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Vol. 28. Issue S1.
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
(01 April 2024)
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Vol. 28. Issue S1.
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
(01 April 2024)
305
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COMMON ASSESSMENT TOOLS OF POST-STROKE PATIENTS UNDERGOING REHABILITATION: A SCOPING REVIEW
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Maria Heloiza Araujo Silva1, Beatriz Cristina de Medeiros Lucena1, Maria Isabelle de Araújo Dantas1, Thaissa Hamana de Macêdo Dantas Soares1, Aline Braga Galvão Silveira Fernandes1
1 Federal University of Rio Grande do Norte (UFRN), Faculty of Health Sciences of Trairi, Santa Cruz, Rio Grande do Norte, Brazil
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Vol. 28. Issue S1

1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)

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Background

Stroke is the second leading cause of death and the third leading cause of disability in the world. Its alterations reflect functional impairments that limit the return to participation in Activities of Daily Living (ADLs) and to work. The International Classification of Functioning, Disability and Health (ICF) considers that the interaction of biopsychosocial factors defines health. Addresses that Environmental Factors, Activity and Participation, Body Structure and Body Functions, interact with the Health Condition and Personal Factors of the individual to consider limitations as disabilities. Rehabilitation is allied to the return to function of post-stroke people, so that it is effective, it is important that the assessment instruments address aspects of the ICF to contemplate a broad aspect of functionality, guaranteeing effective results and therapies appropriate to the patient's needs.

Objectives

Identify the tools used in the rehabilitation of post-stroke patients and their relationship with the domains recommended by the ICF.

Methods

This is a scoping review, developed according to the preferred reporting items for systematic reviews and extension of meta-analyses for scoping reviews (PRISMA-ScR): checklist and explanation. The searches were carried out in the databases: PubMed, Lilacs, Scielo and PeDRO, and the descriptors used were: “stroke”, “rehabilitation”, “clinical trial” and “randomized clinical trial”. Three researchers carried out the research between December 2020 and March 2021. Initially, the selection was performed at the title and abstract level. Subsequently, there was a complete reading and extraction of studies that fit the pre-established criteria. Inclusion criteria: Clinical trials and randomized clinical trials in post-stroke rehabilitation, in English, Portuguese and Spanish, published between 2016 and 2020. Exclusion criteria: Study protocols and studies that didn't use assessment tools to measure outcomes.

Results

6,750 articles were found and 355 were included. In total, 88 instruments were found in 1,074 citations. There is a wide variety of assessment instruments used in post-stroke patients. The 10 most cited were: the Modified Barthel index, the Modified Ashworth Scale, the Mini-Mental State Examination, the Fugl-Meyer Scale, the National Institute of Health Stroke Scale, the Berg Balance Scale, the Modified Rankin Scale, Action Research Arm Test, Wolf Motor Function Test and Timed Up and Go. Body Functions and Structure covered 77% of the instruments. Activity and Participation 16% and none evaluated participation directly. Environmental factors represented 0.4% and personal factors 1% of the instruments.

Conclusion

Most instruments found evaluate the Structure and Function of the Body. Although there are instruments that measure Activity and Participation, none of them contemplate participation individually, showing that the external context maybe not considered.

Implications

Knowing the instruments available to assess post-stroke patients and their relationship with the ICF makes it possible to assess the biopsychosocial outcomes that affect health. In addition, having more instruments that address the function and structure of the body shows the need to develop instruments that involve participation, as well as its inclusion in scientific research.

Keywords:
International Classification of Functioning, Disability and Health
Stroke
Neurology
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Conflict of interest: The authors declare no conflict of interest.

Acknowledgment: To the Coordination for the Improvement of Higher Education Personnel - Brazil (CAPES) for funding (code 001).

Ethics committee approval: Not applicable.

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