common problems and models

what does ICF stand for

international classification of functioning

what is the ICF

a standardised international language and standard for framing, describing, recording and measuring functioning and disability

what does the biomedical model look at

disease, diagnosis, intervention and identity etiology

what does the biopsychosocial model

illness experience, psychological factors, social factors and biological factors

what’s the definition of functioning

a continuum and describe in terms of body structure and body functions/impairments, activities/activity limitations and participation/ participation restrictions

what’s the definition of environmental factors

barriers or facilitators and may indicate what needs to change to support people to achieve their maximum level of functioning and realised their rights to participate in society

what’s the definition of personal factors

those that are specific to the individual and are not part of the health condition

what are commonly seen bodily functions and structural impairments problems post stroke

• unilateral weakness

• altered tone

• reduced sensation

• shoulder pain

• fatigue

• low mood

what are commonly seen activity limitations post stroke

• washing

• toileting

• dressing

• eating

• transfers

• walking

what are commonly seen participation restrictions

• family role and responsibilities

• caring role

• leisure activities

• engaging with usual social network

• employment

• accessing local area

what are important environmental factors post stroke

• hospital ward physical environment

• alarms/bells

• other unwell patients

• lack of sleep

• autonomy

• physically rich rehab environment

• attitude rich rehab environment

what are important personal factors post stroke

• age

• comorbidities

• previous rehabilitation experience

• previous activity level/experience

• expectations

• personality

• perception of problems

• previous experience of physiotherapy

• expectations of recovery

• dominant hand

• social situation/support/accommodation

• normal daily routine

• employment

• leisure activities

• vision/hearing/communication/swallowing/ nutrition/ cognition

what is the common rehab pathway for a stroke patient

1. the acute stroke unit

2. rehabilitation unit

3. home with ESD

4. home with CNRT

what does ESD stand for

early supported discharge team

what does CNRT stand for

community neuro rehabilitation team

what are outcome measures used for stroke

• global functioning

• barthel function

• FIM

• FAM

• MAS

• ARAT

• modified rankin scale

• trunk impairment scale

• x5 sit to stand test

• nottingham sensory assessment

• berg balance scale

what does FIM stand for

functional independence measure

what does FAM stand for

functional assessment measure

what does MAS stand for

motor assessment scale

what does ARAT stand for

action research arm test