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Social Environmental Factors Related to Resuming Driving after Brain Injury: A Multicenter Retrospective Cohort Study. Healthcare (Basel) 2021; 9:healthcare9111469. [PMID: 34828515 PMCID: PMC8619320 DOI: 10.3390/healthcare9111469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Revised: 10/21/2021] [Accepted: 10/27/2021] [Indexed: 11/17/2022] Open
Abstract
Many patients resume driving after brain injury regardless of their ability to drive safely. Predictors for resuming driving in terms of actual resumption status and environmental factors are unclear. We evaluated the reasons for resuming driving after brain injury and examined whether social environmental factors are useful predictors of resuming driving. This retrospective cohort study was based on a multicenter questionnaire survey at least 18 months after discharge of brain injury patients with rehabilitation. A total of 206 brain injury patients (cerebrovascular disease and traumatic brain injury) were included in the study, which was conducted according to the International Classification of Functioning (ICF) items using log-binominal regression analysis, evaluating social environmental factors as associated factors of resuming driving after brain injury. Social environmental factors, inadequate public transport (risk ratio (RR), 1.38), and no alternative driver (RR, 1.53) were included as significant independent associated factors. We found that models using ICF categories were effective for investigating factors associated with resuming driving in patients after brain injury and significant association between resuming driving and social environmental factors. Therefore, social environmental factors should be considered when predicting driving resumption in patients after brain injury, which may lead to better counseling and environmental adjustment.
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Konzelmann M, Burrus C, Gable C, Luthi F, Paysant J. Prospective multicentre validation study of a new standardised version of the 400-point hand assessment. BMC Musculoskelet Disord 2020; 21:313. [PMID: 32434509 PMCID: PMC7240941 DOI: 10.1186/s12891-020-03303-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 04/21/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Hand rehabilitation needs valid evaluation tools; the 400-point Hand Assessment (HA) is an exhaustive but not standardised tool. The aim of this study was to validate a standardised version of this test. METHODS A modified version and a standardised prototype was made for this prospective validation study (four centres, three countries). Psychometric properties studied: reliability (intra-rater and inter-rater, standard error of measurement [SEM], minimum detectable change [MDC],internal consistency); content validity, construct validity with Jebsen Taylor hand function test, QuickDASH, MOS-SF 36 and pain; responsiveness, using an anchor-based approach (ROC curve with area under curve, mean response change) with calculation of MCID. For SEM, MDC and responsiveness, QuickDASH was used for comparison. RESULTS One hundred and seventy-six patients with hand/wrist injuries were included between May 2013 and February 2015. One hundred and seventy were available for final analysis: 67% men; mean age 43.4 ± 13.2 years; both manual and office workers (46, 5% of each); 37% had a hand or wrist fracture. Reliability: ICC intra-rater = 0.967 [0.938-0.982]; inter-rater = 0.868 [0.754-0.932]. Distribution-based approach: for 400-point HA/QuickDASH: SEM = 3.48/4.52, MDC = 9.065/12.53, internal consistency of 400-point HA: Cronbach α = 0.886. VALIDITY Content validity was good according to COSMIN guidelines. Construct validity: correlation coefficient: Jebsen-Taylor hand function test = - 0.573 [- 0.666-0.464], QuickDASH = - 0.432 at T0 [- 0.545-0.303], - 0.551 at T3 [- 0.648-0.436]; MOS-SF 36 physical component = 0.395 [0.263-0.513]; no correlation with MOS-SF 36 mental component = 0.142 [- 0.009 + 0.286] and pain = - 0.166 [- 0.306 + 0.018]. Responsiveness: Anchor-based approach: AUC Δ400-point HA = 0.666 [0.583-0.749], AUC ΔQuickDASH = 0.556 [0.466-0.646]. MCID (optimal ROC curve cut-off): 6.07 for 400-point HA, - 2.27 for QuickDASH. MCID with mean response change + 12.034 ± 9.067 for 400-point HA and - 8.03 ± -9.7 for QuickDASH. The patient's global impression of change was only correlated with the Δ400-point HA. CONCLUSIONS The 400-point HA standardised version has good psychometric properties. For responsiveness, we propose an MCID of at least 12.3/100. However, these results must be confirmed in other populations and pathologies. TRIAL REGISTRATION This study was retrospectively registered into ISCTRN registry (Number ISRCTN25874481) the 07/02/2019.
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Affiliation(s)
- Michel Konzelmann
- Department for Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsec, 1950 Sion, Switzerland. .,Institute for Research in Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsec, 1950 Sion, Switzerland.
| | - Cyrille Burrus
- Department for Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsec, 1950 Sion, Switzerland.,Institute for Research in Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsec, 1950 Sion, Switzerland
| | - Colette Gable
- Regional institute of physical medecine and rehabilitation, 75 boulevard Lobeau, CS 34209, 54042, Nancycedex, France
| | - François Luthi
- Department for Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsec, 1950 Sion, Switzerland.,Institute for Research in Rehabilitation, Clinique Romande de Réadaptation suva, avenue du grand champsec, 1950 Sion, Switzerland.,Department of Physical Medicine and Rehabilitation,Orthopaedic Hospital, Lausanne University Hospital, Avenue Pierre Decker, 1011, Lausanne, Switzerland
| | - Jean Paysant
- Regional institute of physical medecine and rehabilitation, 75 boulevard Lobeau, CS 34209, 54042, Nancycedex, France
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Wenzel TR, Morfeld M. [The bio-psycho-social model and the International Classification of Functioning, Disability and Health : Examples of using the model, its parts and the items]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2017; 59:1125-32. [PMID: 27469893 DOI: 10.1007/s00103-016-2401-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND The International Classification of Functioning, Disability and Health (ICF) can be used in practice in a variety of ways. OBJECTIVES The aim of this work is to illustrate some of the most important ways of using the ICF and some aspects of their theoretical concepts. MATERIALS AND METHODS Database searches (PubMed, Rehadat, and Google Scholar) were conducted for studies concerning the use of the ICF in practice. RESULTS For all aspects of the ICF, and many of the intended ways of using it, there are concrete developments and examples or indications for their implementation into practice in different contexts. In particular, the common language and the bio-psycho-social model is widely accepted and applied in practice. At the level of chapters, there are a few developments and examples of practical applications of the ICF. When using the ICF based on Items, however, diverse developments of different theoretical and methodological quality are available. CONCLUSION The multitude of different adaptations of the ICF for practice illustrates the great effort to the implementation in practice. However, this also shows that no comprehensive solution to the satisfaction of concerned protagonists was found. Research is needed on the theoretical foundations of the ICF, capturing the current practice of using the ICF and in the creation of specific instructions for ways to use the ICF in practice.
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Affiliation(s)
| | - Matthias Morfeld
- Hochschule Magdeburg-Stendal, Osterburger Straße 25, 39576, Stendal, Deutschland.
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AlHuthaifi F, Krzak J, Hanke T, Vogel LC. Predictors of functional outcomes in adults with traumatic spinal cord injury following inpatient rehabilitation: A systematic review. J Spinal Cord Med 2017; 40:282-294. [PMID: 27852160 PMCID: PMC5472016 DOI: 10.1080/10790268.2016.1238184] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
Abstract
CONTEXT Despite functional improvements during rehabilitation, variable functional outcomes were reported when patients with Spinal Cord Injury (SCI) return to society. Higher functioning individuals at discharge can experience a decrease in independent mobility (i.e. Motor Functional Independence Measure (mFIM) Score) by one-year follow-up. However, functional gains after discharge have also been reported and associated with recovery. OBJECTIVE To identify, categorize and rank predictors of mFIM score for patients with SCI following inpatient rehabilitation, both at the time of discharge and at one-year follow-up. METHODS Data sources included CINAHL, PubMed, ERIC, Google Scholar, and Medline for literature published from February 2000 to February 2015. Quality and risk of bias of included studies was assessed using the Risk of Bias Assessment Instrument for Prognostic Factor Studies (QUIPS). Significant predictors of mFIM score were categorized using the domains of the International Classification of Function and Disability model ICF and ranked based on how frequently they were significant predictors of mFIM score. RESULTS Twenty-seven predictors of mFIM score spanning the ICF domains were identified among seven studies. At discharge, variables in the Body Structure and Function domain were the most consistent predictors of mFIM score. At one-year follow-up, variables in the Activity and Participation domain were the most consistent predictors of mFIM score. Contextual factors were the least frequent predictors at both discharge and one-year follow-up. CONCLUSION This systematic-review assists clinicians setting realistic goals that maximize functional independence at the time of discharge and after reintegrating to society.
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Affiliation(s)
- Faisal AlHuthaifi
- Midwestern University, College of Health Sciences, Doctor of Health Sciences Program, Downers Grove, IL, USA,Correspondence to: Faisal K. Alhuthaifi, 400 E South Water St. #2008 Chicago, IL 60601 USA.
| | - Joseph Krzak
- Midwestern University, College of Health Sciences, Physical Therapy Program, Downers Grove, IL, USA,Shriners Hospitals for Children®- Chicago, Chicago, IL, USA
| | - Timothy Hanke
- Midwestern University, College of Health Sciences, Physical Therapy Program, Downers Grove, IL, USA
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Öhrvall AM, Krumlinde-Sundholm L, Eliasson AC. Exploration of the relationship between the Manual Ability Classification System and hand-function measures of capacity and performance. Disabil Rehabil 2012; 35:913-8. [DOI: 10.3109/09638288.2012.714051] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Systematic review of the methodological quality and outcome measures utilized in exercise interventions for adults with spinal cord injury. Spinal Cord 2012; 50:718-27. [DOI: 10.1038/sc.2012.78] [Citation(s) in RCA: 55] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Mapping Patient-Specific Functional Scale (PSFS) items to the International Classification of Functioning, Disability and Health (ICF). Phys Ther 2012; 92:310-7. [PMID: 22074939 DOI: 10.2522/ptj.20090382] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND The International Classification of Functioning, Disability and Health (ICF) provides a common framework for clinical outcome measurement. Because the Patient-Specific Functional Scale (PSFS) is widely used for documenting change over time in individual patients receiving musculoskeletal physical therapy, investigation of the extent to which PSFS items reflect the ICF is needed. OBJECTIVE The study objective was to investigate the extent to which patient-generated PSFS items reflect ICF domains. DESIGN This investigation was an observational content validity study. METHODS A total of 2,911 PSFS items from 1,050 files for patients with musculoskeletal disorders were analyzed. The data were from a random sample of participants in the Otago Outcome Measures Project at 4 clinics of the School of Physiotherapy, University of Otago, situated in 3 New Zealand cities. Patient-nominated PSFS items were categorized and mapped with thematic analysis techniques to ICF components, chapters, and categories. Subgroup analyses were conducted for body region of injury and age ranges. RESULTS All (100%) of the analyzed items could be mapped to the ICF. Most patient-nominated items mapped to the activity component (80.0%), some items mapped to the participation component (7.7%), other items were related to impairment (7.4%), and the fourth group contained items that overlapped the activity and participation components (4.9%). Similar results were found for each of the 5 body regions and across age ranges in subgroup analyses. LIMITATIONS These results are limited to individual patients seeking musculoskeletal physical therapy. Patient-generated PSFS items were investigated. CONCLUSIONS The ICF activity component was most commonly represented by patient-nominated PSFS items, the participation component was moderately represented, and impairment was least represented. Hence, the PSFS would complement impairment-based clinical outcome measures.
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Xiong T, Bunning K, Horton S, Hartley S. Assessing and comparing the outcome measures for the rehabilitation of adults with communication disorders in randomised controlled trials: an International Classification of Functioning, Disability and Health approach. Disabil Rehabil 2011; 33:2272-90. [DOI: 10.3109/09638288.2011.568666] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Kim TY, Coenen A. Toward harmonising WHO International Classifications: a nursing perspective. Inform Health Soc Care 2011; 36:35-49. [DOI: 10.3109/17538157.2010.534213] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
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Noonan VK, Kopec JA, Noreau L, Singer J, Chan A, Mâsse LC, Dvorak MF. Comparing the content of participation instruments using the international classification of functioning, disability and health. Health Qual Life Outcomes 2009; 7:93. [PMID: 19909555 PMCID: PMC2785762 DOI: 10.1186/1477-7525-7-93] [Citation(s) in RCA: 58] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2009] [Accepted: 11/13/2009] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The concept of participation is recognized as an important rehabilitation outcome and instruments have been developed to measure participation using the International Classification of Functioning, Disability and Health (ICF). To date, few studies have examined the content of these instruments to determine how participation has been operationalized. The purpose of this study was to compare the content of participation instruments using the ICF classification. METHODS A systematic literature search was conducted to identify instruments that assess participation according to the ICF. Instruments were considered to assess participation and were included if the domains contain content from a minimum of three ICF chapters ranging from Chapter 3 Communication to Chapter 9 Community, social and civic life in the activities and participation component. The instrument content was examined by first identifying the meaningful concepts in each question and then linking these concepts to ICF categories. The content analysis included reporting the 1) ICF chapters (domains) covered in the activities and participation component, 2) relevance of the meaningful concepts to the activities and participation component and 3) context in which the activities and participation component categories are evaluated. RESULTS Eight instruments were included: Impact on Participation and Autonomy, Keele Assessment of Participation, Participation Survey/Mobility, Participation Measure-Post Acute Care, Participation Objective Participation Subjective, Participation Scale (P-Scale), Rating of Perceived Participation and World Health Organization Disability Assessment Schedule II (WHODAS II). 1351 meaningful concepts were identified in the eight instruments. There are differences among the instruments regarding how participation is operationalized. All the instruments cover six to eight of the nine chapters in the activities and participation component. The P-Scale and WHODAS II have questions which do not contain any meaningful concepts related to the activities and participation component. Differences were also observed in how other ICF components (body functions, environmental factors) and health are operationalized in the instruments. CONCLUSION Linking the meaningful concepts in the participation instruments to the ICF classification provided an objective and comprehensive method for analyzing the content. The content analysis revealed differences in how the concept of participation is operationalized and these differences should be considered when selecting an instrument.
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Affiliation(s)
- Vanessa K Noonan
- Division of Spine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada
- School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
| | - Jacek A Kopec
- School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
- Arthritis Research Centre of Canada, Vancouver, BC, Canada
| | - Luc Noreau
- Rehabilitation Department, Laval University, Québec City, QC, Canada
- Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Québec City, QC, Canada
| | - Joel Singer
- School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
- Canadian HIV Trials Network, Vancouver, BC, Canada
| | - Anna Chan
- Division of Spine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada
| | - Louise C Mâsse
- Department of Pediatrics, University of British Columbia, Vancouver, BC, Canada
| | - Marcel F Dvorak
- Division of Spine, Department of Orthopaedics, University of British Columbia, Vancouver, BC, Canada
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