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The International Classification of Functioning, Disability and Health (ICF) in physical and rehabilitation medicine

Department of Physical Medicine and Rehabilitation, Munich University Hospital Ludwig Maximilian University, Munich, Ger .
European journal of physical and rehabilitation medicine (Impact Factor: 1.95). 10/2008; 44(3):299-302.
Source: PubMed
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    • "These core sets can be the starting point for development of clinical or self-report questionnaires for estimating various aspects of functioning in specified studies. ICF core sets have for example been developed in acute medicine [23], in physical and rehabilitation medicine [24] or more specified in patients with chronic conditions [25], fibromyalgia [26], chronic widespread pain [27], or spinal cord injury [28]. "
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    ABSTRACT: The International Classification of Functioning, Disability and Health, (ICF) provides a unified, international standardized framework for describing and classifying health and health-related functioning and disability. Based on an ICF core sets the Functional Barometer, (FB), was developed for assessments of perceived pain-related problems with functions, activity and quality-of-life by patients suffering from long-term pain. The aim was to evaluate the construct validity, and to compare the assessments of a patient's problems from the perspectives of the patient and of the examining professional when using the validated FB and corresponding ICF-classification form, respectively. Patients with long-term pain for more than 3 months that visited one of four pain clinics during specified time periods of data collections were eligible. The self-report Balanced Inventory for Spinal disorders was used for validation of the FB. Correspondingly to the validated FB an ICF-classification form for professional's assessment was developed. The data sets for these inter-scale and the patient-professional comparisons were collected adjacent to the clinical examination. By the statistical method used for evaluation of the pairs of ordinal data presence of systematic disagreement was identified and measured separately from additional individual variations. The validation process resulted in a revised FB(2.0) that meets the requirements of good construct and content validity. The professionals' ICF-classifications of the patients' problems disagreed with the patients' assessments on the FB(2.0); the percentage agreements ranged from18% to 51%. The main reason was that the practitioners systematically underestimated the patients' levels of problems but the different professionals contributed also to a large individual variability (noise) in assessment. This study presents an ICF-based validated self-report questionnaire, The FB, to be used for identifying and describing pain-related problems with current functioning, activities and quality-of-life as perceived by patients suffering from long-term pain. The strong evidences of underestimation of the patients' problems and the variability in the professionals' ICF-classifications demonstrated the importance of describing the patient's problems both from the patient's and the professional's perspective beneficial for the patient's rehabilitation.
    BMC Health Services Research 04/2014; 14(1):187. DOI:10.1186/1472-6963-14-187 · 1.66 Impact Factor
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    • "The ICF and the ICF-CY are part of the WHO's family of international classifications, which has been developed to provide a comprehensive and universally accepted framework to classify the experience of health in individuals as well as populations. Although the ICD-10 is the most widely used classification within this family, there is a growing interest in the use of the ICF and ICF-CY in international health care, with regards to both physical disabilities [Cerniauskaite et al., 2011; Fayed, Cieza, & Bickenbach, 2011; Kostanjsek, 2011; Stucki & Cieza, 2008] and psychiatric disorders [Álvarez, 2012; Stucki & Cieza, 2008]. Field trials have demonstrated the feasibility of the ICF-CY for intervention planning in children affected by different disabilities and its acceptance among health care professionals [Ibragimova, Granlund, & Björck-Åkesson, 2009]. "
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    ABSTRACT: Given the variability seen in Autism Spectrum Disorder (ASD), accurate quantification of functioning is vital to studying outcome and quality of life in affected individuals. The International Classification of Functioning, Disability and Health (ICF) provides a comprehensive, universally accepted framework for the description of health-related functioning. ICF Core Sets are shortlists of ICF categories that are selected to capture those aspects of functioning that are most relevant when describing a person with a specific condition. In this paper, the authors preview the process for developing ICF Core Sets for ASD, a collaboration with the World Health Organization and the ICF Research Branch. The ICF Children and Youth version (ICF-CY) was derived from the ICF and designed to capture the specific situation of the developing child. As ASD affects individuals throughout the life span, and the ICF-CY includes all ICF categories, the ICF-CY will be used in this project ("ICF(-CY)" from now on). The ICF(-CY) categories to be included in the ICF Core Sets for ASD will be determined at an ICF Core Set Consensus Conference, where evidence from four preparatory studies (a systematic review, an expert survey, a patient and caregiver qualitative study, and a clinical cross-sectional study) will be integrated. Comprehensive and Brief ICF Core Sets for ASD will be developed with the goal of providing useful standards for research and clinical practice and generating a common language for functioning and impairment in ASD in different areas of life and across the life span. Autism Res 2013, ●●: ●●-●●. © 2013 International Society for Autism Research, Wiley Periodicals, Inc.
    Autism Research 02/2014; 7(1). DOI:10.1002/aur.1335 · 4.53 Impact Factor
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    • "They appear regularly throughout the year to give readers a systematic expert overview of these topics. A Special section was edited by Stucki and Cieza [65] about the World Health Organization's International Classification of Functioning, Disability and Health (WHO-ICF), which lays a new foundation for our understanding of health, functioning, and disability. However, several challenges will need to be addressed during its implementation. "
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    ABSTRACT: In 2007, the European Society of Physical and Rehabilitation Medicine (ESPRM) established the European Physical and Rehabilitation Medicine Journal Network (EPRMJN) with a view to increase scientific knowledge among physical and rehabilitation medicine (PRM) specialists and to foster collaboration among the national, regional (multinational) and European PRM journals. In this connection, this paper gives the readers of national and regional, and European PRM journals a complete overview of the European Journal of Physical and Rehabilitation Medicine (EJPRM), the official ESPRM journal, and a review of the papers published in 2008. The evolution of the EJPRM in the last five years was analyzed, and the papers published in 2008 were systematically reviewed and classified by content and discussed. The EJPRM is listed in PubMed and Current Contents; at now the unofficial 2008 Impact Factor is 1.14, like the Impact Factor, also the independent SCImago Journal Rate and Cites per Doc (two years) have increased steadily since 2005. The EJPRM published 72 papers in 2008, with a well balanced coverage of different rehabilitation topics. The rejection rate is around 40%; the review and publication times are 1.2 and 10.0 months, respectively. The published papers are presented here by topic, highlighting multi-journal initiatives (such as the EPRMJN and the Euro-American Focus with the American Journal of PRM), monographic Special Sections, systematic Cochrane PRM reviews, original papers and case reports, and other contents including the Internet Bookshelf. This paper represents the start of the EPRMJN collaborative efforts to increase scientific knowledge among PRM specialists in Europe, independently of the language in which papers are published.
    Annals of physical and rehabilitation medicine 07/2009; 52(4):352-9. DOI:10.1016/j.rehab.2009.01.004
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