Can the International Classification of Functioning, Disability and Health (ICF) be used in a prosthetics and orthotics outpatient clinic?

2011 ◽  
Vol 35 (3) ◽  
pp. 302-309 ◽  
Author(s):  
Helena Burger
Keyword(s):  
Clinical Practice ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Prospective Clinical Study ◽  
Disability And Health ◽  
Medical Problems ◽  
Additional Information ◽  
Human Functioning ◽  
The Impact

Background: The International Classification of Functioning, Disability and Health (ICF) covers all aspects and levels of human functioning. Objectives: The aim of the study was to find out whether the ICF can be used in everyday prosthetics and orthotics (P&O) clinical practice for description of human functioning, and whether it can demonstrate the influence of a prosthesis or an orthosis on a person's functioning. Study Design: Prospective clinical study. Methods: A short list of ICF codes was compiled from Annex 9 and used for one month for all patients seen at the author's P&O outpatient clinics. Results: One hundred patients (59 men, average age 58 years) with different medical problems were included in the study. From 6 to 27 (14 on average) ICF categories from all four components of ICF were used in these patients. The most frequently used category for body functions was mobility of joint functions, for body structures it was structure of the skin and for activities and participation it was walking. Public and private buildings were the only barriers identified. Conclusions: It can be concluded that the ICF can be used in everyday P&O clinical practice. An ICF list of categories provides quick additional information. To be able to demonstrate the influence of P&O devices on person's functioning, at least for activities and participation, one has to use qualifiers. Clinical relevance For clinicians it is important to know that it is possible to use the ICF in clinical practice and that it can demonstrate the impact of P&O devices on a person's functioning.

scholarly journals Creating an Interface Between the International Classification of Functioning, Disability and Health and Physical Therapist Practice

2010 ◽  
Vol 90 (7) ◽  
pp. 1053-1063 ◽  
Author(s):  
Reuben Escorpizo ◽  
Gerold Stucki ◽  
Alarcos Cieza ◽  
Kandace Davis ◽  
Teri Stumbo ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Physical Therapists ◽  
Physical Therapist ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Clinical Documentation ◽  
Disability And Health ◽  
Comprehensive Classification ◽  
American Physical

The American Physical Therapy Association (APTA) has endorsed the International Classification of Functioning, Disability and Health (ICF) as a framework to be integrated into physical therapist practice. The ICF is a universal and inclusive platform for the understanding of health and disability and a comprehensive classification system for describing functioning. The APTA's Guide to Physical Therapist Practice was designed to guide patient management, given the different settings and health conditions that physical therapists encounter in their daily clinical practice. However, physical therapists may be unclear as to how to concretely apply the ICF in their clinical practice and to translate the application in a way that is meaningful to them and to their patients. This perspective article proposes ways to integrate the ICF and the Guide to Physical Therapist Practice to facilitate clinical documentation by physical therapists.

scholarly journals Linking the patient experience of foot involvement related to psoriatic arthritis to the International Classification of Functioning, Disability and Health

2020 ◽  
Vol 4 (2) ◽  
Author(s):  
Kate Carter ◽  
Caterina Tannous ◽  
Steven Walmsley ◽  
Keith Rome ◽  
Deborah E Turner
Keyword(s):  
Patient Experience ◽  
Health Professionals ◽  
Group Analysis ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Body Structure ◽  
Disability And Health ◽  
Foot Problems ◽  
The Impact

Abstract Objective The aim was to categorize the patient experience of PsA-related foot involvement by linking it to the International Classification of Functioning, Disability and Health (ICF) framework. Methods Concepts, obtained from a previous qualitative investigation of people with PsA and health professionals into their perspective of PsA-related foot involvement, were linked to the full version of the ICF classification. Concepts were linked to the most appropriate ICF category using established linking rules, which enable a systematic and standardized linking process. All concepts were linked independently to the ICF by two investigators, followed by a third investigator for adjudication. The professional backgrounds of the investigators included occupational therapy and podiatry. Results More than 100 distinct ICF categories were linked to the interview concepts. The most represented ICF category was body functions (35%), followed by environmental factors (31%), activities and participation (19%) and body structure (15%). Concepts that could not be linked to the ICF were related to coping, aspects of time and knowledge. Health professionals identified a greater proportion of body functions and fewer activity and participation categories compared with patients, indicating a possible mismatch of key concerns. Interdisciplinary group analysis demonstrated merit. Conclusion A list of ICF categories was generated, defining aspects of functioning important and relevant to the impact of PsA-related foot involvement. Despite the localized anatomical focus of this study, the effect of foot problems in PsA was linked to all components of the ICF, confirming the profound impact on functioning and daily life.

The OMERACT-ICF Reference Group: Integrating the ICF into the OMERACT Process: Opportunities and Challenges

2009 ◽  
Vol 36 (9) ◽  
pp. 2057-2060 ◽  
Author(s):  
ANNELIES BOONEN ◽  
GEROLD STUCKI ◽  
WALTER MAKSYMOWYCH ◽  
ANNE CHRISTINE RAT ◽  
RUBEN ESCORPIZO ◽  
...  
Keyword(s):  
Reference Group ◽  
Position Paper ◽  
International Classification ◽  
Potential Usefulness ◽  
International Classification Of Functioning ◽  
Universal Model ◽  
Disability And Health ◽  
Human Functioning ◽  
Working Groups

At OMERACT 8 in May 2006 in Malta, the International Classification of Functioning, Disability and Health (ICF) was introduced as a universal model and a universal classification to describe human functioning. The potential usefulness of the ICF for the OMERACT process was highlighted and reported in a position paper following the OMERACT 8 meeting. Since then representatives of several OMERACT working groups with an interest in the ICF joined an OMERACT-ICF reference group. Most members had experience with the ICF and worked further to integrate the ICF into OMERACT. We describe the main roles of the ICF in the OMERACT process and the challenges when practice confronts theory.

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