Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)

Oliveira,Ligia Regina de; Macedo,Ana Paula Fontes da Silva; Buchalla,Cássia Maria; Scatena,João Henrique Gurtler

Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)

Abstract Introduction: The International Classification of Functioning, Disability and Health (ICF) enables monitoring of the clinical evolution of a patient. Objective: This study aimed to characterize the evolution of disabilities in patients undergoing physical therapy following traffic accidents, using the ICF. Methods: A longitudinal study of 53 accident victims was conducted between April and October 2010, in a rehabilitation unit in the capital of Mato Grosso State, Brazil. Data from physical therapy evaluation were collected in 2 stages and coded by the ICF. Results: The average time between evaluation and reevaluation was 73.4 days. The evolution of functional impairment demonstrated a reduction in the number of patients with deficits, except for muscle tone functions. On initial evaluation, 90.6% had difficulty with sensory functions and pain, varying from mild to complete, decreasing to 67.9% on reevaluation, with pain still mostly present. Almost all patients (96.2%) had a disability of neuromusculoskeletal and movement related functions on initial assessment, with a decrease to 15.7% of patients on reevaluation. The greatest improvements were observed in the categories of muscle strength (36.7%) and gait pattern (30.6%). On reevaluation, improvement was also observed regarding perceived impairment of body structures, especially for those with severe and complete disability. Conclusion: The study confirmed a reduction in the percentage of patients with some form of disability, and positive development in functional capacity. The use of ICF enabled evaluation of physical disabilities and monitoring of the evolution of patients undergoing physical therapy.

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Main Authors:	Oliveira,Ligia Regina de, Macedo,Ana Paula Fontes da Silva, Buchalla,Cássia Maria, Scatena,João Henrique Gurtler
Format:	Digital revista
Language:	English
Published:	Pontifícia Universidade Católica do Paraná 2017
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000200267
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spelling	oai:scielo:S0103-515020170002002672017-07-05Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)Oliveira,Ligia Regina deMacedo,Ana Paula Fontes da SilvaBuchalla,Cássia MariaScatena,João Henrique Gurtler Disability Evaluation. International Classification of Functioning Disability and Health. Traffic Accidents. Rehabilitation. Physical Therapy Specialty Abstract Introduction: The International Classification of Functioning, Disability and Health (ICF) enables monitoring of the clinical evolution of a patient. Objective: This study aimed to characterize the evolution of disabilities in patients undergoing physical therapy following traffic accidents, using the ICF. Methods: A longitudinal study of 53 accident victims was conducted between April and October 2010, in a rehabilitation unit in the capital of Mato Grosso State, Brazil. Data from physical therapy evaluation were collected in 2 stages and coded by the ICF. Results: The average time between evaluation and reevaluation was 73.4 days. The evolution of functional impairment demonstrated a reduction in the number of patients with deficits, except for muscle tone functions. On initial evaluation, 90.6% had difficulty with sensory functions and pain, varying from mild to complete, decreasing to 67.9% on reevaluation, with pain still mostly present. Almost all patients (96.2%) had a disability of neuromusculoskeletal and movement related functions on initial assessment, with a decrease to 15.7% of patients on reevaluation. The greatest improvements were observed in the categories of muscle strength (36.7%) and gait pattern (30.6%). On reevaluation, improvement was also observed regarding perceived impairment of body structures, especially for those with severe and complete disability. Conclusion: The study confirmed a reduction in the percentage of patients with some form of disability, and positive development in functional capacity. The use of ICF enabled evaluation of physical disabilities and monitoring of the evolution of patients undergoing physical therapy.info:eu-repo/semantics/openAccessPontifícia Universidade Católica do ParanáFisioterapia em Movimento v.30 n.2 20172017-04-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000200267en10.1590/1980-5918.030.002.ao07
institution	SCIELO
collection	OJS
country	Brasil
countrycode	BR
component	Revista
access	En linea
databasecode	rev-scielo-br
tag	revista
region	America del Sur
libraryname	SciELO
language	English
format	Digital
author	Oliveira,Ligia Regina de Macedo,Ana Paula Fontes da Silva Buchalla,Cássia Maria Scatena,João Henrique Gurtler
spellingShingle	Oliveira,Ligia Regina de Macedo,Ana Paula Fontes da Silva Buchalla,Cássia Maria Scatena,João Henrique Gurtler Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)
author_facet	Oliveira,Ligia Regina de Macedo,Ana Paula Fontes da Silva Buchalla,Cássia Maria Scatena,João Henrique Gurtler
author_sort	Oliveira,Ligia Regina de
title	Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)
title_short	Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)
title_full	Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)
title_fullStr	Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)
title_full_unstemmed	Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)
title_sort	evolution of disability in traffic accident victims in rehabilitation, characterized by the international classification of functioning, disability and health (icf)
description	Abstract Introduction: The International Classification of Functioning, Disability and Health (ICF) enables monitoring of the clinical evolution of a patient. Objective: This study aimed to characterize the evolution of disabilities in patients undergoing physical therapy following traffic accidents, using the ICF. Methods: A longitudinal study of 53 accident victims was conducted between April and October 2010, in a rehabilitation unit in the capital of Mato Grosso State, Brazil. Data from physical therapy evaluation were collected in 2 stages and coded by the ICF. Results: The average time between evaluation and reevaluation was 73.4 days. The evolution of functional impairment demonstrated a reduction in the number of patients with deficits, except for muscle tone functions. On initial evaluation, 90.6% had difficulty with sensory functions and pain, varying from mild to complete, decreasing to 67.9% on reevaluation, with pain still mostly present. Almost all patients (96.2%) had a disability of neuromusculoskeletal and movement related functions on initial assessment, with a decrease to 15.7% of patients on reevaluation. The greatest improvements were observed in the categories of muscle strength (36.7%) and gait pattern (30.6%). On reevaluation, improvement was also observed regarding perceived impairment of body structures, especially for those with severe and complete disability. Conclusion: The study confirmed a reduction in the percentage of patients with some form of disability, and positive development in functional capacity. The use of ICF enabled evaluation of physical disabilities and monitoring of the evolution of patients undergoing physical therapy.
publisher	Pontifícia Universidade Católica do Paraná
publishDate	2017
url	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-51502017000200267
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Evolution of disability in traffic accident victims in rehabilitation, characterized by the International Classification of Functioning, Disability and Health (ICF)

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