{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,7]],"date-time":"2025-10-07T05:22:51Z","timestamp":1759814571176,"version":"3.41.2"},"reference-count":29,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T00:00:00Z","timestamp":1649116800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["32003B_196915"],"award-info":[{"award-number":["32003B_196915"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabilit. Sci."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>At hospital stroke units, the time available to assess the patient's limitations in activities and participation is limited, although being essential for discharge planning. Till date, there is no quick-to-perform instrument available that captures the patient's actual performance during daily activities from a motor, cognitive, and communication perspective within the International Classification of Functioning, Disability and Health (ICF) framework. Therefore, the aim was to develop and validate a shortened version of the Lucerne ICF-Based Multidisciplinary Observation Scale (Short-LIMOS) that observes the patient's performance across ICF-domains and is applicable in the context of an acute stroke unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Short-LIMOS was developed by reducing the original 45-item LIMOS to the ten most important items using a multivariable linear regression ANOVA with data of 836 stroke patients collected during inpatient neurorehabilitation. The Short-LIMOS's reliability, validity, and responsiveness were evaluated with data of 416 stroke patients in the acute stroke unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A significant equation [<jats:italic>F<\/jats:italic><jats:sub>(10,825)<\/jats:sub> = 232.083] with <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> of 0.738 was found for the following ten items for the Short-LIMOS: maintaining a body position (d415), changing basic body position (d410), climbing stairs (d4551), eating (d550), dressing (d540), communicating with\u2014receiving\u2014written messages (reading) (d325), applying knowledge, remembering facts (d179), solving complex problems (d1751), making simple decisions (d177), and undertaking a simple task (d2100). Principal component analysis revealed a Short-LIMOS motor and a Short-LIMOS cognition\/communication component. The Short-LIMOS had a high internal consistency and good test-retest reliability. A moderate construct validity was shown by the significant correlation with the Barthel Index. The Short-LIMOS had neither floor nor ceiling effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusion<\/jats:title><jats:p>The developed Short-LIMOS was found to be reliable and valid within a population of (hyper)acute and subacute stroke patients. The added value of this multidisciplinary assessment is its comprehensiveness by capturing the patient's actual performance on the motor, cognitive, and communication domain embedded in an ICF-framework in &amp;lt;10 mins.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fresc.2022.857955","type":"journal-article","created":{"date-parts":[[2022,4,5]],"date-time":"2022-04-05T22:17:13Z","timestamp":1649197033000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":2,"title":["Development and Validation of the Short-LIMOS for the Acute Stroke Unit\u2014A Short Version of the Lucerne ICF-Based Multidisciplinary Observation Scale"],"prefix":"10.3389","volume":"3","author":[{"given":"Beatrice","family":"Ottiger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Vanbellingen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dario","family":"Cazzoli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Nyffeler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Janne M.","family":"Veerbeek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,4,5]]},"reference":[{"key":"B1","unstructured":"Predicting outcome after stroke: the role of basic activities of daily living predicting outcome after stroke62937\n            GialanellaB\n            SantoroR\n            FerlucciC\n          22641250Eur J Phys Rehabil Med.492013"},{"key":"B2","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1017\/cjn.2018.386","article-title":"Discharge destination from a rehabilitation unit after acute ischemic stroke","volume":"46","author":"Saab","year":"","journal-title":"Can J Neurol Sci"},{"key":"B3","doi-asserted-by":"publisher","first-page":"601725","DOI":"10.3389\/fneur.2020.601725","article-title":"Can I discharge my stroke patient home after inpatient neurorehabilitation?","volume":"11","author":"Ottiger","year":""},{"key":"B4","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0130925","article-title":"Validation of the new lucerne ICF Based Multidisciplinary Observation Scale (LIMOS) for stroke patients","volume":"10","author":"Ottiger","year":"2015","journal-title":"PLoS ONE."},{"key":"B5","doi-asserted-by":"publisher","first-page":"2314","DOI":"10.1016\/j.apmr.2019.02.012","article-title":"Comprehensive ADL outcome measurement after stroke: rasch validation of the Lucerne ICF-Based Multidisciplinary Observation Scale (LIMOS)","volume":"100","author":"Van de Winckel","year":"2019","journal-title":"Arch Phys Med Rehabil."},{"key":"B6","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fneur.2016.00152","article-title":"The responsiveness of the lucerne ICF-based multidisciplinary observation scale: a comparison with the functional independence measure and the Barthel Index","volume":"7","author":"Vanbellingen","year":"2016","journal-title":"Front Neurol."},{"key":"B7","first-page":"6","article-title":"The functional independence measure: a new tool for rehabilitation","volume":"1","author":"Keith","year":"1987","journal-title":"Adv Clin Rehabil."},{"key":"B8","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1037\/t02366-000","article-title":"Functional evaluation: the Barthel Index","volume":"14","author":"Mahoney","year":"1965","journal-title":"Md State Med J."},{"key":"B9","doi-asserted-by":"publisher","first-page":"918","DOI":"10.1161\/01.STR.0000119385.56094.32","article-title":"Disability measures in stroke: relationship among the Barthel Index. 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