Assessment instruments of functioning in Brazilian elderly and the ICF: a systematic review

Abstract

Introduction: Under the new conceptual model described by the International Classification of Functioning Disability and Health (ICF) for a biopsychosocial health analysis, it is necessary to consider that it is not arising only from biological conditions, but also environmental, social, cultural and politics involved in this process. Objective: To review the publications that had the Brazilians elderly functioning as outcome by analyzing the instruments used and to verify its consistency with the ICF model. Methods: A systematic review of the Brazilian literature on elderly was performed in SciELO, PubMed, Scopus, and Lilacs databases. Publications starting in 2001, in English, Portuguese or Spanish, studies with experimental design or intervention, having the Brazilian elderly as the only subject. For evaluating the quality of the papers, the Downs and Black checklist were used. Results: From 3070 items first found in the research, 29 articles remained for this study. Of these, 25 instruments were used to measure the eldery functioning. The frequency of the ICF domains were: health condition (0.28%), body structure and function (1.71%), activity (82.34%), participation (3.42%), environmental factors (12.25%) and personal factors (0%). Conclusion: Despite the ICF be much discussed today, it was possible to detect remaining gaps in the studies about the subject. The

Short Physical Performance Battery as a Measure of Physical Performance and Mortality Predictor in Older Adults: A Comprehensive Literature Review

“…Two reviews [17,18] identified a number of instruments which are more frequently used to assess functional capacity and/or mobility in older adults, including the Timed Up and Go test (TUG), the 6-Minute Walk Test (6MWT), Berg Balance Scale (BBS), Shuttle Test (ST), Ergometric Test (ET), and sit to stand chair test. Of note, some instruments assess physical performance by measuring lower limb function, such as the SPPB, which has been frequently used in Brazilian studies with older adults.…”

Instrumentos da prática clínica com versão em português e a abrangência de seus conteúdos usando a CIF como referência: uma revisão sistemática

“…A quantidade de instrumentos ligados por cada um dos estudos diferiu, sendo que 37 (60,6%) estudos ligaram conteúdo de 2 a 6 instrumentos à CIF, 16 ( Quanto a metodologia de ligação, 1 estudo utilizou apenas o refinamento das regras de ligação 9 , 2 estudos utilizaram as regras propostas por Cieza et al 4 e Cieza et al 10 e seu refinamento 9 , 78,7% (n=48) dos estudos utilizaram as regras propostas por Cieza et al 4 Quanto à forma de expressar os resultados, houve estudos que demonstraram a ligação de cada item dos instrumentos à cada categoria CIF selecionada . Philbois et al 56 e Gomes et al 57 ligaram os itens dos instrumentos aos componentes da CIF. Campos et al 58 também demonstraram a ligação de cada item dos instrumentos às categorias CIF, porém, tais categorias advieram do core set para AVE e não da CIF completa.…”

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Instruments that evaluate the functioning in individuals affected with chikungunya and the International Classification of Functioning. A systematic review

“…Among the selected articles, there was no repetition of instruments for the analysis of functioning, nor a consensus on which tool to use to assess the given outcome. In contrast, Gomes, Buranello and Castro 22 found a physical test used in nine studies, by reviewing the instruments that assess functioning in the elderly. It was observed that the population affected with CHIK has pain and difficulties in moving one or some joints, mainly: ankles, wrists, hands, and knees 3,18,19 , compromising the functioning of individuals to perform their activities and interpersonal relationships.…”