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Identification and comparison of rehabilitation goals after multiple injuries: An ICF analysis of the patients', physiotherapists' and other allied professionals' reported goals
Soberg, Helene L.; Finset, Arnstein; Roise, Olav; Bautz-Holter, Erik
European Board of Physical and Rehabilitation Medicine
Journal of Rehabilitation Medicine (JRM), 2008, Volume 40 (Issue 5), Seite 340-346, Uppsala: Eigenverlag, ISSN: 1650-1977 (Print); 1651-2081 (Online)
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To explore and compare severely injured patients' rehabilitation goals with respect to their functioning and the reported goals of rehabilitation professionals.
A prospective cohort study, including longitudinal data on patients' functioning and cross-sectional data from the patients' and professionals' goal descriptions.
Sixty-six patients (53 men, 13 women, mean age 35 (standard deviation 13.8) years) with multiple injuries with a New Injury Severity Score over 15 and 76 physiotherapists and other municipal rehabilitation professionals or services.
Patient questionnaire and interview were applied after return home and a further questionnaire one year post-injury. Short-Form Health Survey was used for self-assessed health. A questionnaire was applied to the professionals. Rehabilitation goals were reported by patients and professionals. International Classification of Functioning, Disability and Health coding of the goals was performed.
Short-Form Health Survey scores were below those of the general population. The patients' goals concerned body functions/structures (8.6 percent), activities (16.2 percent) and participation (31.7 percent). The professionals, mainly physiotherapists, reported few participation goals (10.7 percent). Agreement between the patients' and professionals' goals were poor, with kappa scores less or equal 0.20 for musculoskeletal functions or structures, self-care, mobility, interpersonal interactions or relationships, work and recreation or leisure. A statisticaly significant difference between patients' and professional' goals was demonstrated for musculoskeletal functions/structures (p less than 0.001), interpersonal interactions or relationships (p equal 0.002), work (p equal 0.001) and recreation or leisure (p equal 0.002).
The patients mainly reported activity and participation goals. There was poor agreement between patients and professionals for body functions and participation goals.
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Zeitschriftenbeitrag / Forschungsergebnis / Online-Publikation
Journal of Rehabilitation Medicine (JRM)
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