Use of the International Classification of Functioning, Disability and Health as a framework for analyzing the Stroke Impact Scale-16 relative to falls.
Physiother Theory Pract
; 30(3): 149-56, 2014 Apr.
Article
em En
| MEDLINE
| ID: mdl-24131430
ABSTRACT
OBJECTIVE:
To determine if subscores based on grouping Stroke Impact Scale 16 (SIS-16) items according to International Classification of Functioning, Health and Disability (ICF) components are more accurate in identifying individuals with a history of falls than the total SIS-16 score.DESIGN:
Case series.SUBJECTS:
43 community-dwelling people with chronic stroke.METHODS:
Participants were grouped based on six month fall history (no fall versus one or more falls). The SIS-16 items were categorized as belonging to the Body Structure and Function (BSF), Activity (ACT) or Participation (PART) component of the ICF. SIS-16 total score and ICF component subscores were analyzed for their association with falls. Receiver Operating Characteristic Curves were (ROC) analyzed.RESULTS:
There were significant differences between groups on SIS-16 total (p = 0.006), BSF (p = 0.041) and ACT (p = 0.003) scores. The BSF and ACT component subscores had the highest specificity (0.91) and sensitivity (0.80), respectively, for categorizing participants according to fall history. The BSF + ACT component subscore demonstrated greater accuracy than the total SIS-16 for identifying people with falls (area under the curve = 0.78).CONCLUSION:
The ICF may be a useful model for analysis of fall screening tools for people with chronic stroke. ICF component subscores are more accurate than the SIS-16 total score for this purpose.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Acidentes por Quedas
/
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
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Nível de Saúde
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Acidente Vascular Cerebral
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Avaliação da Deficiência
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article