Implementing international classification of functioning disability and health in rehabilitation medicine: Preliminary considerations from a nation-wide Italian experience in routine clinical practice

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.

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

Prosthetics and Orthotics International ◽

10.1177/0309364611418019 ◽

2011 ◽

Vol 35 (3) ◽

pp. 302-309 ◽

Cited By ~ 10

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.

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