TY - JOUR
T1 - Functioning and disability in traumatic brain injury
AU - Svestkova, Olga
AU - Angerova, Yvona
AU - Sladkova, Petra
AU - Bickenbach, Jerome Edmond
AU - Raggi, Alberto
PY - 2010
Y1 - 2010
N2 - Purpose. To describe functioning and disability in patients with traumatic brain injury (TBI) according to the model endorsed by the International Classification of Functioning Disability and Health (ICF). Methods. Adult patients with acquired TBI were consecutively enrolled. The Functional Independence Measure (FIM), the WHO Disability Assessment Schedule II (WHO-DAS II) and the ICF checklist were administered in individual sessions. Descriptive analyses were performed to report on FIM and WHO-DAS II scores. ICF categories reported as a problem by more than 20% of patients were described in detail. Results. One hundred patients (66 males, mean age 36.1) were enrolled. Mean WHO-DAS II score was 16.8, mean FIM was 116.5 and 87 ICF categories were selected: 27 Body Functions (mainly mental and movement-related) and Structures, 43 Activities and Participation (mainly connected with mobility) and 17 Environmental Factors. Negligible difference between capacity and performance qualifiers was observed. Conclusions. The ICF can be successfully implemented in clinical and rehabilitation of patients with TBI, because it enables to describe the variety of problems they encounter: ICF-derived data provide a holistic view of disability and enable the impact of service interventions on functioning and participation, and enable clinicians to tailor intervention according to patient's actual needs.
AB - Purpose. To describe functioning and disability in patients with traumatic brain injury (TBI) according to the model endorsed by the International Classification of Functioning Disability and Health (ICF). Methods. Adult patients with acquired TBI were consecutively enrolled. The Functional Independence Measure (FIM), the WHO Disability Assessment Schedule II (WHO-DAS II) and the ICF checklist were administered in individual sessions. Descriptive analyses were performed to report on FIM and WHO-DAS II scores. ICF categories reported as a problem by more than 20% of patients were described in detail. Results. One hundred patients (66 males, mean age 36.1) were enrolled. Mean WHO-DAS II score was 16.8, mean FIM was 116.5 and 87 ICF categories were selected: 27 Body Functions (mainly mental and movement-related) and Structures, 43 Activities and Participation (mainly connected with mobility) and 17 Environmental Factors. Negligible difference between capacity and performance qualifiers was observed. Conclusions. The ICF can be successfully implemented in clinical and rehabilitation of patients with TBI, because it enables to describe the variety of problems they encounter: ICF-derived data provide a holistic view of disability and enable the impact of service interventions on functioning and participation, and enable clinicians to tailor intervention according to patient's actual needs.
KW - disability
KW - FIM
KW - ICF checklist
KW - ICF classification
KW - Traumatic brain injury
KW - WHO-DAS II
UR - http://www.scopus.com/inward/record.url?scp=77958581974&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77958581974&partnerID=8YFLogxK
U2 - 10.3109/09638288.2010.511690
DO - 10.3109/09638288.2010.511690
M3 - Article
C2 - 20929314
AN - SCOPUS:77958581974
VL - 32
JO - Disability and Rehabilitation
JF - Disability and Rehabilitation
SN - 0963-8288
IS - SUPPL. 1
ER -