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Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries

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Haas, B., Playford, E. Diane, Ahmad, A. Q., Yildiran, T., Gibbon, A. J. and Freeman, J. A. (2016) Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries. Spinal Cord, 54 (4). pp. 324-328. doi:10.1038/sc.2015.155 ISSN 1362-4393.

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Official URL: http://dx.doi.org/10.1038/sc.2015.155

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Abstract

Objectives:

To establish whether inter-professional rehabilitation goals from people with non-traumatic spinal cord injury (SCI) can be classified against the International Classification of Functioning, Disability and Health (ICF) SCI Comprehensive and Brief Core Sets early postacute situation.

Setting:

Neurological rehabilitation unit.

Methods:

Rehabilitation goals of 119 patients with mainly incomplete and non-traumatic SCIs were classified against the ICF SCI Core Sets following established linking rules.

Results:

A total of 119 patients generated 1509 goals with a mean (and s.d.) of 10.5 (9.1) goals per patient during the course of their inpatient rehabilitation stay. Classifying the 1509 rehabilitation goals against the Comprehensive ICF Core Set generated 2909 ICF codes. Only 69 goals (4.6%) were classified as ‘not definable (ND)’. Classifying the 1509 goals against the Brief ICF Core Set generated 2076 ICF codes. However, 751(49.8%) of these goals were classified as ‘ND’. In the majority of goals (95.7%), the ICF code description was not comprehensive enough to fully express the goals set in rehabilitation. In particular, the notion of quality of movement or specificity and measurability aspects of a goal (usually described with the criteria and acronyms SMART) could not be expressed through the ICF codes.

Conclusion:

Inter-professional rehabilitation goals can be broadly described by the ICF Comprehensive Core Set for SCI but not the Brief Core Set.

Item Type: Journal Article
Divisions: Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Journal or Publication Title: Spinal Cord
Publisher: Nature Publishing Group
ISSN: 1362-4393
Official Date: April 2016
Dates:
DateEvent
April 2016Published
Volume: 54
Number: 4
Page Range: pp. 324-328
DOI: 10.1038/sc.2015.155
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access

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