehabilitation program in two physical therapy clinics and two communities. Four physical therapists evaluated the patients by performing interview and physical examination. These evaluators received a specific training session to use the ICF core set in patients with stroke. Standard evaluation form with description of assessment guideline was also provided.
The results showed that 36 and 26 categories of the “Body Functions” domain and 50 and 39 categories
of the “Activity and Participation” domain were validated with responses of having problem in more than
10% and 20% of participants respectively. All of eight categories of “Body Function” and five of “Activity
and Participation” were movement and mobility related, reported as having problem in more than half of
participants. The response patterns of 12 categories of “Body Function” and 13 “Activity and Participation’
were different between clinic and community groups. The set of validated categories was similar to ones
previously validated in other four countries. With Thai cultural concern, two items related with sexual function and intimate relationship were largely unresponsive. Some items were also very specific to subgroups of sex and working status.
Authors recommended more emphasis on more effective treatment plan for stroke patients to be movement related in impairment level and mobility related in activity and participation level. The different sets of ICF categories are recommended in different stages of stroke as well as different rehabilitation settings.
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