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KMID : 0603920090170040037
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Journal of Korean Academy of Occupational Therapy
2009 Volume.17 No. 4 p.37 ~ p.44
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The Clinical Application of ICF(International Classification of Functioning, Disability and Health) for Functional Ability Analysis of Stroke Patients
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An Seung-Heon
Park Dae-Sung
Lee Suk-Min
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Abstract
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Objective : This paper evaluates the clinical application of ICF(International Classification of Functioning, Disability and Health) through correlation among existing functional evaluation tools and examines ICF Interrater & absolute reliabilities.
Methods : The subjects consisted of 55 sub-stroke patients from the Korea National Rehabilitation Center in Seoul. Two doctors with experience in the ICF code was extracted the 10 items. We linked the ICF code between corresponding entry in the FIM-subscale and MBI-total scale to the most appropriate ICF categories(3 category: transfer, locomotion, self-care). The FIM(Functional Independent Measure), MBI(Modified Barthel Index), and ICF were examined and subjects were interviewed by trained physical & occupational therapist. To assess inter-rater reliability for capacity & performance, the ICF value was measured using the ICC2.1. The absolute reliability was determined using the SEM(Standard Error of Measurement), SRD(Small Reference Difference), and the ICF, FIM, MBI were analyzed using a Pearson product correlation.
Results : Inter-rater reliability of ICF(Capacity & Performance) were very high(ICC2.1: .92, .98, respectively), also the absolute reliability were high(SEM: 1.03, 1.09, & SRD: 2.85, 3.02, respectively). The ICF capacity was highly negatively correlated between FIM(r=-.97) and MBI(r=-.90), the ICF Performance was moderately negatively correlated between FIM(r=-.73) and MBI(r=-.69).
Conclusion : The ICF tool is a reliable functional assessment tool that correlates inversely with FIM and MBI, showing its criteria-related validity. It can be a useful tool in the clinical setting and research for assessing functional status in stroke patients.
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KEYWORD
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Disability, Function, Health, International Classification of Functioning, Stroke
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