scholarly journals Critically Examining the Person–Environment Relationship and Implications of Intersectionality for Participation in Children's Rehabilitation Services

2021 ◽  
Vol 2 ◽  
Author(s):  
Meaghan Reitzel ◽  
Lori Letts ◽  
Briano Di Rezze ◽  
Michelle Phoenix
Keyword(s):  
Children With Disabilities ◽  
International Classification Of Functioning ◽  
Critical Examination ◽  
Rehabilitation Services ◽  
Positive Functional ◽  
Intersectionality Theory ◽  
Outcomes For Children ◽  
The Impact ◽  
Children’S Rehabilitation

Participation of children in rehabilitation services is associated with positive functional and developmental outcomes for children with disabilities. Participation in therapy is at risk when the personal and environmental contexts of a child create barriers to accessing services. The International Classification of Functioning, Disability and Health (ICF) provides a framework for conceptualizing the personal and environmental factors linked to a child. However, it does not facilitate critical examination of the person–environment relationship and its impact on participation in children's rehabilitation. This perspective study proposes the use of intersectionality theory as a critical framework in complement with the ICF to examine the impact of systemic inequities on the participation in therapy for children with disabilities. Clinicians are called to be critical allies working alongside children and families to advocate for inclusive participation in children's rehabilitation by identifying and transforming systemic inequities in service delivery.

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.

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.

Using the International Classification of Functioning to Conceptualize Quality of Life Among Rehabilitation Services Recipients

2014 ◽  
Vol 28 (1) ◽  
pp. 2-23 ◽  
Author(s):  
Allison R. Fleming ◽  
Michael J. Leahy
Keyword(s):  
Quality Of Life ◽  
Social Impact ◽  
Health Condition ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Her Family ◽  
Relational Support ◽  
The Impact

Researchers and policy makers have proposed that quality of life (QOL) is an important and useful way to measure the impact of services, although practical application of QOL in rehabilitation has been limited. In this study, a comprehensive framework (the International Classification of Functioning [ICF]) is used to compare the relationship between QOL and function in key life areas in a sample of adults with disabilities receiving vocational services (n = 224). Results of a multiple regression analysis indicated that level of education, duration of disability, difficulty with social relationships and inclusion, the impact of the disability or health condition on the person or his or her family, and relational support and attitudes of family, friends, and acquaintances showed significant relationships with QOL. This study highlights the role of the social impact of disability on QOL and provides support for the use of the ICF for conceptualizing disability and its impact in a way that is inclusive of personal and environmental factors.

scholarly journals Parents’ Assessments of Disability in Their Children Using World Health Organization International Classification of Functioning, Disability and Health, Child and Youth Version Joined Body Functions and Activity Codes Related to Everyday Life

2017 ◽  
Vol 11 ◽  
pp. 117955651771503 ◽  
Author(s):  
Niels Ove Illum ◽  
Kim Oren Gradel
Keyword(s):  
World Health Organization ◽  
Children With Disabilities ◽  
Muscular Atrophy ◽  
International Classification ◽  
World Health ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Data Set ◽  
Health Organization

Aim: To help parents assess disability in their own children using World Health Organization (WHO) International Classification of Functioning, Disability and Health, Child and Youth Version (ICF-CY) code qualifier scoring and to assess the validity and reliability of the data sets obtained. Method: Parents of 162 children with spina bifida, spinal muscular atrophy, muscular disorders, cerebral palsy, visual impairment, hearing impairment, mental disability, or disability following brain tumours performed scoring for 26 body functions qualifiers (b codes) and activities and participation qualifiers (d codes). Scoring was repeated after 6 months. Psychometric and Rasch data analysis was undertaken. Results: The initial and repeated data had Cronbach α of 0.96 and 0.97, respectively. Inter-code correlation was 0.54 (range: 0.23-0.91) and 0.76 (range: 0.20-0.92). The corrected code-total correlations were 0.72 (range: 0.49-0.83) and 0.75 (range: 0.50-0.87). When repeated, the ICF-CY code qualifier scoring showed a correlation R of 0.90. Rasch analysis of the selected ICF-CY code data demonstrated a mean measure of 0.00 and 0.00, respectively. Code qualifier infit mean square (MNSQ) had a mean of 1.01 and 1.00. The mean corresponding outfit MNSQ was 1.05 and 1.01. The ICF-CY code τ thresholds and category measures were continuous when assessed and reassessed by parents. Participating children had a mean of 56 codes scores (range: 26-130) before and a mean of 55.9 scores (range: 25-125) after repeat. Corresponding measures were −1.10 (range: −5.31 to 5.25) and −1.11 (range: −5.42 to 5.36), respectively. Based on measures obtained at the 2 occasions, the correlation coefficient R was 0.84. The child code map showed coherence of ICF-CY codes at each level. There was continuity in covering the range across disabilities. And, first and foremost, the distribution of codes reflexed a true continuity in disability with codes for motor functions activated first, then codes for cognitive functions, and, finally, codes for more complex functions. Conclusions: Parents can assess their own children in a valid and reliable way, and if the WHO ICF-CY second-level code data set is functioning in a clinically sound way, it can be employed as a tool for identifying the severity of disabilities and for monitoring changes in those disabilities over time. The ICF-CY codes selected in this study might be one cornerstone in forming a national or even international generic set of ICF-CY codes for the benefit of children with disabilities, their parents, and caregivers and for the whole community supporting with children with disabilities on a daily and perpetual basis.

scholarly journals Avaliação interdisciplinar em um centro especializado em reabilitação/ Interdisciplinary evaluation in a rehabilitation specialized center

2019 ◽  
Vol 3 (4) ◽  
pp. 610-617
Author(s):  
Sandra Yoshie Uraga Morimoto ◽  
Catharina Machado Portela ◽  
Weldma Karlla Coelho ◽  
Adriana Lobo Jucá
Keyword(s):  
Occupational Therapists ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Rehabilitation Services ◽  
Rehabilitation Center ◽  
Disability And Health ◽  
Admission Process ◽  
Specialized Center ◽  
Interdisciplinary Character

Tendo em vista a importância do caráter interdisciplinar dos serviços de reabilitação de pessoas com deficiência, buscou-se apresentar a avaliação interdisciplinar utilizada em um Centro Especializado em Reabilitação do Recife. A avaliação, baseada na Classificação Internacional de Funcionalidade, Incapacidade e Saúde, faz parte do processo de admissão dos pacientes ao serviço de reabilitação e conta com a participação de Terapeuta Ocupacional, Fisioterapeuta e Fonoaudiólogo, com o objetivo de atender as diferentes demandas dos pacientes com comprometimento neurológico de maneira cooperativa entre as profissões Logo, foi possível perceber sua eficiência na visualização do sujeito integral, permitindo maior precisão no planejamento terapêutico. Abstract: Bearing in mind the importance of the interdisciplinary character of rehabilitation services, this analysis seeks to present an interdisciplinary evaluation used in a specialized rehabilitation center in Recife. The evaluation, based on the International Classification of Functioning, Disability and Health, is part of the patients admission process. Occupational therapists, physiotherapists and speech therapists take part in the process. It aims to meet different demands from neurologically demaged patients in a cooperative manner among the three perspectives. Therefore, it was possible to notice its efficiency in seeing the patient as a whole, bringing greater precision to the therapeutical planning.Key words: Rehabilitation; International Classification of Functioning, Disability and Health; Disability Evaluation.Resumen: Dada la importancia del carácter interdisciplinario de los servicios de rehabilitación de personas con discapacidad, se buscó presentar la evaluación interdisciplinaria de un Centro Especializado en Rehabilitación del Recife. La evaluación, basada en la Clasificación Internacional de Funcionalidad, Incapacidad y Salud, forma parte del proceso de admisión de los pacientes al servicio y cuenta con un Terapeuta Ocupacional, Fisioterapeuta y Fonoaudiólogo, cuyo objetivo es atender las diversas demandas de los pacientes con enfermedad neurológica, de manera cooperativa entre las profesiones. Luego, fue posible percibir su eficiencia en la visualización del sujeto integral, permitiendo mayor precisión en el planeamento terapéutico.Palabras claves: Rehabilitación; Classificación Internacional del Funcionamiento, de la Discapacidad y de la Salud; Evaluación de la Discapacidad.

scholarly journals Classification and Intellectual Disabilities: An Investigation of the Factors That Predict the Performance of Athletes With Intellectual Disability

2018 ◽  
Vol 12 (3) ◽  
pp. 285-301
Author(s):  
Rosanna Gilderthorp ◽  
Jan Burns ◽  
Fergal Jones
Keyword(s):  
Down Syndrome ◽  
Intellectual Disabilities ◽  
Athletic Performance ◽  
Classification Systems ◽  
International Classification Of Functioning ◽  
The Impact ◽  
The Relationship ◽  
Multiple Health ◽  
Sporting Performance

It has been shown that having intellectual disabilities impacts to reduce performance compared to athletes without this impairment. However, it has also been demonstrated that there is a not a direct link between intelligence and athletic performance. To advance elite ID sport more needs to be understood about the relationship between this impairment and sporting performance. This is vital if competition classification systems are to be based on theory and evidence. This study used the International Classification of Functioning, Disability and Health (ICF) as an approach to classification and examined the impact of multiple health problems on athletic performance. A health survey was administered to two groups of athletes with ID: elite and regional level athletes. Athletes with Down Syndrome were also identified. Overall disability scores predicted sporting performance, but not IQ or Down Syndrome. The implications of these findings are discussed with reference to the ICF framework and classification.

scholarly journals TYPES OF READINESS OF SPECIALISTS IN PHYSICAL THERAPY AND OCCUPATIONAL THERAPY FOR THE USE OF HEALTH-PRESERVING TECHNOLOGIES IN THEIR PROFESSIONAL ACTIVITY

2020 ◽  
pp. 98-109
Author(s):  
Anhelina Korobchenko
Keyword(s):  
Physical Therapy ◽  
Occupational Therapy ◽  
Well Being ◽  
The Body ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Professional Activity ◽  
Professional Activities ◽  
The Impact

The article considers the types of readiness of specialists in physical therapy and occupational therapy to use health-preserving technologies in professional activities, which are determined by: scientific knowledge about the nature, patterns, features, principles, purpose, objectives and content of work to restore public health and implement such technologies. The main indicator of the effectiveness of specialist training is the psychological, pedagogical, professional, practical, social, personal and physical readiness of a specialist in physical therapy and occupational therapy to work to restore the health of the socio-component of our society. It is shown that the main property of a specialist in physical therapy and occupational therapy is a generalized ability to think pedagogically, which implies that the teacher has analytical, prognostic, design and reflexive skills. Features of both practical and professional readiness of the specialist are external (subject) skills, which include organizational and communication skills. The main types of readiness (professional, personal, psychological, physical, social, pedagogical and practical) of specialists in physical therapy and occupational therapy to use health technology in professional activities are described; the peculiarities of use in working with patients when compiling rehabilitation programs based on the International Classification are indicated. functioning, limitation of life and health, which aims to define a unified and standardized language and schemes for describing health and health-related conditions, which introduces the definition of the components of health and some related to health, components of well-being (in particular, such as education and work). This classification has moved away from the classification of "disease consequences" and has become a classification of "health components". The components of health determine the components of health, while the "consequences" focus on the impact of disease or other health conditions on the end result. The international classification of functioning, limitation of life and health is not nosologically oriented, but takes into account changes in health without regard to the facts, at the time of the examination. This classification is focused not only on the severity of the consequences of diseases, it for the first time emphasizes the adaptive and compensatory capabilities of the body, the importance of maximum involvement of people with special educational needs in public life, which deal with physical therapists and occupational therapists activities.

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