Related Experiment Video
Updated: Oct 26, 2026
Motor Imagery Brain-Computer Interface in Rehabilitation of Upper Limb Motor Dysfunction After Stroke
Published on: September 1, 2023
Identifying activities and participation domains with severe dependence using the ICF-based LIMOS-Br in chronic
Bibiana Caldeira Monteiro1, Beatrice Ottiger2, Gustavo Pietracatelli Janizello1
1Postgraduate Programme in Rehabilitation Sciences, Nove de Julho University (UNINOVE), São Paulo, Brazil.
Purpose:
To identify activities and participation domains with severe dependence based on LIMOS-Br (Lucerne ICF-based Multidisciplinary Observational Scale-Brazilian version) scores and to evaluate the clinical utility of the instrument in individuals with chronic stroke.
Methods:
This cross-sectional study included 100 post-stroke individuals. Functioning was assessed using the LIMOS-Br. Descriptive and severity-based analyses (scores 1-2; >20% frequency threshold) were performed to identify activities and participation domains with severe dependence. Clinical utility was assessed using the Clinical Utility Scale.
Results:
Severity-based analysis revealed a discrepancy between prevalence and severity. While limitations in climbing stairs (90%) and changing body position (79%) were highly prevalent, others were characterized by both high prevalence and substantial severity, including walking long distances (82% prevalence; 33% severe dependence) and moving around (85% prevalence; 24% severe dependence). These, together with fine hand use (35%), complex domestic tasks (29%), and writing (28%), were identified as domains with severe dependence, all exceeding the 20% threshold.
Conclusions:
Community mobility, fine hand use, and complex domestic activities showed the greatest frequency of severe dependence in this sample. The LIMOS-Br showed preliminary evidence of clinical utility and provides a standardized ICF-based measure to complement rehabilitation planning in chronic stroke survivors.
