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Nehme Passos MC, Gragnani A, Sarto Piccolo M, Daher RP, Santana Cordeiro E, Masako Ferreira L. Burn Specific Health Scale - Brief - Brazil and International Classification of Functioning, Disability and Health in burn patients. J Burn Care Res 2021; 43:30-36. [PMID: 33891007 DOI: 10.1093/jbcr/irab055] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
With better burn trauma survival rates, quality of life and functionality have become important outcomes in the evaluation of burn patients.The objective of this study was to evaluate the quality of life of burn survivors using the Burn Specific Health Scale-Brief-Br and their function and health using the International Classification of Functioning Disability and Health (ICF) in order to assess whether there is a correlation in the results obtained between the two instruments. A cross-sectional study with 80 burn patients who underwent outpatient follow-up was completed. Quality of life was assessed using the BSHS-B-Br, an instrument translated and validated in Brazilian Portuguese. Based on ICF category concepts, a data collection tool was used with "yes" and "no" answers. A "yes" answer represented the "8" qualifier, indicating a problem without a specific order of magnitude. Both instruments were self-applied in standardized conditions without complications during the process. Results were analyzed through Spearman's rank correlation coefficients. The BSHS-B-Br had an average score of 127.12 (SD ± 23.03). The correlation was moderate between the total BSHS-B-Br score and the answers of ICF for body functions (r= -0.53; p <0.001) and environmental factors (r= -0.50; p <0.001). It was weak for body structures (r= -0.47; p <0.001) and for activities and participation (r= -0.43; p <0.001). This study found a moderate correlation between the results of the Burn Specific Health Scale - Brief - Brazil and the International Classification of Functioning, Disability and Health for burn patients showing that both instruments provide complementary information about burned patients.
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Affiliation(s)
- Maria Claudia Nehme Passos
- Graduate master's degree Program on Translational Surgery at Universidade Federal de São Paulo / Escola Paulista de Medicina (UNIFESP/EPM), Brazil
| | - Alfredo Gragnani
- Discipline of Plastic Surgery, Surgery Department, (UNIFESP/EPM), Brazil
| | - Mônica Sarto Piccolo
- Orthopedics Department, Traumatology, Plastic Surgery and Physiotherapy, Medicine College of the Universidade Federal de Goiás (UFG), Brazil
| | - Ricardo Piccolo Daher
- Graduate PhD degree Program on Translational Surgery at Universidade Federal de São Paulo / Escola Paulista de Medicina (UNIFESP/EPM), Brazil
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Fréz AR, Alouche SR, Binda AC, Vieira GW, Bueno BAM, Cabral CMN. Development of a Core Set for Knee Dysfunction Based on the International Classification of Functioning, Disability and Health: A Cross-sectional Study. Arch Phys Med Rehabil 2020; 102:571-581. [PMID: 33278366 DOI: 10.1016/j.apmr.2020.10.139] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 10/28/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To develop an International Classification of Functioning, Disability and Health core set for patients with knee dysfunction. DESIGN Cross-sectional study. SETTING The study was conducted at all levels of care (general community, primary care units, rehabilitation clinics/centers, hospital). PARTICIPANTS Participants (N=388) with knee dysfunction with or without clinical diagnosis of knee pathology, with or without complaint of pain, with or without instability, and/or with or without knee movement restriction of any type. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Participants were assessed using the core sets for acute and postacute musculoskeletal conditions, the subjective form from the International Knee Documentation Committee scale, the self-report of general health and functionality, and the general health and functionality classified by the researcher. To identify the categories that best explain knee dysfunction, linear regression analyses were performed. RESULTS Twenty-four categories were identified from the 75 core set categories for acute and postacute musculoskeletal conditions. Eleven categories belong to the component body functions, 3 represent body structures, 7 represent activities and participation, and 3 represent environmental factors. CONCLUSIONS A core set for knee dysfunction that can be used at all levels of health care was proposed, which offers a system for disability assessment related to knee dysfunction, including environmental and social factors. These factors are important for a broad assessment because they include the multiple aspects of functionality, usually not considered in other knee dysfunction assessment instruments. Further analysis of the content and construct validity of the core set is required.
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Affiliation(s)
- Andersom Ricardo Fréz
- Physical Therapy Department, Universidade Estadual do Centro-Oeste, Guarapuava, Paraná; Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil.
| | - Sandra Regina Alouche
- Master's and Doctoral Program in Physical Therapy, Universidade Cidade de São Paulo, São Paulo, Brazil
| | - Aline Cristiane Binda
- Physical Therapy Department, Universidade Estadual do Centro-Oeste, Guarapuava, Paraná
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Luna JS, Monteiro GTR, Koifman RJ, Bergmann A. International Classification of Functioning in professional rehabilitation: instruments for assessing work disability. Rev Saude Publica 2020; 54:45. [PMID: 32491090 PMCID: PMC7190096 DOI: 10.11606/s1518-8787.2020054001463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2019] [Accepted: 08/05/2019] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To review the main instruments of functional assessment and health status cited in the literature to evaluate Brazilian workers and verify the compatibility of their items with the core set for professional rehabilitation. METHODS A review of the literature was conducted in the main databases in search of articles that used assessment instruments in populations of workers between 2007 and 2017. Subsequently, the contents of the identified instruments were retrieved, and two evaluators analyzed their items to verify the compatibility with the categories of the core set of the International Classification of Functioning for professional rehabilitation. Cohen's kappa coefficient was used to evaluate the agreement between the evaluators. RESULTS Five specific and eight generic instruments were selected to evaluate the functioning of workers. The analysis of the items of the total instruments allowed the definition of 58 categories (64.5%) of the core set with minimal overlap: 13 (76.5%) of the body functions component, 29 (72.5%) of the activities and participation component and 16 (49%) environmental factors. CONCLUSIONS The association of several instruments requires time and makes it difficult to use the classification. The development of instruments with direct association with its categories is essential to operationalize it.
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Affiliation(s)
- Juliana Scholtão Luna
- Diretoria de Saúde e Qualidade de Vida do Servidor Federal, Universidade Federal do Acre, Rio Branco, AC, Brasil
| | - Gina Torres Rego Monteiro
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| | - Rosalina Jorge Koifman
- Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil
| | - Anke Bergmann
- Programa de Epidemiologia Clínica, Instituto Nacional de Câncer, Rio de Janeiro, RJ, Brasil
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Biz MCP, Chun RYS. Operacionalização da Classificação Internacional de Funcionalidade, Incapacidade e Saúde, CIF, em um Centro Especializado em Reabilitação. Codas 2020; 32:e20190046. [DOI: 10.1590/2317-1782/20192019046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Accepted: 06/21/2019] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo Interessa descrever o processo de implementação da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) em um Centro Especializado em Reabilitação fundamentado na abordagem biopsicossocial de saúde. Método Trata-se de pesquisa-ação, descritiva, analítica e longitudinal. O processo de implementação no serviço abrangeu quatro etapas: a) Capacitação para uso da CIF; b) Construção de checklists pela equipe; c) Aplicação dos checklists com usuários do serviço; e d) Construção de banco de dados. Foi elaborado um checklist para cada setor envolvido e um banco de dados incluindo informações do resultado da avaliação e reavaliação dos usuários. Resultados Os achados indicam maior resolutividade em todos os setores no período estudado e que a capacitação foi fundamental para operacionalização da CIF. A construção de instrumentos com base na realidade do serviço foi essencial para atender às demandas locais e de cada setor. Conclusão A CIF possibilitou maior prática da abordagem biopsicossocial a partir do envolvimento dos profissionais na sua operacionalização, com evidências de resolutividade do serviço, além de visibilidade e organização do processo de trabalho.
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Paschoal LN, Souza PND, Buchalla CM, Brito CMMD, Battistella LR. Identification of relevant categories for inpatient physical therapy care using the International Classification of Functioning, Disability and Health: a Brazilian survey. Braz J Phys Ther 2019; 23:212-220. [PMID: 30145128 PMCID: PMC6531632 DOI: 10.1016/j.bjpt.2018.08.006] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2017] [Revised: 08/04/2018] [Accepted: 08/07/2018] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Hospitalized patients are at risk for the loss of function and impairment. Physical therapists aim to improve functionality and prevent disabilities. The International Classification of Functioning, Disability and Health (ICF) propose a universal language to classify the functionality of patients across different health care settings and over diverse health conditions. OBJECTIVES To identify the International Classification of Functioning, Disability and Health categories that describe most common and relevant patient problems managed by physical therapists in Brazilian hospitals in the acute and post-acute care settings. SUBJECTS The participants were physical therapists who worked in hospitals with a minimum work experience of two years. METHODS A consensus-building, two-round, emailed survey was conducted using the Delphi technique. RESULTS For the development of an ICF short list, 47 physical therapists from the acute care setting and 30 physical therapists from the post-acute care setting responded to the Delphi exercise. Most of the professionals were from the cardiorespiratory physical therapy area. A 80% level of consensus or higher was established for the selection of the categories of the ICF components (Body Functions, Body Structures, Activities and Participation, and Environmental Factors). We obtained two short lists to be used in clinical practice comprising 39 ICF categories for acute care settings and 53 for post-acute care settings. CONCLUSION This study is the first to identify the most relevant aspects for physical therapy in Brazilian hospitals using the ICF framework. Our results can help to promote the adoption of the ICF in physical therapy clinical practice in the hospital setting.
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Affiliation(s)
- Luciana Narciso Paschoal
- Hospital da Polícia Militar de Minas Gerais and Hospital Metropolitano Odilon Behrens, Belo Horizonte, MG, Brazil.
| | | | - Cassia Maria Buchalla
- Department of Epidemiology, Faculdade de Saúde Pública, Universidade de São Paulo (USP), São Paulo, SP, Brazil
| | - Christina May Moran De Brito
- Rehabilitation Service, Hospital Sírio-Libanês and Instituto do Câncer do Estado de São Paulo, São Paulo, SP, Brazil
| | - Linamara Rizzo Battistella
- Department of Legal Medicine, Medical Ethics, Social and Work Medicine, Faculdade de Medicina, Universidade de São Paulo (USP), São Paulo, SP, Brazil
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de Oliveira KCR, Sande de Souza LAP, Emilio MM, da Cunha LF, Lorena DM, Bertoncello D. Overflow using proprioceptive neuromuscular facilitation in post-stroke hemiplegics: A preliminary study. J Bodyw Mov Ther 2019; 23:399-404. [DOI: 10.1016/j.jbmt.2018.02.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2017] [Revised: 01/30/2018] [Accepted: 02/06/2018] [Indexed: 11/29/2022]
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Andrade LELD, Oliveira NPDD, Ruaro JA, Barbosa IR, Dantas DDS. Avaliação do nível de conhecimento e aplicabilidade da Classificação Internacional de Funcionalidade, Incapacidade e Saúde. SAÚDE EM DEBATE 2017. [DOI: 10.1590/0103-1104201711411] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO A pesquisa foi conduzida com o objetivo de avaliar o nível de conhecimento e aplicabilidade da Classificação Internacional de Funcionalidade, Incapacidade e Saúde por profissionais de saúde do município de Natal (RN). Trata-se de um estudo transversal, que avaliou 186 profissionais de saúde, mediante questionário eletrônico semiestruturado, composto de questões sobre o nível de conhecimento em relação à classificação e sua aplicabilidade. Concluiu-se que os profissionais de saúde possuem pouco conhecimento sobre a ferramenta. Além disso, os que relataram conhecê-la, dela fazem pouco uso devido às dificuldades para seu entendimento e aplicação.
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Oliveira LRD, Macedo APFDS, Buchalla CM, Scatena JHG. Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF). FISIOTERAPIA EM MOVIMENTO 2017. [DOI: 10.1590/1980-5918.030.002.ao07] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Introduction: The International Classification of Functioning, Disability and Health (ICF) enables monitoring of the clinical evolution of a patient. Objective: This study aimed to characterize the evolution of disabilities in patients undergoing physical therapy following traffic accidents, using the ICF. Methods: A longitudinal study of 53 accident victims was conducted between April and October 2010, in a rehabilitation unit in the capital of Mato Grosso State, Brazil. Data from physical therapy evaluation were collected in 2 stages and coded by the ICF. Results: The average time between evaluation and reevaluation was 73.4 days. The evolution of functional impairment demonstrated a reduction in the number of patients with deficits, except for muscle tone functions. On initial evaluation, 90.6% had difficulty with sensory functions and pain, varying from mild to complete, decreasing to 67.9% on reevaluation, with pain still mostly present. Almost all patients (96.2%) had a disability of neuromusculoskeletal and movement related functions on initial assessment, with a decrease to 15.7% of patients on reevaluation. The greatest improvements were observed in the categories of muscle strength (36.7%) and gait pattern (30.6%). On reevaluation, improvement was also observed regarding perceived impairment of body structures, especially for those with severe and complete disability. Conclusion: The study confirmed a reduction in the percentage of patients with some form of disability, and positive development in functional capacity. The use of ICF enabled evaluation of physical disabilities and monitoring of the evolution of patients undergoing physical therapy.
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Philbois SV, Martins J, Souza CS, Sampaio RF, Oliveira AS. Health professionals identify components of the International Classification of Functioning, Disability and Health (ICF) in questionnaires for the upper limb. Braz J Phys Ther 2016; 20:15-25. [PMID: 26786076 PMCID: PMC4835162 DOI: 10.1590/bjpt-rbf.2014.0135] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2014] [Accepted: 08/20/2015] [Indexed: 11/22/2022] Open
Abstract
BACKGROUND: Several Brazilian studies have addressed the International Classification of
Functioning, Disability and Health (ICF), but few have analyzed the knowledge of
the health professionals with regards to the ICF. OBJECTIVE: To verify whether the classification of the items in the Brazilian-Portuguese
versions of The Shoulder Pain and Disability Index (SPADI) and The Disabilities
Arm, Shoulder and Hand (DASH) questionnaires, obtained from health professionals
who worked with patients having upper limb injuries, could be related to ICF
components as defined by others studies. METHOD: There were 4 participants for the group "professionals with high familiarity of
the ICF (PHF)" and 19 for the group of "professionals with some or no familiarity
of the ICF (PSNF)". The participants judged whether the items on the two
questionnaires belonged to the ICF body function, body structure or
activity-participation component, and marked a confidence level for each trial
using a numerical scale ranging from zero to 10. The items were classified by the
discriminant content validity method using the Student'st-test
and the Hochberg correction. The ratings were compared to the literature by the
percentage of agreement and Kappa coefficient. RESULTS: The percentage of agreement of the rating from the PSNF and the PHF groups with
the literature was equal to or greater than 77%. For the DASH, the agreement of
the PSNF and PHF groups with the literature were, respectively, moderate
(Kappa=0.46 to 0.48) and substantial (Kappa=0.62 to 0.70). CONCLUSIONS: Health professionals were able to correlate the three components of the ICF for
most items on the 2 questionnaires, demonstrating some ease of understanding the
ICF components. However, the relation of concept of pain with body function
component is not clear for professional and deserves a more attentive
approach.
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Affiliation(s)
- Stella V Philbois
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Jaqueline Martins
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Cesário S Souza
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
| | - Rosana F Sampaio
- Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Anamaria S Oliveira
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil
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Araujo ES, Buchalla CM. The use of the International Classification of Functioning, Disability and Health in health surveys: a reflexion on its limits and possibilities. REVISTA BRASILEIRA DE EPIDEMIOLOGIA 2015; 18:720-4. [DOI: 10.1590/1980-5497201500030017] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2014] [Accepted: 10/30/2014] [Indexed: 11/21/2022] Open
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Ruaro JA, Ruaro MB, Guerra RO. International Classification of Functioning, Disability and Health Core Set for Physical Health of Older Adults. J Geriatr Phys Ther 2014; 37:147-53. [DOI: 10.1519/jpt.0b013e3182abe7e1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Santos SSC, Lopes MJ, Vidal DAS, Gautério DP. [International classification of functioning, disability and health: use in nursing care for the elderly]. Rev Bras Enferm 2013; 66:789-93. [PMID: 24217765 DOI: 10.1590/s0034-71672013000500021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2012] [Accepted: 08/05/2013] [Indexed: 11/22/2022] Open
Abstract
The objective was to reflect on the International Classification of Functioning, Disability and Health and its use in nursing care for the elderly. It was conducted a brief history of the Classification; it was addressed the functional assessment of the elderly and importance to the proper planning to care actions; and it was showed the applicability of the International Classification of Functioning, Disability and Health by nurses. The classification is able to direct the functional assessment of the elderly, by the nurses, making the integral, realizing this human being as having a body, with needs to perform activities and participation, and belonging to a context /environment.
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