ABSTRACT

Objective : This paper evaluates the clinical application of ICF(International Classification of Functioning,Disability and Health) through correlation among existing functional evaluation tools and examines ICF Inter-rater & absolute reliabilities. Methods : The subjects consisted of 55 sub-stroke patients from the Korea National Rehabilitation Center inSeoul. Two doctors with experience in the ICF code was extracted the 10 items. We linked the ICF codebetween corresponding entry in the FIM-subscale and MBI-total scale to the most appropriate ICFcategories(3 category: transfer, locomotion, self-care). The FIM(Functional Independent Measure),MBI(Modified Barthel Index), and ICF were examined and subjects were interviewed by trained physical &occupational therapist. To assess inter-rater reliability for capacity & performance, the ICF value wasmeasured using the ICC2.1. The absolute reliability was determined using the SEM(Standard Error ofMeasurement), SRD(Small Reference Difference), and the ICF, FIM, MBI were analyzed using a Pearsonproduct correlation. Results : Inter-rater reliability of ICF(Capacity & Performance) were very high(ICC2.1: .92, .98,respectively), also the absolute reliability were high(SEM: 1.03, 1.09, & SRD: 2.85, 3.02, respectively). TheICF capacity was highly negatively correlated between FIM(r=-.97) and MBI(r=-.90), the ICFPerformance was moderately negatively correlated between FIM(r=-.73) and MBI(r=-.69). Conclusion : The ICF tool is a reliable functional assessment tool that correlates inversely with FIM and MBI,showing its criteria-related validity. It can be a useful tool in the clinical setting and research for assessingfunctional status in stroke patients.