Content » Vol 48, Issue 9

Original report

Validation of the "Activity and participation" component of ICF Core Sets for stroke patients in Japanese rehabilitation wards

Shoji Kinoshita, Masahiro Abo, Kohei Miyamura, Takatsugu Okamoto, Wataru Kakuda, Ikuo Kimura, Hiroshi Urabe
Nishi-Hiroshima Rehabilitation Hospital, Hiroshima, Japan
DOI: 10.2340/16501977-2126


Objective: To validate the International Classification of Functioning, Disability and Health (ICF) Core Set for stroke in the assessment of functional status and disability in Japanese stroke patients.
Methods: The study included stroke patients admitted to the Kaifukuki (convalescent) rehabilitation wards. The comprehensive ICF Core Set for neurological conditions for post-acute care and the ICF rehabilitation set were evaluated with qualifiers assessed by the physiatrists at admission. The “activity and participation” (d) component was divided to sub-components (cognition-related activity, motor-related activity and participation). The correlations between numbers of problem categories in the entire “d” component and these sub-components in each ICF Core Set and the Functional Independence Measure (FIM) score were assessed using Spearman’s correlation coefficient.
Results: A total of 117 post-stroke patients (mean age 70. 1 ± 14. 2 years, 53 women) were included. Correlation analysis identified significant and strong correlations between the values of the entire “d” component and sub-components (cognition-related activity and motor-related activity) of the 2 ICF Core Sets and FIM score. A significant, but weak, correlation between FIM and the participation sub-component was identified.
Conclusion: The “d” component of these 2 ICF Core Sets reflects functional status and disability and could be a valid measure in post-acute stroke patients in the rehabilitation setting.

Lay Abstract


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