| Objective: To investigate the reliability and validity of International Classification of Functioning, Disability and Health Rehabilitation Set (ICF-RS) in the evaluation of function rehabilitation in patients with stroke in recovery period. Method: A total of 70 patients with dysfunction post-stroke admitted to the Rehabilitation Department, and their functions were evaluated using the national standard ICF-RS, Fugl-Meyer Motor Function Assessment Scale (FMA), hemiplegic hand function scale, Holden walking function classification, Simple tertiary balance function assessment, and modified Barthel index (MBI). Once more ICF-RS assessment was performed by the same evaluator. All the results were analyzed by SPSS 26.0 version of statistical software, and bilateral test was used. P<0.05 was considered statistically significant. Cronbach’s α coefficient was used to analyze the internal consistency reliability of ICF-RS, intra-group correlation coefficient ICC was used to analyze retest reliability, Spearman correlation coefficient was used to test calibration correlation validity. Results: ①Internal consistency analysis: the Cronbach’s α coefficient of ICF-RS was 0.937, and the Cronbach’s α coefficient of overall function and physical function, daily activity and social participation were 0.750, 0.780, 0.686, 0.705, respectively. ②Retest reliability analysis: ICC in ICF-RS group was 0.976, ICC in overall function and each dimension was 0.871, 0.807, 0.872, 0.931, respectively (P<0.05). ③Spearman correlation analysis of calibration validity: The overall function and dimensions of ICF-RS were moderately to highly negatively correlated with the stroke motor function behavioral scale (FMA, hemiplegic hand function scale, Holden walking hand function scale, and simple three-level balance function assessment), and were moderate to strong correlated with the activities of daily living assessment scale (MBI) (P<0.05). Conclusion: ICF-RS showed good reliability and validity in the evaluation of function rehabilitation in patients with stroke in recovery period, and can be applied as a functioning assessment instrument in clinical practice. |
