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Article

Differences in Rehabilitation Needs after Stroke: A Similarity Analysis on the ICF Core Set for Stroke

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School of Medicine and Surgery, University of Milano Bicocca, 20126 Milano, Italy
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Casa di cura Beato Palazzolo, 24122 Bergamo, Italy
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Istituti Clinici Zucchi, 20841 Carate Brianza, Italy
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Department of Physiotherapy, LUNEX International University of Health, Exercise and Sports, Differdange, 4671 Differdange, Luxembourg
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Department of Statistics, Wroclaw University of Economics, 53-345 Wrocław, Poland
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Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, São Paulo 03071-000, Brazil
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Associação de Assistência à Criança Deficiente (AACD), 04027-000 São Paulo, Brazil
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School of Physical and Occupational Therapy, McGill University, Montreal, QC H3G 1Y5, Canada
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Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(12), 4291; https://doi.org/10.3390/ijerph17124291
Received: 8 May 2020 / Revised: 9 June 2020 / Accepted: 11 June 2020 / Published: 16 June 2020
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
Background: Successful rehabilitation is associated with physical, psychological, environmental, social, and personal factors based on the International Classification of Functioning, Disability and Health (ICF) framework. The influence of age has been suggested as crucial personal factors that may affect rehabilitation needs in post-stroke survivors. The aim of this study was to investigate the qualifiers of the ICF core set for stroke to detect differences in rehabilitation needs and goals between older (O, >65 years old) and younger (Y, ≤65 years old,) post-stroke individuals. Materials and methods: In this observational study, the comprehensive core set for stroke was filled during the rehabilitation period. Patient information was obtained using disability scales and translated into certain ICF categories using linking rules. Frequency, similarity, and linear regression analyses were performed for ICF qualifier profiles among Y and O patients. Results: Forty-eight ICF variables were significantly different between Y (n = 35, 46.17 ± 11.27 years old) and O (n = 35, 76.43 ± 6.77 years old) patients. Frequency analysis showed that activity of daily living and basic needs were more prevalent in O patients, whereas regaining of social role and social life were more prevalent in Y patients. The average Jaccard Index result (similarity analysis) was more homogeneous in O than in Y patients. Conclusions: ICF qualifiers are useful to design patient-centered care. Y patients have more heterogeneous needs and require more personalized program than O patients. View Full-Text
Keywords: international classification of functioning; Disability and Health; stroke; personal factors; rehabilitation; age international classification of functioning; Disability and Health; stroke; personal factors; rehabilitation; age
MDPI and ACS Style

Perin, C.; Bolis, M.; Limonta, M.; Meroni, R.; Ostasiewicz, K.; Cornaggia, C.M.; Alouche, S.R.; da Silva Matuti, G.; Cerri, C.G.; Piscitelli, D. Differences in Rehabilitation Needs after Stroke: A Similarity Analysis on the ICF Core Set for Stroke. Int. J. Environ. Res. Public Health 2020, 17, 4291. https://doi.org/10.3390/ijerph17124291

AMA Style

Perin C, Bolis M, Limonta M, Meroni R, Ostasiewicz K, Cornaggia CM, Alouche SR, da Silva Matuti G, Cerri CG, Piscitelli D. Differences in Rehabilitation Needs after Stroke: A Similarity Analysis on the ICF Core Set for Stroke. International Journal of Environmental Research and Public Health. 2020; 17(12):4291. https://doi.org/10.3390/ijerph17124291

Chicago/Turabian Style

Perin, Cecilia, Marta Bolis, Marco Limonta, Roberto Meroni, Katarzyna Ostasiewicz, Cesare M. Cornaggia, Sandra R. Alouche, Gabriela da Silva Matuti, Cesare G. Cerri, and Daniele Piscitelli. 2020. "Differences in Rehabilitation Needs after Stroke: A Similarity Analysis on the ICF Core Set for Stroke" International Journal of Environmental Research and Public Health 17, no. 12: 4291. https://doi.org/10.3390/ijerph17124291

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