The ICF and postsurgery occupational therapy after traumatic hand injury

被引:4
作者
Fitinghoff, Helene [1 ]
Lindqvist, Birgitta [2 ]
Nygard, Louise [1 ]
Ekholm, Jan [3 ]
Schult, Marie-Louise [3 ,4 ]
机构
[1] Karolinska Inst, Div Occupat Therapy, Dept Neurobiol Care Sci & Soc, SE-14183 Huddinge, Sweden
[2] Soder Sjukhuset, Dept Hand Surg, Div Occupat Therapy Rehabil, Stockholm, Sweden
[3] Karolinska Inst, Dept Clin Sci, Div Rehabil Med, S-10401 Stockholm, Sweden
[4] Danderyd Hosp, Rehabil Med Univ Clin, Stockholm, Sweden
关键词
assessment; disability and health; hand trauma; International classification of functioning; occupational therapy; INTERNATIONAL CLASSIFICATION; CONSTRUCT-VALIDITY; GRIP STRENGTH; DISABILITY; HEALTH; SHOULDER; ARM; QUALITY; QUESTIONNAIRE; LINKING;
D O I
10.1097/MRR.0b013e328341946c
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Recent studies have examined the effectiveness of hand rehabilitation programmes and have linked the outcomes to the concept of ICF but not to specific ICF category codes. The objective of this study was to gain experience using ICF concepts to describe occupational therapy interventions during postsurgery hand rehabilitation, and to describe improvement in functioning using ICF categories. In addition, investigated was the agreement between the ICF categories for occupational therapy interventions and the outcome measures used. Fifteen patients with traumatic hand injuries agreed to participate. Outcome measures were used to assess the following variables: range of motion, grip strength, pain intensity, upper-extremity functioning and health-related quality of life. Analysis of variance for repeated measures was used between the measures at baseline and at 3-month and 12-month follow-ups. The results showed that a pattern of occupational therapy interventions concerning body functions and body structures, activities and environmental factors could be identified during the early postsurgery phase and for interventions at participation level during the later phase. Agreement between occupational therapy interventions and outcome measures was found for 11 pairs. Three of the pairs concerned body function and eight were at the activity and participation level. During the rehabilitation process, the majority of improvements took place between baseline and the 3-month follow-up. We concluded that ICF categories can be used to describe occupational therapy interventions in postsurgery hand rehabilitation after trauma; that the use of ICF as a reference framework provides a clear picture of which health domains are addressed; and that a consistent use of ICF categories facilitates linking between rehabilitation interventions and outcome assessments, thereby increasing the possibility of showing the effects of these interventions.
引用
收藏
页码:79 / 88
页数:10
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