| Reliability and validity of the national standard ICF-RS in the evaluation of function rehabilitation in patients with stroke in recovery period |
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| DOI：10.3870/zgkf.2025.03.002 |
| EN KeyWords: international classification of functioning, disability and health rehabilitation set stroke function evaluation reliability and validity |
| Fund Project:国家自然科学基金（82272614）；襄阳市科技研究与开发项目（2022BBS005186） |
| 作者 | 单位 | | 孙倩倩 | 1.中山大学孙逸仙纪念医院,广州 510120；3.康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441138 | | 雷德宝 | 2.湖北文理学院附属医院,襄阳市中心医院,湖北 襄阳 441138；3.康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441138 | | 常虎 | 2.湖北文理学院附属医院,襄阳市中心医院,湖北 襄阳 441138；3.康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441138 | | 李勇 | 2.湖北文理学院附属医院,襄阳市中心医院,湖北 襄阳 441138；3.康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441138 | | 李俊龙 | 2.湖北文理学院附属医院,襄阳市中心医院,湖北 襄阳 441138；3.康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441138 | | 赵素晨 | 2.湖北文理学院附属医院,襄阳市中心医院,湖北 襄阳 441138；3.康复医学与康复工程技术襄阳市重点实验室,湖北 襄阳 441138 |
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| EN Abstract: |
| 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. |
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