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Participation after stroke: Do we understand all the components and relationships as categorised in the ICF?

journal contribution
posted on 09.08.2018, 00:00 by M Hoyle, L Gustafsson, Pamela Meredith, T Ownsworth
Although advances in stroke care have been shown to improve functional outcomes and survival, evidence suggests that stroke survivors continue to report restricted participation and dissatisfaction with life after returning home. There remains a need to identify ways to improve participation after stroke, considering the person within their context. The International Classification of Functioning, Disability and Health (ICF) provides a valuable framework that can be useful for categorising key components associated with participation. The two parts of the ICF-(a) Functioning and Disability and (b) Contextual Factors-encourage consideration of the functions/body structures, activity and participation, and personal and environmental factors, respectively. Previous research has identified links between body functions, structures and activity, with increasing attention being given to the ways in which these link with participation. Although some of the components influencing participation poststroke are well defined, there is a need to further develop our understanding of how personal and environmental factors may affect participation. In this article, stroke literature is categorised using the ICF and a range of perso nal and environmental factors are investigated as potential contributors to levels of participation poststroke. This article concludes that research investigating contextual factors and their interactions with participation is warranted. © 2012 The Authors.

History

Volume

13

Issue

1

Start Page

4

End Page

15

Number of Pages

12

eISSN

1839-5252

ISSN

1443-9646

Publisher

Cambridge University Press

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

University of Queensland; Griffith University

Era Eligible

Yes

Journal

Brain Impairment

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