Validation and application of the International Classification of Functioning core set for spinal cord injury in the Turkish patients

Özet

Objectives: The aim of this study was to apply the Comprehensive International Classification of Functioning, Disability and Health (ICF)-Core Set for spinal cord injury (SCI) -early post-acute-situation in the Turkish SCI patients and to investigate its construct validity.Patients and methods: One-hundred and twenty patients with SCI were included in this prospective and descriptive study. ICF data wereprimarily collected by conducting interviews with patients as well as from their acute medical management records, physical examinationfindings and laboratory measurements. The percentage of participants and the frequency of the problems encountered at each level ofICF category were reported. Furthermore, the construct validity was evaluated by calculating the Spearman correlation between the ICFcategories and other generic and disease specific measures.Results: The study illustrated that 55 of the 63 ICF categories of the Component Body Functions (CBF) and each and every category forthe Component Body Structures (CBS) as well as the Component Activities and Participation (CAP) were reported as a problem among theTurkish patients with SCI. Furthermore, 24 ICF categories for the Component Environmental Factors (CEF) were determined as a facilitatorwhile 6 ICF categories were identified as a barrier. The ICF–Core Set for SCI illustrated a high construct validity with some of the genericand disease-specific measures.Conclusion: Our results identified the common problems, complications and special needs in a Turkish population with SCI. We suggestthat the application of ICF-Core Set in our patients provided us with a unique capability to assess their every aspect of disability, health andfunctioning