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Functioning and disability after stroke in children : using the ICF-CY to classify health outcome and inform future clinical research priorities

GORDON AL
DEV MED CHILD NEUROL , 2014, vol. 56, n° 5, p. 434-444
Doc n°: 168510
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1111/dmcn.12336
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, JQ - CIF

The International Classification of Functioning Disability and Health,
Child-Youth version (ICF-CY) provides a framework for describing and evaluating
health, intervention outcomes, and needs assessment. It can, however, also serve
as a system for classifying the focus of outcome studies and identification of
gaps in current knowledge. METHOD: The paediatric arterial ischaemic stroke (AIS)
population was targeted. Multiple databases were systematically searched for AIS
outcome studies focussing on functioning or disability. Findings were rated using
the ICF-CY framework. RESULTS: Twenty-eight studies were identified. Most were
cross-sectional and age range at assessment varied widely. Sixty-seven different
standardized measures were used, predominantly evaluating body functions. The
most common domains of activity and participation reported were learning and
applying knowledge, general tasks and demands, and self-care skills.
Health-related quality of life was measured in nine papers. Environmental factors
were rarely evaluated. INTERPRETATION: AIS outcome studies addressing the
relationship between body structures and functions (e.g. brain lesion
characteristics, neurological examination findings) and activities,
participation, and quality of life have emerged in recent years. Comparison of
findings across studies is complicated by design and tool selection. The
relationship between components of activity limitation and participation
restriction is rarely explored.
CI - (c) 2013 Mac Keith Press.

Langue : ANGLAIS

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