Use of the International Classification of Functioning, Disability and Health as a framework for analyzing the Stroke Impact Scale-16 relative to falls. (April 2014)

• Record Type: Journal Article
• Authors: Beninato, Marianne; Parikh, Vyoma; Plummer, Laura
• Is Part Of: Physiotherapy theory and practice. Volume 30:Number 3(2014:Apr.)
• Page Start: 149
• Page End: 156
• Publication Date: 2014-04
• Subjects: Physical therapy -- Periodicals; 615.82
• DOI: 10.3109/09593985.2013.845862
• Languages: English
• ISSNs: 0959-3985

Abstract

<abstract> <title>Abstract</title> <p> <italic>Objective</italic>: To determine if subscores based on grouping Stroke Impact Scale 16 (SIS-16) items according to International Classification of Functioning, Health and Disability (ICF) components are more accurate in identifying individuals with a history of falls than the total SIS-16 score.</p> <p> <italic>Design</italic>: Case series.</p> <p> <italic>Subjects</italic>: 43 community-dwelling people with chronic stroke.</p> <p> <italic>Methods</italic>: Participants were grouped based on six month fall history (no fall versus one or more falls). The SIS-16 items were categorized as belonging to the Body Structure and Function (BSF), Activity (ACT) or Participation (PART) component of the ICF. SIS-16 total score and ICF component subscores were analyzed for their association with falls. Receiver Operating Characteristic Curves were (ROC) analyzed.</p> <p> <italic>Results</italic>: There were significant differences between groups on SIS-16 total (<italic>p</italic> = 0.006), BSF (<italic>p</italic> = 0.041) and ACT (<italic>p</italic> = 0.003) scores. The BSF and ACT component subscores had the highest specificity (0.91) and sensitivity (0.80), respectively, for categorizing participants according to fall history. The BSF + ACT component subscore demonstrated greater accuracy than the total SIS-16 for identifying people with falls (area under the curve = 0.78).</p> <p> <italic>Conclusion</italic>: The ICF may be a useful model for analysis of fall screening tools for people with chronic stroke. ICF component subscores are more accurate than the SIS-16 total score for this purpose.</p> </abstract>