Article

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 of Functioning, Disability and Health (ICF) as a frame of
reference. 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 14 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 long-term context, whereas
limitations/restrictions in 34 ICF categories assigned to Activities and
Participation 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 long-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 framework for the description of functional health in
individuals with SCI worldwide.

Langue : ANGLAIS

Tiré à part : OUI