Multidisciplinary technology of rehabilitation aims definition in patients with stroke on the basis of International Classification of Functioning, Disability and Health

• Main Authors: Aleksei A. Shmonin, Mariia N. Maltseva, Elena V. Melnikova
• Format: Article
• Language: Russian
• Published: ZAO "Consilium Medicum" 2019-02-01
• Series: Consilium Medicum
• Subjects: stroke; acute cerebrovascular event; goal of rehabilitation; aim; multidisciplinary team; SMART
• Online Access: http://consilium.orscience.ru/en/archive/2019/vol-21-2-2019/multidisciplinary-technology-of-rehabilitation-aims-definition-in-patients-with-stroke-on-the-basis-_5378/?element

Aim. To create and test an algorithm for rehabilitation goal setting based on international classification of functioning, disability and health (ICF) for patients with acute cerebral stroke. Materials and methods. The study included 75 patients. Rehabilitation was carried out at the first stage for patients in the acute phase of a stroke involving a multidisciplinary team, which included: neurologist, PRM, speech therapist, occupational therapist, physical therapist, clinical psychologist and nurse. For all patients, a rehabilitation diagnosis was established in the categories of ICF. Results. An algorithm of rehabilitation goal setting is based on the ICF and patient’s rehabilitation potential. Conclusions. The main element in the algorithm for determining the rehabilitation goal for a patient with cerebral stroke in the acute period is the selection of one of the most complex activities formulated by the multidisciplinary rehabilitation team in the categories of ICF activity and participation, and available to the patient by the end of the rehabilitation course. The goal of rehabilitation is established on the basis of a rehabilitation diagnosis at the conclusion of each specialist multidisciplinary team of the patient's recovery potential, and its definition is one of the most important technological components of rehabilitation.