title: Use of the International Classification of Functioning, Disability and Health as a framework for analyzing the Stroke Impact Scale-16 relative to falls.
abstract: OBJECTIVE
  To determine if subscores based on grouping Stroke Impact Scale 16 (SIS-16) items according to International Classification of Functioning, Health and Disability (ICF) components are more accurate in identifying individuals with a history of falls than the total SIS-16 score.
  
  
  METHODS
  Case series.
  
  
  METHODS
  43 community-dwelling people with chronic stroke.
  
  
  METHODS
  Participants were grouped based on six month fall history (no fall versus one or more falls). The SIS-16 items were categorized as belonging to the Body Structure and Function (BSF), Activity (ACT) or Participation (PART) component of the ICF. SIS-16 total score and ICF component subscores were analyzed for their association with falls. Receiver Operating Characteristic Curves were (ROC) analyzed.
  
  
  RESULTS
  There were significant differences between groups on SIS-16 total (p = 0.006), BSF (p = 0.041) and ACT (p = 0.003) scores. The BSF and ACT component subscores had the highest specificity (0.91) and sensitivity (0.80), respectively, for categorizing participants according to fall history. The BSF + ACT component subscore demonstrated greater accuracy than the total SIS-16 for identifying people with falls (area under the curve = 0.78).
  
  
  CONCLUSIONS
  The ICF may be a useful model for analysis of fall screening tools for people with chronic stroke. ICF component subscores are more accurate than the SIS-16 total score for this purpose.
authors.affiliation: Department of Physical Therapy, School of Health and Rehabilitation Science, MGH Institute of Health Professions , Boston, MA , USA and.
authors.forename: Marianne
authors.initials: M
authors.lastname: Beninato
authors.forename: Vyoma
authors.initials: V
authors.lastname: Parikh
authors.forename: Laura
authors.initials: L
authors.lastname: Plummer
mesh_terms: D000058:Accidental Falls; D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019540:Area Under Curve; D002908:Chronic Disease; D051341:Dependent Ambulation; D004185:Disability Evaluation; D005260:Female; D006304:Health Status; D006801:Humans; D064702:International Classification of Functioning, Disability and Health; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D011237:Predictive Value of Tests; D012372:ROC Curve; D020127:Recovery of Function; D012307:Risk Factors; D020521:Stroke / Q000145:classification / Q000175:diagnosis* / Q000503:physiopathology; D013997:Time Factors; D016138:Walking