Categorização CIF de instrumentos de medida e intervenções utilizados na fisioterapia em sujeitos com AVC

Appropriate relation of dimensions and categories among interventions, outcomes and outcomes measures are needed on physiotherapy context, in order to improve rehabilitation programs and research conclusions. International Classification of Functioning (ICF) core sets can facilitate this organization, by the use of ICF linking rules developed to link ICF categories to the common intervention and outcomes used in practice and research. The goal of this study is to propose a categorization of PT interventions and outcome measures on stroke patients under the ICF model. A list of 43 interventions and a list of 65 outcome measures on stroke was selected and initially categorized according to the ICF 10 linking rules, within 43 previous selected 2nd level categories related with movement. This categorization proposal was then validated on a 2-round electronic-mail survey of 7 Portuguese physical therapists using the Delphi technique. The 65 outcome measures are categorized in a total of 243 ICF codes: “body functions” – 86; “body structures” – 11 “activity” – 125 and “participation” – 20.The 43 interventions are categorized in a total of 223 ICF codes: “body functions” – 97; “body structures” – 18; “activity” – 106 and “participation” – 2. For this panel of experts, its consensual that the categories “body functions” and “activity” are the ones that better characterize physiotherapy assessement and intervention, in the context of neurology specifically on stroke patients. This categorization should be validated at international level.