Annals of physical and rehabilitation medicine · 2026
Defining rehabilitation goals after burn injury using the International Classification of Functioning, Disability and Health (ICF) framework.
Клиническое исследованиеСтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Neubauer Hubert, Stolle Annette, Ziegenthaler Hans, Klimitz Felix J, Ripper Sabine, Boecker Arne, Hundeshagen Gabriel, Kneser Ulrich, Harhaus-Waehner Leila
Аннотация
BACKGROUND: Burn injuries frequently result in long-term functional limitations, making structured, injury-specific rehabilitation essential. Modern rehabilitation emphasizes patient-centered, goal-oriented care, and the International Classification of Functioning, Disability and Health (ICF) provides a standardized framework for classifying and evaluating such goals. This study aimed to characterize individual-defined rehabilitation goals after burn injury and develop a disease-specific ICF core set.
METHODS: Within a prospective, two-center clinical trial in Germany, adult burn survivors undergoing inpatient rehabilitation were interviewed to identify up to 3 personal rehabilitation goals. The goals were inventoried at admission and reviewed during rehabilitation. All reported goals were systematically linked to second-level ICF categories using established rules. Frequencies were analyzed for the full cohort, first-stated goals, and subgroups defined by burn size (>20% vs ≤20% total body surface area, [TBSA]).
RESULTS: A total of 103 participants (96% male, median age 44 years) reported 286 rehabilitation goals. Most goals mapped to Body Functions (67%), particularly neuromusculoskeletal and movement-related functions (27%), joint mobility (19%), and skin functions (22%). Activities and Participation accounted for one-third of goals (33%), dominated by mobility (23%), especially walking (9%). Goals related to mental functions (1%) or cardiovascular functions (5%) were rarely mentioned. The distribution of first-stated goals was consistent with overall results, and no major differences were observed between participants with major and minor burns. During rehabilitation, two-thirds of participants maintained all their initial goals. A short ICF core set comprising 21 categories covered 94% of all goals, including 2 categories not previously represented: Control of voluntary movement functions (B760) and Driving (D475).
CONCLUSION: Burn survivors prioritize rehabilitation goals focused on restoring mobility, muscle function, and skin integrity. Psychological and contextual aspects are less frequently articulated. These findings validate and extend existing expert-derived ICF core sets, emphasizing the importance of incorporating individual perspectives into rehabilitation planning.
DATA REGISTRATION: German Registry for Clinical Trials (DRKS00017702).
METHODS: Within a prospective, two-center clinical trial in Germany, adult burn survivors undergoing inpatient rehabilitation were interviewed to identify up to 3 personal rehabilitation goals. The goals were inventoried at admission and reviewed during rehabilitation. All reported goals were systematically linked to second-level ICF categories using established rules. Frequencies were analyzed for the full cohort, first-stated goals, and subgroups defined by burn size (>20% vs ≤20% total body surface area, [TBSA]).
RESULTS: A total of 103 participants (96% male, median age 44 years) reported 286 rehabilitation goals. Most goals mapped to Body Functions (67%), particularly neuromusculoskeletal and movement-related functions (27%), joint mobility (19%), and skin functions (22%). Activities and Participation accounted for one-third of goals (33%), dominated by mobility (23%), especially walking (9%). Goals related to mental functions (1%) or cardiovascular functions (5%) were rarely mentioned. The distribution of first-stated goals was consistent with overall results, and no major differences were observed between participants with major and minor burns. During rehabilitation, two-thirds of participants maintained all their initial goals. A short ICF core set comprising 21 categories covered 94% of all goals, including 2 categories not previously represented: Control of voluntary movement functions (B760) and Driving (D475).
CONCLUSION: Burn survivors prioritize rehabilitation goals focused on restoring mobility, muscle function, and skin integrity. Psychological and contextual aspects are less frequently articulated. These findings validate and extend existing expert-derived ICF core sets, emphasizing the importance of incorporating individual perspectives into rehabilitation planning.
DATA REGISTRATION: German Registry for Clinical Trials (DRKS00017702).