scholarly journals COMPLEX TREATMENT EFFICIENCY, ANALYZED IN CHILDREN WITH CONGENITAL CLEFT LIP AND PALATE, USING INTERNATIONAL CLASSIFICATION OF FUNCTIONING

2018 ◽  
Vol 35 (3) ◽  
pp. 74-78
Author(s):  
L I Aleksandrova
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Functional Disorders ◽  
Group I ◽  
Wide Range ◽  
Bilateral Cleft Lip ◽  
Congenital Cleft

Aim. To determine the structure of functional disorders and their dynamic changes in children with congenital cleft lip and palate from the position of International Classification of Functioning. Materials and methods. The indices, included into International Classification of Functioning, were assessed in 77 children (age range 1 to 6 years) with congenital cleft lip and palate, who received a complex five-stage therapy. Results. Direct correlation between the type of cleft and the value of disorders in classification constituents “function” and “structure” was revealed. Thus, in patients with bilateral cleft lip and palate, disorders of functions reached 82 %, in children with one-sided cleft lip and palate - 45 %. In children of group I, more marked structural disorders were observed, forming from 24 to 96 %, in children of groups 2 and 3 - from 5 to 49 %. In children with bilateral cleft lip and palate, there were observed more marked abnormalities in the category “activity and participation” (25-95 %) compared to children of groups 2 and 3 (0-24 %). Conclusions. Application of International Classification of Functioning for children with congenital cleft lip and palate shows a wide range of the assessed functional disorders and the possibility of using it for dynamic analysis of efficiency and treatment.

International Experience in Using Rehabilitation Technologies to Restore Health of the Working Population after Occupational and Domestic Injuries: a Review

2020 ◽  
pp. 73-78
Author(s):  
EV Bakhtereva ◽  
EV Ryabko ◽  
TA Ryabkova ◽  
EE Ovchinnikova ◽  
EL Leyderman
Keyword(s):  
Health Indicators ◽  
Economic Problem ◽  
International Classification ◽  
International Standards ◽  
International Classification Of Functioning ◽  
Formation Mechanisms ◽  
Permanent Disability ◽  
Wide Range ◽  
Rehabilitation Potential

Background: Off- and on-the job injuries are characterized by a wide range of sites, formation mechanisms, outcomes, and complications and pose a serious socio-economic problem. Early and timely rehabilitation improves occupational prognosis and is necessary at all disease phases. The objectives of this review include the analysis of gender and age-specific on- and off-the job injuries and identification of possible directions of improving the efficiency of restoring health after injuries using international standards. Methods: We searched Web of Science, PubMed, eLIBRARY and ResearchGate citation databases with the following keywords both in Russian and English: on-the-job injuries, off-the-job injuries, rehabilitation technologies, International Classification of Functioning, and rehabilitation potential, and selected 52 articles out of 70 search results. Having analyzed the selected papers, we included 35 of them in this topical review. Results: The main types of injuries in terms of localization and mechanism of traumatic injury have been established and possible post-traumatic complications leading to temporary, stable, and permanent disability are described. The importance of timely, comprehensive and step-by-step rehabilitation treatment of the consequences of injuries are highlighted in view of allocating basic and additional tasks of this process. Foreign experience of using treatment methodology from the standpoint of rehabilitation potential and rehabilitation diagnosis is demonstrated. Possible directions of increasing the efficiency of the population's health recovery have been analyzed using international standards. The main stages, tasks, and possibilities of medical and social rehabilitation using the International Classification of Functioning, Disability and Health (ICF) are considered. Conclusions: Our findings show the necessity of introducing this international classification into domestic medical practice in order to highlight individual needs in the rehabilitation process, assess the results of rehabilitation, professional suitability, quality of life and other health indicators.

scholarly journals What do Kids with Acquired Brain Injury Want? Mapping Neuropsychological Rehabilitation Goals to the International Classification of Functioning, Disability and Health

2019 ◽  
Vol 25 (04) ◽  
pp. 403-412 ◽  
Author(s):  
Robyn Henrietta McCarron ◽  
Suzanna Watson ◽  
Fergus Gracey
Keyword(s):  
Brain Injury ◽  
Young People ◽  
Brain Injuries ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Neuropsychological Rehabilitation ◽  
Wide Range ◽  
Clinical Records

AbstractObjective: To increase understanding of the community neuropsychological rehabilitation goals of young people with acquired brain injuries (ABIs). Method: Three hundred twenty-six neuropsychological rehabilitation goals were extracted from the clinical records of 98 young people with ABIs. The participants were 59% male, 2–19 years old, and 64% had a traumatic brain injury. Goals were coded using the International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY). Descriptive statistical analysis was performed to assess the distribution of goals across the ICF-CY. Chi-squared and Cramer’s V were used to identify demographic and injury-related associations of goal type. Results: The distribution of goals was 52% activities and participation (AP), 28% body functions (BF), 20% environmental factors (EF), and <1% body structures (BS). The number of EF goals increased with age at assessment (V = .14). Non-traumatic causes of ABIs were associated with more EF goals (V = .12). There was no association between sex or time post-injury and the distribution of goals across the ICF-CY. Conclusions: Young people with ABIs have a wide range of community neuropsychological rehabilitation goals that require an individualized, context-sensitive, and interdisciplinary approach. Community neuropsychological rehabilitation services may wish to ensure they are resourced to focus intervention on AP, with increasing consideration for EF as a young person progresses through adolescence. The findings of this research support models of community neuropsychological rehabilitation that enable wellness by combining direct rehabilitative interventions with attention to social context and systemic working across agencies. (JINS, 2019, 25, 403–412)

scholarly journals ISSUE OF DETAILING THE CLASSIFICATIONS OF CONGENITAL CLEFT UPPER LIP AND PALATE

2020 ◽  
Vol 15 (4) ◽  
pp. 162-169 ◽  
Author(s):  
Yulia Rogozhina ◽  
Svetlana Blohina ◽  
Evgeniya Bimbas
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
International Standards ◽  
Individual Treatment ◽  
Upper Lip ◽  
Maxillofacial Region ◽  
Functional Changes ◽  
Anatomical Classification ◽  
Congenital Cleft

Subject. Congenital cleft of the upper lip and palate is one of the most common malformations of the maxillofacial region which percentage is 86-88 %. This defect causes a complex set of anatomical and functional changes in the structures of the face and palate, it negatively affects the development of the child's body, therefore, it requires competent definition and extensive professional knowledge on its systematization and early elimination. The purpose of research — study of the incidence of asymmetric cleft lip and palate on children and complement the clinical and anatomical classification of clefts options asymmetry of the affected tissues. Methodology. There was carried out a retrospective statistical analysis of case histories of 687 patients with congenital cleft of the upper lip and / or palate, who received treatment on the basis of State Autonomic Health Institution of the Sverdlovsk Region Multiprofile Clinical Medical Center «Bonum» for the period 2015—2019 with the determination of the variety of types of lesions. Results. Asymmetry of the affected tissues occurred in 8.59 % of cases of the total number of children (687 patients) who was born with maxillofacial pathology of the upper lip and palate which required clarification of the clinical anatomical classification and the choice of individual treatment tactics. A clinical and anatomical classification that takes into account asymmetric clefts of the upper lip and palate was proposed. Conclusions. The allocation of asymmetric clefts of the upper lip and palate into certain groups of lesions and an assessment of their frequency made it possible to present a classification of this type of defect, which expanded the idea of the variety of anomalies of the maxillofacial region. The classification we proposed takes into account in more detail the clinical features of the congenital cleft of the upper lip and palate and, thus, more fully meets the clinical requirements and international standards, which allowed us to develop new methods of surgical treatment of congenital cleft of the upper lip and palate, as well as to build management tactics for such patients together with other specialists.

scholarly journals Approaches to the technical means of rehabilitation selection using the ICF

2019 ◽  
Vol 1 (4) ◽  
pp. 64-71 ◽  
Author(s):  
R A Bodrova ◽  
E I Aukhadeev ◽  
R R Akhunova ◽  
E R Khusainova
Keyword(s):  
Health Status ◽  
Knee Joint ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Functional Disorders ◽  
Disability And Health ◽  
Functional Brace ◽  
Degree Of Disability ◽  
Orthopedic Shoes

The international classification of functioning, disability and health (ICF)is a classification of health components, allows to objectively determine the health status of patients, make a forecast of impaired functions and helps to assess the effectiveness of rehabilitation activities. The article describes the approach to the choice of technical means of rehabilitation with the help of ICF. UF allows you to objectively determine the health status of patients and to choose technical means of rehabilitation depending on the degree of disability: if an absolute dysfunction (96-100%) - functional beds, anti-bedsore mattress, gel cushion, wheelchair with headrest and armrests, the absorbent means absorbent diaper, chair - chair with sanitary equipment, a rigid splint with fixation of multiple joints, etc.; in severe functional disorders (50-95%) - anti-bedsore mattress, wheelchair with manual drive to move at home, wheelchair with manual drive to move on the street, anti-bedsore pillow, chair-chair with sanitary equipment, adsorbing agents, absorbent diapers, orthopedic shoes with a hard back, hard splint with fixation of several joints, walkers, anti-bedsore pillow, chair - chair with sanitary equipment, absorbent means absorbent diaper, orthopedic shoes with a hard heel, a hard splint with fixation of multiple joints, etc.; at moderate impairments (25-49%) - cane 4-point with a wide base, the axillary crutches with the device anti-skid bandage on the shoulder and the knee joint, the splint on the hand, stopiteration, etc.; in milder disorders (5-24%) - cane single-bearing alternator, the functional brace with shoulder and ankle etc.

Osteopathy and International classification of functionning, disability and health (part 2)

2021 ◽  
pp. 86-97
Author(s):  
A. F. Belyaev
Keyword(s):  
Structure And Function ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Functional Disorders ◽  
Disability And Health ◽  
Rehabilitation Professionals ◽  
And Function

Using clinical examples, the article shows the use of the International Classification of Functioning, Disabilities and Health (ICF) in the practice of an osteopathic doctor. Somatic dysfunctions (structural and functional disorders) research, recorded according to the international classification of functioning in the form of a violation of «structure» and «function», make it possible to solve many issues of clinical and scientific osteopathy. This experience is useful for all rehabilitation professionals.

Secondary Cleft Nasolabial Deformities

2018 ◽  
Vol 55 (6) ◽  
pp. 837-843 ◽  
Author(s):  
Ghassan Abu Sittah ◽  
Odette Abou Ghanem ◽  
Usama Hamdan ◽  
Paul Ramia ◽  
Elias Zgheib
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Multidisciplinary Care ◽  
Kappa Coefficient ◽  
Classification Systems ◽  
Limited Resources ◽  
Bilateral Cleft Lip ◽  
Cleft Lip Repair ◽  
Congenital Cleft ◽  
User Friendly

Introduction: Secondary or residual cleft lip and nasal deformities following primary unilateral or bilateral cleft lip repair are common. Many classification systems have been proposed to describe congenital cleft lip and palate deformities before repair. This article proposes a one-of-a-kind classification system for residual cleft deformities and describes its application to 136 cleft lip revision cases from cleft outreach missions worldwide. Methods: Patients’ demographics and deformities were classified preoperatively, and a database of the classification was created. Postoperatively, the type of surgery performed was added to the database and comparison was done using an independent t test. Results: Kappa coefficient was 0.92 and showed excellent agreement between the type assigned preoperatively to the patient and the type of procedure done. Conclusions: This system proves to provide good descriptions of the deformities, is user friendly, facilitates the planning of the corrective surgical procedure, and enhances the communicative lingo between surgeons and members of cleft multidisciplinary care teams. It is broadly applicable in outreach missions with limited resources and cleft referral centers with considerable load.

Holistic Communication Assessment for Young Children With Cleft Palate Using the International Classification of Functioning, Disability and Health:Children and Youth

2020 ◽  
Vol 51 (4) ◽  
pp. 914-938
Author(s):  
Anna Cronin ◽  
Sharynne McLeod ◽  
Sarah Verdon
Keyword(s):  
Young Children ◽  
Cleft Palate ◽  
Case History ◽  
Significant Others ◽  
International Classification ◽  
Assessment Tools ◽  
International Classification Of Functioning ◽  
Speech Language Pathologists ◽  
Holistic Assessment

Purpose Children with a cleft palate (± cleft lip; CP±L) can have difficulties communicating and participating in daily life, yet speech-language pathologists typically focus on speech production during routine assessments. The International Classification of Functioning, Disability and Health: Children and Youth Version (ICF-CY; World Health Organization, 2007 ) provides a framework for holistic assessment. This tutorial describes holistic assessment of children with CP±L illustrated by data collected from a nonclinical sample of seven 2- to 3-year-old children, 13 parents, and 12 significant others (e.g., educators and grandparents). Method Data were collected during visits to participants' homes and early childhood education and care centers. Assessment tools applicable to domains of the ICF-CY were used to collect and analyze data. Child participants' Body Functions including speech, language, and cognitive development were assessed using screening and standardized assessments. Participants' Body Structures were assessed via oral motor examination, case history questionnaires, and observation. Participants' Activities and Participation as well as Environmental and Personal Factors were examined through case history questionnaires, interviews with significant others, parent report measures, and observations. Results Valuable insights can be gained from undertaking holistic speech-language pathology assessments with children with CP±L. Using multiple tools allowed for triangulation of data and privileging different viewpoints, to better understand the children and their contexts. Several children demonstrated speech error patterns outside of what are considered cleft speech characteristics, which underscores the importance of a broader assessment. Conclusion Speech-language pathologists can consider incorporating evaluation of all components and contextual factors of the ICF-CY when assessing and working with young children with CP±L to inform intervention and management practices.

Sign in / Sign up

Export Citation Format

Share Document