Intervention categories for physiotherapists treating patients with internal medicine conditions on the basis of the International Classification of Functioning Disability and Health
ABSTRACT The International Classification of Functioning, Disability and Health (ICF) is considered to be a useful tool to overcome differences among different health professionals and to facilitate a common understanding of the patient and of what constitutes care. Three lists of ICF intervention categories for internal medicine have been developed. The next step of the development process is to address their content validity. The data for this study were derived from 300 clinical records. The study was conducted as a retrospective cross-sectional multicentre study in Switzerland. It was performed using convenience samples of records of patients with internal medicine conditions. The validation process enabled the identification of 36 ICF intervention categories in the acute, 41 in the rehabilitation and 38 in the long-term contexts. The developed lists might help define the core competencies of the profession of physiotherapy. These intervention categories are available for intervention documentation in a standardized common language, the ICF, and they offer the possibility of responding to the health-political demand for transparency regarding services offered by health care providers.
- Kinésithérapie la Revue 02/2009; 9(s 85–86). DOI:10.1016/S1779-0123(09)70711-9
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ABSTRACT: 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.Physical Therapy 05/2010; 90(7):1053-63. DOI:10.2522/ptj.20090326
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ABSTRACT: Our purpose in this study was to evaluate performance and capacity as defined by Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) from the 'activity limitation' perspective of International Classification of Functioning,Disability, and Health (ICF) and to investigate the relationship between the two classification systems in different subtypes of cerebral palsy (CP). This prospective cross-sectional study was performed on 448 children with CP ranging from 4 to 15 years of age. Activity limitations were studied with the GMFCS for gross motor function and MACS for manual ability. The Spearman's correlation coefficient, contingency coefficient, and Cramer's V coefficient were used to assess the strength and significance of the association betweenGMFCS and MACS. The overall agreement between GMFCS and MACS was found to be 41%. The agreement was 42% in spastic children, 40% in dyskinetic children, 50% in ataxic children, and 28% in mixed type children. The overall j value was j=0.235 (P<0.001). The κ coefficient was 0.252 in spastic children, 0.245 in dyskinetic children, 0.318 in ataxic children, and 0.023 in mixed type children. All the κ coefficients except the value for the mixed type were found to be significant. The usage of two different classification systems, GMFCS and MACS, to describe the capacity and performance in children with CP as defined by the ICF provides an easy and quick classification tool for indicating 'activity limitations' of ICF in children with CP. The next step in research should be to highlight the other domains such as participation restrictions in these children.International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation 05/2010; 33(4):319-24. DOI:10.1097/MRR.0b013e32833abe71