Table 3.
Mapping of outcome measures against ICF framework
| FSS-ICU | PFIT-s | IMS | CPAx | ACIF# | ccFROM | DEMMI | SOMS | SPPB | MMS | Perme# | |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Body functions | |||||||||||
| B4. Functions of cardiovascular and respiratory systems | |||||||||||
| Respiratory functions, other specified [b4408] | X | ||||||||||
| Additional respiratory functions [b450] | X | ||||||||||
| General physical endurance [b4550] | X | X | |||||||||
| B7. Neuromuscular and movement-related functions | |||||||||||
| Mobility of joint functions [b710] | X | ||||||||||
| Power of isolated muscles and muscle groups [b7300] | X | X | X | X | X | ||||||
| Power of muscle of one limb [b7301] | |||||||||||
| Activities and participation | |||||||||||
| D4. Mobility | |||||||||||
| Lying down [d4100] | X | X | X | X | X | X | X | X | X | ||
| Sitting [d4103] | X | X | X | X | X | X | X | X | X | X | |
| Standing [d4104] | X | X | X | ||||||||
| Maintaining a lying position [d4150] | X | X | |||||||||
| Maintaining a sitting position [d4153] | X | X | X | X | X | X | X | X | |||
| Maintaining a standing position [d4154] | X | X | X | X | X | X | X | X | |||
| Transferring one-self while sitting [d4200] | X | X | X | X | X | X | |||||
| Fine hand use (picking up) [d4400] | X | ||||||||||
| Jumping [d4553] | X | ||||||||||
| Walking short distances [d4500] | X | X | X | X | X | X | X | X | X | ||
| Walking, other specified [d4508] | X1 | X2 | X3 | ||||||||
| Climbing [d4551] | X | ||||||||||
| Moving around using equipment [d465] | X | ||||||||||
In the development of this table the World Health Organization International Classification of Functioning linkages were used from http://apps.who.int/classifications/icfbrowser/, accessed May 2016. The three most relevant domains identified were: B4—Functions of cardiovascular and respiratory system; B7—Neuromuscular and Movement-Related Functions; and D4—Mobility. The final subdomain classification is identified in the first column including coding (e.g., power of isolated muscles and muscle groups is coded b7300 in the ICF browser). Subdomains under D4—Mobility of the ICF framework not considered by these functional measures include: squatting [d4101], kneeling [d4102], bending [d4106], shifting the body’s center of gravity [d4106], maintaining a squatting or kneeling position [d4151 and d4152], transferring one-self while lying [d4201], lifting and carrying objects [d430], moving objects with lower extremities [d435], hand and arm use [d445], and walking long distances, on different surfaces and around obstacles [d4501, d4502, and d4503, respectively]
#The tools ACIF and Perme assess additional subdomains not outlined in the table. For ACIF, these specific subdomains are: acquiring basic skills [d1550], communicating with receiving—spoken messages [d310], and communicating when receiving—body gestures [d3150]. For Perme, these specific subdomains are: communicating with receiving—spoken messages [d310], generalized pain [D2800], and consciousness functions [b110]. Additionally, Perme had subdomains which could not be mapped to the ICF framework, including: need for mechanical ventilation or non-invasive ventilation; lines and attachments, and presence of drips
1In the IMS this referred to the item ‘marching on the spot (at the bedside)’
2In the CPAX this referred to the item ‘stepping’
3In the ccFROM this referred to the item ‘marching on the spot’
ACIF Acute Care Index of Function, CPAx Chelsea Critical Care Physical Assessment Tool, CcFROM Critical Care Functional Rehabilitation Outcome Measure, DEMMI De Morton Mobility Index, FSS-ICU Functional Status Score for the ICU, ICF International Classification of Functioning, ICU intensive care unit, IMS ICU mobility scale, MMS, Perme Perme ICU Mobility Score, PFIT-s Physical Function in intensive care test scored, RPE rating of perceived exertion, SOMS Surgical Optimal Mobility Scale, SPPB Short Physical Performance Battery, MMS Manchester Mobility Score