Article

To assess quantitative differences between rehabilitation team, rehabilitants,
and significant others in opinions on functioning of subacute stroke survivors.
During inpatient interdisciplinary neurorehabilitation, the interdisciplinary
team, nurses, rehabilitants, and significant others reported their opinions on
the functioning of consecutive 62 rehabilitants. Data were gathered using the
structured form based on the International Classification of Functioning,
Disability and Health (ICF) Brief Core Set for Stroke. Agreement between
observers on the presence and severity of restrictions in functioning was
analyzed. The strongest agreement between different observers on all studied ICF
categories was achieved between the interdisciplinary team and nurses (weighted
squared kappa=0.7-0.9). The weakest agreement was detected between the team and
rehabilitants (weighted squared kappa=0.1-0.6). Support by family was found to be
an important facilitating factor of functioning by all observers. Limitations in
cognitive activity were identified less frequently than other restrictions.
Opinions on restrictions in functioning may differ between the interdisciplinary
team, rehabilitants, and significant others. These differences can be assessed
quantitatively and documented using the ICF Core Set for Stroke. This potential
observer-dependent discrepancy should be taken into account during the process of
neurorehabilitation.

Langue : ANGLAIS