Multidisciplinary technology of rehabilitation aims definition in patients with stroke on the basis of International Classification of Functioning, Disability and Health

Cover Page

Cite item

Full Text

Abstract

Aim. To create and test an algorithm for rehabilitation goal setting based on international classification of functioning, disability and health (ICF) for patients with acute cerebral stroke. Materials and methods. The study included 75 patients. Rehabilitation was carried out at the first stage for patients in the acute phase of a stroke involving a multidisciplinary team, which included: neurologist, PRM, speech therapist, occupational therapist, physical therapist, clinical psychologist and nurse. For all patients, a rehabilitation diagnosis was established in the categories of ICF. Results. An algorithm of rehabilitation goal setting is based on the ICF and patient’s rehabilitation potential. Conclusions. The main element in the algorithm for determining the rehabilitation goal for a patient with cerebral stroke in the acute period is the selection of one of the most complex activities formulated by the multidisciplinary rehabilitation team in the categories of ICF activity and participation, and available to the patient by the end of the rehabilitation course. The goal of rehabilitation is established on the basis of a rehabilitation diagnosis at the conclusion of each specialist multidisciplinary team of the patient's recovery potential, and its definition is one of the most important technological components of rehabilitation.

About the authors

Aleksei A. Shmonin

Pavlov First Saint Petersburg State Medical University; Community of Support and Development of Canis Therapy

Email: langendorff@gmail.com
Cand. Sci. (Med.), Assoc. Prof., neurologist Saint Petersburg, Russia

Mariia N. Maltseva

Pavlov First Saint Petersburg State Medical University; Community of Support and Development of Canis Therapy

Email: mmn.ktherapy@yandex.ru
D. Sci. (Vet.), Cand. Sci. (Techn.), Assoc. Prof. Saint Petersburg, Russia

Elena V. Melnikova

Pavlov First Saint Petersburg State Medical University

Email: melnikovae2002@mail.ru
D. Sci. (Med.), Prof. Saint Petersburg, Russia

References

  1. Levack W.M, Weatherall M, Hay-Smith J.C et al. Goal setting and strategies to enhance goal pursuit in adult rehabilitation: summary of a Cochrane systematic review and meta-analysis. Eur J Phys Rehabil Med 2016; 52 (3): 400-16.
  2. Hurn J, Kneebone I, Cropley M. Goal setting as an outcome measure: A systematic review. Clin Rehabil 2006; 20 (9): 756-72.
  3. Siegert R.J, Taylor W.J. Theoretical aspects of goal-setting and motivation in rehabilitation. Disabil Rehabil 2004; 26 (1): 1-8.
  4. Stucki G, Cieza A, Melvin J. The International Classification of Functioning, Disability and Health (ICF): a unifying model for the conceptual description of the rehabilitation strategy. J Rehabil Med 2007; 39 (4): 279-85.
  5. Kiresuk T.J, Sherman R.E. Goal attainment scaling: A general method for evaluating comprehensive community mental health programs. Community Mental Health J 1968; 4 (6): 443-53.
  6. Шостка Г.Д., Коробов М.В., Шабро А.В. Международная классификация функционирования, ограничений жизнедеятельности и здоровья (краткая версия). СПб.: СПбИУВЭК, 2003.
  7. Мельникова Е.В., Буйлова Т.В., Бодрова Р.А. и др. Использование международной классификации функционирования (МКФ) в амбулаторной и стационарной медицинской реабилитации: инструкция для специалистов. Вестн. восстановительной медицины. 2017; 6 (82): 7-20.
  8. Doran G.T. There’s a S.M.A.R.T. Way to Write Management’s Goals and Objectives. Management Rev 1981; 70: 35-6.
  9. Наконечный Д.Г., Родоманова Л.А., Шмонин А.А., Мельникова Е.В. О возможной роли ортопеда в современной системе реабилитации пациентов с последствиями спастических параличей верхних конечностей. Consilium Medicum. 2017; 19 (2.1): 31-43.
  10. Шмонин А.А., Мальцева М.Н., Мельникова Е.В., Иванова Г.Е. Базовые принципы медицинской реабилитации, реабилитационный диагноз в категориях МКФ и реабилитационный план. Вестн. восстановительной медицины. 2017; 2 (78): 16-22.
  11. Bovend’Eerdt T.J, Botell R.E, Wade D.T. Writing SMART rehabilitation goals and achieving goal attainment scaling: A practical guide. Clin Rehabil 2009; 23 (4): 352-61.

Copyright (c) 2019 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies