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Participation After Stroke: Do We Understand All the Components and Relationships As Categorised in the ICF?

Published online by Cambridge University Press:  14 June 2012

Melanie Hoyle ,
Louise Gustafsson ,
Pamela Meredith  and
Tamara Ownsworth
Melanie Hoyle*
Affiliation:
The University of Queensland, Australia
Louise Gustafsson
Affiliation:
The University of Queensland, Australia
Pamela Meredith
Affiliation:
The University of Queensland, Australia
Tamara Ownsworth
Affiliation:
School of Psychology and Griffith Institute for Health, Griffith University, Australia
*
Address for correspondence: Melanie Hoyle, School of Health and Rehabilitation Sciences, Division of Occupational Therapy, The University of Queensland, St Lucia QLD 4072Australia. E-mail: [email protected]
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Abstract

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 personal 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.

Keywords

strokeparticipationICFidentityself-conceptenvironment
Type
Articles
Information
Brain Impairment , Volume 13 , Issue 1: Transition to Community Living after Acquired Brain Injury , July 2012 , pp. 4 - 15
Copyright
Copyright © The Authors 2012

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