Identification of the most common problems in functioning of individuals with spinal cord injury using the International Classification of Functioning, Disability and Health

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Journal Article
Accession No.:
Spinal Cord
Year, Volume, Issue, Page(s):
2010, vol. 48, issue 3, pp 221-229
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Study design: Cross-sectional, multicenter study. Objectives: To identify the most common problems of individuals with spinal cord injury (SCI) in the early post-acute and the long-term context, respectively, using the International Classification 01 Functioning, Disability and Health (lCF) as a frame of relerence. Setting: International. Methods: The functional problems of individuals with SCI were recorded Using the 264 ICF categories on the second level of the classification. Prevalence of impairment was reported along with their 95% confidence intervals. Data were stratified by context. Results: Sixteen study centers in 1 4 countries collected data of 489 individuals with SCI in the early post-acute context and 559 in the long-term context, respectively. Impairments in thirteen ICF categories assigned to Body functions and Body structures were more frequently reported in the longterm context, whereas limitations/restrictions in 34 ICF categories assigned to Activities and Partidpation were more frequently found in the early post-acute context. Eleven ICF categories from the component Environmental Factors were more frequently regarded as barriers, facilitators or both by individuals with SCI in the early post-acute context as compared with individuals with SCI in the long-term context. Only two environmental factors were more relevant for people with SCI in the iong,term context than in the early post-acute context. Conclusion: The study identified a large variety of functional problems reflecting the complexity of SCI and indicated differences between the two contexts. The ICF has potential to provide a comprehensive Iramework for the description of functional health in individuals with SCI worldwide. Spinal Cord (2010) 48, 221-229; doi:l0.l 038/sc.2009.1 1 6; published online 1 5 September 2009 Keywords: cross-sectional study; rehabilitation; ICF
Kirchberger I, Biering-Sorensen F, Charlifue S, Baumberger M, Campbell R, Kovindha A, Ring H, Sinnott A, Scheuringer M, Stucki G
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