ICF-based improvements in body structures and function, and activity and participation in chronic stroke following a yoga-based intervention

2017 ◽  
Vol 13 (3) ◽  
pp. 23 ◽  
Author(s):  
Marieke Van Puymbroeck, PhD, CTRS, FDRT ◽  
Jared Allsop, MS, CTRS ◽  
Kristine K. Miller, PhD, PT ◽  
Arlene A. Schmid, PhD, OTR

Purpose: The purpose of this study was to understand the perceived outcomes following a yoga intervention for individuals with chronic stroke, framed within the context of the International Classification of Functioning, Disability, and Health.Method: Twenty-six individuals with chronic stroke participated in one of five focus groups immediately following completion of an 8-week yoga intervention.Results: Primary themes emerged related to body structure and function (with subthemes of improved emotional regulation, increased stability and range of motion, and unexpected improvements in body function), and improvements in activity and participation. The improvements in body function led to participants more fully participating in their lives.Conclusions: While rehabilitation is not typically offered in the chronic poststroke period, the participants in this yoga study perceived changes in body functions, activity, and participation that they associated with the yoga intervention. Larger studies need to quantify these changes to make specific policy recommendations.

Author(s):  
Alessandro Umbrico ◽  
Gabriella Cortellessa ◽  
Andrea Orlandini ◽  
Amedeo Cesta

A key aspect of robotic assistants is their ability to contextualize their behavior according to different needs of assistive scenarios. This work presents an ontology-based knowledge representation and reasoning approach supporting the synthesis of personalized behavior of robotic assistants. It introduces an ontological model of health state and functioning of persons based on the International Classification of Functioning, Disability and Health. Moreover, it borrows the concepts of affordance and function from the literature of robotics and manufacturing and adapts them to robotic (physical and cognitive) assistance domain. Knowledge reasoning mechanisms are developed on top of the resulting ontological model to reason about stimulation capabilities of a robot and health state of a person in order to identify action opportunities and achieve personalized assistance. Experimental tests assess the performance of the proposed approach and its capability of dealing with different profiles and stimuli.


Author(s):  
Kaliopi Lappas

In this chapter a referral is made to the most known examination methods and tools for evaluating persons with motor limitations. Since there are many methods and tools, standardized or not, describing each of them by the area of evaluation and forming a quick reference guide seem to be helpful. Furthermore referrals are made to some special evaluation forms regarding special conditions, like stoke, which appear to have multiple problems influencing function. Finally, in the last section of this chapter a referral is made to the International Classification of Functioning, Disability and Health scale (ICF), which has been developed the past few years by the World Health Organization (WHO), in an effort to have and apply a universal way of assessing people with disabilities. This scale aims to give to all the health professional and researchers a “common language” when “measuring” disability and function.


2019 ◽  
pp. 896-933
Author(s):  
Kaliopi Lappas

In this chapter a referral is made to the most known examination methods and tools for evaluating persons with motor limitations. Since there are many methods and tools, standardized or not, describing each of them by the area of evaluation and forming a quick reference guide seem to be helpful. Furthermore referrals are made to some special evaluation forms regarding special conditions, like stoke, which appear to have multiple problems influencing function. Finally, in the last section of this chapter a referral is made to the International Classification of Functioning, Disability and Health scale (ICF), which has been developed the past few years by the World Health Organization (WHO), in an effort to have and apply a universal way of assessing people with disabilities. This scale aims to give to all the health professional and researchers a “common language” when “measuring” disability and function.


2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Kate Carter ◽  
Caterina Tannous ◽  
Steven Walmsley ◽  
Keith Rome ◽  
Deborah E Turner

Abstract Objective The aim was to categorize the patient experience of PsA-related foot involvement by linking it to the International Classification of Functioning, Disability and Health (ICF) framework. Methods Concepts, obtained from a previous qualitative investigation of people with PsA and health professionals into their perspective of PsA-related foot involvement, were linked to the full version of the ICF classification. Concepts were linked to the most appropriate ICF category using established linking rules, which enable a systematic and standardized linking process. All concepts were linked independently to the ICF by two investigators, followed by a third investigator for adjudication. The professional backgrounds of the investigators included occupational therapy and podiatry. Results More than 100 distinct ICF categories were linked to the interview concepts. The most represented ICF category was body functions (35%), followed by environmental factors (31%), activities and participation (19%) and body structure (15%). Concepts that could not be linked to the ICF were related to coping, aspects of time and knowledge. Health professionals identified a greater proportion of body functions and fewer activity and participation categories compared with patients, indicating a possible mismatch of key concerns. Interdisciplinary group analysis demonstrated merit. Conclusion A list of ICF categories was generated, defining aspects of functioning important and relevant to the impact of PsA-related foot involvement. Despite the localized anatomical focus of this study, the effect of foot problems in PsA was linked to all components of the ICF, confirming the profound impact on functioning and daily life.


2017 ◽  
Vol 27 (4) ◽  
pp. 27221
Author(s):  
Sabrina Valar Feronatto ◽  
Sabrina Oro ◽  
Letícia Fassina ◽  
Cristian Roncada ◽  
Renata D`Agostini Nicolini-Panisson

***Functionality evaluation of subjects of the same family with Kennedy's Disease***AIMS: To assess the functionality of individuals of a same family who present Kennedy's disease, and to compare it with the results obtained after one year and a half to verify the evolution of the disease.METHODS: Case series, in which six individuals with Kennedy's disease were evaluated in two moments separated by one year and a half. The instrument used was the Core Set for International Classification of Functioning, Disability and Health for neuromuscular diseases. This structured questionnaire seeks information on health domains, functional situations and their restrictions. The data were analyzed in SPSS version 20.0, with descriptive analysis.RESULTS: After one year and a half the body function components worsened, with consequent decline in function, demonstrated in the activity and participation component. Only one domain of the body function component had improvement in the second evaluation. During the evaluation period, several facilitating environmental factors (bars or stair rails, internal bars in residences, ramps, health plan, gaiters, automobile, telephone and electronic gate) remained. However, the magnitude of the deficiency of some products and supporting technologies (stairs and bathroom without bars) increased, which may have impaired the functionality of these individuals.CONCLUSIONS: Functionality was altered in individuals with Kennedy's disease, and the disease progression has accentuated the deficiency in the components of the International Classification of Functionality after one year and a half. There was a lack of some supporting products and technologies to personal use in daily life.


2015 ◽  
Vol 4 ◽  
pp. RPO.S13340
Author(s):  
Rene I. Jahiel

Current criticisms of the International Classification of Function, Disability and Health (ICF) are focused on its activity/participation component and on its conceptual basis. I propose structural and conceptual changes. (1) The components would be body structure, body function, intent, actual environment, and participation. (2) Intent would be linked to the concept of self-agency, and its codes would have two qualifiers associating it with capability and strength of willed activity. (3) All activity/participation codes of the original ICF would be moved to the modified ICF's participation component. This component is based on interaction between intent and environment, and it is linked to the concept of joint agency. (4) A new entity, scene setting, represents the sum total of all components' codes involved in a given act of participation. (5) Additional constructs are suggested to elucidate the relations between intent and environment that allow enactment of a given act of participation. The modified ICF is consistent with current concepts of disability and unambiguous in distinctions between body function, activity, and participation. There are no significant alterations in the original ICF codes.


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