7 Ponniah AL, 2008i Pain-related anxiety among patients with chronic low back pain in Hospital Universiti Kebangsaan Malaysia 3-7K Physiotherapy Bulletin (Journal of the Malaysian Physiotherapy Association) 1$ Chronic low back pain, ICF, Malaysia December Aim of the study - to identify the relationship between level of pain-related anxiety and level of disability among patients with chronic low back pain. English [? 1992Y The Accuracy of Self and Informant Ratings of Physical Functional Capacity in the Elderly 791-798 Journal of Clinical Epidemiology 45 7V Functional assesment, Health status, Elderly, activites of daily living, barthel index[ http://www.elsevier.com/wps/find/journaldescription.cws_home/525472/description#description | ? 2005* Consumer perspective on health initiatives 38
Health Issues% http://www.healthissuescentre.org.au/ ? 20054 What do health care consumers want from their health 14
Health Issues% http://www.healthissuescentre.org.au/ o? 2005 US Electronical medical record 610
The Lancet 365 9471 http://www.thelancet.com/ }? 2005 Patient of Chronic Illness Care 436 Medical Care 43, http://www.lww.com/medical-care-journal.html h ? 2005 EHR in ambulatary care 581 British Medical Journal 7491 http://www.bmj.com/ ? U Akai, Masami
Doi, Tokuhide
Fujino, Keiji
Iwaya, Tsutomu
Kurosawa, Hisashi
Nasu, Teruo 2005? An Outcome Measure for Japanese People with Knee Osteoarthritis 1524-1532 The Journal of Rheumatology 32 8 http://www.jrheum.org/ ? 5 Andre Marie,
Hagelberg, Stefan
Stenstrom, Christina H 2004b The Juvenile Arthritis Foot Disability Index: Development and Evaluation of Measurement Properties 2488-93 The Journal of Rheumatology 31 12 http://www.jrheum.org/ &?
. Arthanat Sajay,
Nochajski, Susan M
Stone, John 2004q The international classification of functioning, disability and health and its application to cognitive disorders 235-245 Disability and Rehabilitation 26 49 http://www.informaworld.com/smpp/title~content=t713723807 ?? Badley E M, 1987` Impairment, disabiity, and the ICIDH model I: The relationship between impairment and disability 113-117
Int Rehab Med 8K Disability, functional assesement, functional limitation, ICIDH, impairmentM http://www.informaworld.com/smpp/content~content=a908341492~db=all~order=page ? Badley E M, 1993 An introduction to the concepts and classifications of the international classification of impairments, disabilities, and handicaps 161-178 Disability and Rehabilitation 15 4 ICIDH9 http://www.informaworld.com/smpp/title~content=t713723807 7
Badley E M, 1995 Impact of Disabling Arthritis. 221-228 Arthritis Care Research 8 4G ICIDH, impairment, disability, handicap, theoratrical framework, models8 http://www3.interscience.wiley.com/journal/77005015/home English ? * Barker Donna J,
Reid Denise,
Cott Cherly, 2006d The experience of senior stroke survivors: Factors in community participation among wheelchair users 18-25, The Canadian Journal of Occupational Therapy 73 1* http://www.caot.ca/default.asp?pageid=1475 )? Batavia AI, 1992G Assessing the function of functional assessment: a consumer perspective 156-160 Disability and Rehabilitation 14 37 Functional assessment, quality assurance, social policy Clinical commentary9 http://www.informaworld.com/smpp/title~content=t713723807` ? H Battaglia Mariamalia,
Russo Emanuela,
Bolla Alessandra,
Chiusso Alessio, 2004 International Classification of Functioning, Disability and Health in a cohort of children with cognitive, motor, and complex disabilities 98-106* Developmental Medicine and Child Neurology 468 http://www.wiley.com/bw/journal.asp?ref=0012-1622&site=1 ? Beckung Eva,
Hagberg Gudrun, 2002f Neoroimpairments, activity limitations, and participation restrictions in children with cerebral palsy 309-316* Developmental Medicine and Child Neurology 44 5 In a representative series of 176 children with cerebral palsy (CP), aged 5 to 8 years, associations were studied between additional neuroimpairments, activity limitations, and participation restrictions in the domains of mobility, education, and social relations as proposed in the International Classification of Functioning Disability and Health (ICF). Learning disability occurred in 40%, epilepsy in 35%, visual impairment in 20%, and infantile hydrocephalus in 9% of the children. Additional neuroimpairments were most frequently seen in children with tetraplegia and dystonic CP and in those with antecedents of brain malformations or severe perinatal compromise. Activity limitations were studied with the Gross Motor Function Classification System (GMFCS) and a system for grading bimanual fine motor function (BFMF) was developed. There was a strong correlation of 0.74 between the GMFCS and BFMF (p<0.001). Learning disability, activity limitations, and participation restrictions were all clinically strongly associated with each other (p<0.001). Restriction in mobility was best predicted by the GMFCS, learning disability, and the BFMF; in education by learning disability and the GFMCS; and in social relations by learning disability, the GMFCS, and BFMF. Motor function and learning disability were important predictors for participation restrictions in children with CP. The ICF has the capacity to be a model to help plan interventions for specific functional goals and to ascertain the child's participation in society.= http://www3.interscience.wiley.com/journal/118939821/abstract C? Bialocerkowski A, 2004 Application of the International Classification of Functioning Disability and Health to outcome measurement in the clinical setting. 29-33 Australisian Epidemiologist 11.2= Clinical practise, clinical assesment, definitions, outcomes,& http://www.aea.asn.au/journal_aims.htm [? 0 Bickenbach JE, Chatterji S, Badley EM, Ustun TB, 1999t Models of disablement, universalism and the international classification of impairments, disabilities and handicaps. 1173-1187 Social Science and Medicine 48( ICIDH, disability, universalism, ICIDH-2 A review and critique of models of disability is presented, tracing the development of frameworks and classificatory instruments over the past 20 years. While the 'social' model is now universally accepted, it is argued that universalism as a model for theory development, research, and advocacy serves disabled person's mmore effectively than the civil rights or 'minority group' approach. The development of the revised Internation Classification (ICIDH-2) is discussed in this light.X http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description >7 Boake C, 1996. Functional Outcome from Traumatic Brain Injury 105-113 CME Article 5c Brain Injury, Head Injury, Functional Assesment, Outcome Assesment, Quality of Life, Rehabilitationa http://contemporaryobgyn.modernmedicine.com/obgyn/How-to-access-CME-articles/static/detail/481965 English 7?
Bornman J, 2004_ The World Health Organisations terminology and classification: application to severe disability 182-188 Disability and Rehabilitation 26 3D Uniformity, classification, environmental factors, health condition,9 http://www.informaworld.com/smpp/title~content=t713723807 7 Brach M, 2004 ICF Core Sets for Breast Cancer 121-127 J Rehabil Medical Suppl 36, Supplement 44 44X Core Sets, breast cancer, function, disability, outcome assessment, quality of life, ICFH http://jrm.medicaljournals.se/article/abstract/10.1080/16501960410016811z 1: Department of Physical Medicine and Rehabilitation Ludwig-Maximilians-University Munich 2: ICF Research Branch, WHO FIC Collaborating Center (DIMDI), IMBK Ludwig-Maximilians-University Munich Germany 3: Department of Rehabilitation Medicine, Jefferson Medical College Thomas Jefferson University Philadelphia USA 4: Braeside Hospital, Senior Staff Specialist Prairiewood NSW Sydney Australia 5: School of Medicine New York University New York USA 6: Department of Physical Medicine and Rehabilitation University Vienna Austria 7: Classification, Assessment, Surveys and Terminology Team World Health Organization Geneva Switzerland English c
ent - Patient records Rehabilitation Indicators (RI) form a multipart system for assessing the macrofunctioning of patients in medical rehabilitation. The RI system was designed to provide a holistic view of the patient as a means of integrating the diverse data sets that are obtained at present. The computerization of the RI system creates an easily accessible database to optimize intrateam communication and the sharing of information with patients and families, as well as to optimize the service provider's response to increasing demands for accountability.* http://www.ncbi.nlm.nih.gov/pubmed/3731288 p/ k Buffart, Laurien M.
Roebroeck, Marij E.
Pesch-Batenburg, Josemiek M. F. B.
Janssen, Wim G. M.
Stam, Henk J. 2006 Assessment of arm/hand functioning in children with a congenital transverse or longitudinal reduction deficiency of the upper limb 85 - 95 Disability & Rehabilitation 28 27 Arm/hand use; bimanual activities; quality of movement Purpose. Selection of appropriate functional tests and questionnaires to assess capacity (tests) and performance (qu 7 Brown M, 1980= Rehabilitation Indicators Their nature and Uses for Assesment 102-227 Environment 114 Structure,environment, purposes,vocational assesment http://jed.sagepub.com/ English 7 Brown M, 1983 Functional Assesment and Outcome 93-120 Annual Review of Rehabilitation3 Functional assessment, conceptual basis, criteria. http://www.rehabinreview.com/ English 7 Brown M, 1984 Rehabilitation Indicators 187-203% Functional Assesment in Rehabiltation Disabilities and handicapsW http://journalseek.net/cgi-bin/journalseek/journalsearch.cgi?field=issn&query=0197-2251 English
J !? Brown M, Gordon WA. 1986U Rehabiltation Indicators: A complement to traditional approaches to Patient assesment 25-35 Central Nervous System Trauma 3 1I Accountability - Computerization - Functional assesmED7 Buntinx WHE, 1997 Linking the AAMR -definition, classification and systems of supports in Mental retardation (1992) with the ICIDH (WHO, 1980, 1993): An outlineF AdHoc committee on terminology and classification Revision of the AAMR Netherlands, http://www.aaidd.org/content_258.cfm?NavID=3 English 7 Cardol M, 2002/ On autonomy and participation in rehabilitation 970-974 Disability and Rehabilitation 24 18: Conceptions, social participation, focus on rehabilitation9 http://www.informaworld.com/smpp/title~content=t713723807 English ? 1 Finger ME, Cieza A, Stoll J, Stucki G, Huber EO. 2006 Identification of intervention categories for physical therapy, based on the international classification of functioning, disability and health: a delphi exercise 1203-20 Phys Ther 86 9 September <?!
Carney T, 20002 Disability and Social Security: Compatible or Not? 1-191 Constructing Law & Disability presentation ( ANU)" Australian Journ 7" 3 Chang A, Schyve PM, Croteau RJ, O'Leary DS, Loeb JM 2005~ The JCAHO patient safety event taxonomy: standardised terminology and classification schema for near misses and adverse events 95-105 Int J Qual Health Care 17! http://intqhc.oxfordjournals.org/ English I7# Chapireau F, 1998a Social Disadvantage in the International Classification of impairments, disabilities and handicap 59-66 Social Science & Medicine 47 1. handicap,disablement,ICIDH,social disadvantageX http://www.elsevier.com/wps/find/journaldescription.cws_home/315/description#description English 17$ % Chatterji S, Ustun TB , Bickenbach JE 1999 What is disability after all? 396-398 Disability and Rehabilitation 21 8 ICIDH, Definition9 http://www.informaworld.com/smpp/title~content=t713723807F Discussion on the definition of disability in relation to the ICIDH-2. English ?& Cieza A, 2004@ Development of ICF Core Sets fo Patients With Chronic Conditions 9-11 J Rehabil Medical Suppl 446 Core Sets, health, rehabilitation, classification, ICF ?' Cieza A, 2004) ICF Core Sets For Chronic Widespread Pain 63-68 J Rehabil Medical Suppl 447 Core Sets, pain, outcome assesment quality of life, ICF ?( Cieza A, 2004 ICF Core Sets for Low Back Pain 69-74 J Rehabil Medical Suppl 44< Core Sets, low back pain, outcome assesment, quality of life ?) Cieza A, 2004 ICF Core Sets for Osteoporosis 81-86 J Rehabil Medical Suppl 44@ Core Sets, osteoporosis, outcome assesment, quality of life, ICF)?* Cieza A, 20041 ICF Core Sets for Chronic Ischaemic Heart Disease 94-99 J Rehabil Medical Suppl 44 Core Sets, myocardial ischaemia, ischaemia heart disease, coronary artery disease, angina pectoris, consensus developemnt conferences, outcome assesment, quality of life, ICF ?+ Cieza A, 2004 ICF Core Sets for Depression 128-134 J Rehabil Medical Suppl 44d Core Sets, depression, mood disorders, depressive disorders, outcome assesment, quality of life, ICF ?, Cieza A, Stucki G, 2005l Understanding functioning, disability, and health in rheumatoid arthritis: the basis for rehabilitation care 183-189 Current Opinion in Rheumatology 17 ?- Corrigan J, 2004R Latent Factors in Measures of Rehabilitation Outcomes After Traumatic Brain Injury 445-458 J Head Trauma Rehabilitation 19 6 outcomes, measurement< http://journals.lww.com/headtraumarehab/pages/issuelist.aspx '? ' Cott, C. A.
Gignac, M. A.
Badley, E. M. 1999S Determinants of self rated health for Canadians with chronic disease and disability 731-736 J Epidemiol Community Health 53 11 November 1, 19993 http://jech.bmj.com/cgi/content/abstract/53/11/731 10.1136/jech.53.11.731 ?/ R Coster, Wendy J
Haley, Stephen M
Ludlow, Larry H
Andres, Patricia L
Ni, Peng Sheng 2004L Development of an Applied Cognition Scale to Measure Rehabilitation Outcomes 2030-50 Archives of Physical Medicine and Rehabilitation 85 ?0 Cott CA, 20043 Client-centered rehabilitation: client perspectives 1411-1422 Disability and Rehabilitation 26 24A client centered rehabilitation, expertise, programs and community? Q Dagfinrud, Hanne
Kjeken, Ingvild
Mowinckel, Petter
Hagen, Kaare B.
Kvien, Tore K. 2005z Impact of functional impairment in ankylosing spondylitis: impairment, activity limitation, and participation restrictions 516-523 The Journal of Rheumatology 32 3
March 2005S OBJECTIVE: To describe difficulties in everyday activities related to impaired function in patients with ankylosing spondylitis (AS), and to examine possible sex differences in the impact of the disease. In addition, to examine the relationships between measures of personal characteristics, impairment, and activity/participation levels within the framework of the International Classification of Functioning (ICF). METHODS: A total of 152 patients with AS took part in a clinical examination including anthropometric measures, blood samples, and self-reported disease related measures. The Canadian Occupational Performance Measure (COPM) interviews were performed to describe and measure activity limitations and participation restrictions perceived by the patient during the last year. The study variables were categorized and analyzed according to the levels of the ICF model using bivariate and multivariate statistical approaches. RESULTS: The mean age of patients was 47 (SD 13) years, 58% were men, and the mean disease duration was 15 (SD 12) years. The problems most frequently reported in COPM interviews were "interrupted sleeping," "turn head when driving," "carry groceries," and "having energy for social activities." Women reported higher level of disease activity and more physical limitations than men. Disease activity and reduced mobility (impairment variables) seemed to result in more activity/participation restrictions in female than in male patients. The impairment variables explained only one-third of the activity and participation restrictions perceived by patients. CONCLUSION: Activity limitations and participation restrictions reported by patients were only partly explained by the impairment variables. Further research should identify social, structural, and attitudinal barriers influencing activity and participation in patients with AS.0 http://www.jrheum.org/content/32/3/516.abstract F?2
Cummins R, 2004M Health Related Quality of Life: A Construct In Need Of Reconstructive Surgery Health Outcomes Conference5 QOL, Homeostatsis, emotional and physical functioning?3 Cwikel J, 1999N Different strokes for different folks: is one standard of disability possible? 379-381 Disability and Rehabilitation 21 8 disability definition Whether one definition is feasible or necessary
How a unified definition of disability is to be used
What is missing from the currently used definitions if they are to be useful in determining program eligibility. ?4 f
Dahl T H , 2002d ICF - An introduction and discussion of its potential impact on rehabilitation services and research 201-204 Taylor & Francis Health Sciences 34I ICF, Rehabilitation research, rehabilitation concepts, disability studiesN International Classification of Functioning, Disability and Health: An Introduction and Discussion of its Potential Impact on Rehabilitation Services and Research ?5 Devlieger 1999S From handicap to disability: language use and cultural meaning in the United States 346-354 Disability and Rehabilitation 21 7' Discourse shifts, concept of disability ?6 Diderichsen J, 1990B The handicap code of the ICIDH, adapetd for chidren aged 6-7 years 54-60 Int. Disability Studies 12) Children, Classification, Handicap, ICIDH ?7
Dreinhofer K, 2004 ICF Core Sets for Osteoarthritis 75-80 J Rehabil Medical Suppl 44\ Core Sets, osteoarthritis, musculoskeletal diseases, outcome assesment, quality of life, ICF ?8 Duckworth D, 1995+ Measuring disability: the role of the ICIDH 338-343 Disability and Rehabilitation 17 7 ICIDH, measurement ?9 Eadie Tanya L, 2003g The ICF: A Proposed Framework for Comprehensive Rehabilitation of Individuals Who Use Alaryngeal Speech 189-197/ American Journal of Speech - Language Pathology 12 2 B?:
_ Education and Health Standing Committee - Legislative Assembly, Parliament of Western Australia 2004K Attention Deficit Hyperactivity Disorder in Western Australia, Report No. 8 1-116 Perth' Education and Health Standing Committee. ADHD, Attention Deficit Hyperactivity Disorder October 2004 8 ?;
Edwards S, 1997. Dismantling The Disabiity/Handicap Distinction 589-606! Journal of Medicine and Phiosophy 22; Disability, handicap, Nordenfelt, World Health organisation ?< Eisen S, 1994` Reliability and Validity of a Brief Patient-Report Instrument for Psychiatric Outcome Evaluation 242-247! Hospital and Community Psychiatry 45 33 Behaviour and Sympton Identification Scale, (Basis) ?=
Enderby P, 2000@ Benchmarking in rehabilitation: comparing physiotherapy services 89-92% British Journal of Clinial Governance 5 2F National Health Service, Hospitals, Clinical guidelines, Physiotherapy ?> Eriksson L, 2005\ The relationship between school environment and participation for students with disabilities 130-139 Pediatric Rehabilitation 8 2J participation, school-environment, disability, support, personal assistant( ?? Eriksson L,
Granlund M 2004` Conceptions of particpation in students with disabilities and persons in their close environment 229-2452 Journal of Developmental and Physical Disabilities 16 3O participation, students with disabilities, age differences, log-linear analysis ?@ Ewert T, 2004n Identification of the most common patient problems in patients with Chronic Conditions using the ICF Checklist 22-29 J Rehabil Medical Suppl 44A Core Sets, Outcome assement, quality of life, rehabilitation, ICF ?A % Finlayson M,
Mallinson T,
Barbosa VM, 2005 Activities of daily living (ADL) and instrumental activities of daily living (IADL) items were stable over time in a longitudical study on ageing. 338-49 Journal of Clinical Epidemiology 58P ? Fougeyrollas P, 1998m Social consequences of long term impairments and disabilities: conceptual approach and assessment of handicap 127-1411 International Journal of Rehabilitation Research 21 2r http://journals.lww.com/intjrehabilres/Citation/1998/06000/Social_consequences_of_long_term_impairments_and.2.aspx ? Frattali C, 1993B Perspectives on functional assessment: its use for policy making. 1-9 Disability and Rehabilitation 15 18 Functional assesment, functional recovery, social policy9 http://www.informaworld.com/smpp/title~content=t713723807 ?D E Fransen, J
Uebelhart, D
Stucki, G
Langenegger, T
Seitz, M
Michel, B A 2002c The ICIDH-2 as a framework for the assessment of functioning and disability in rheumatoid arthritis 225-231 Annals of Rheumatic Diseases 61 3 ?F Galbally R, 2000" Disablement, Chronicity and Health 1-22S Australian International Health Institute ( University of Melbourne) WHO Disability 6.1" WHO Rehabilitation Unit, Equality, F?G Galbally R, Borthwick C, 2000, Disability, Chronicity and Health Principles& Internet site, www.aihi.unimelb.edu.au www.aihi.unimelb.edu.au??H Geyh S, 2004 Identifying the oncepts contained in outcome measures of clinical trials on stroke using the International Classification of Functioning and Disability and health as a reference. 56-62 J Rehabil Medical Suppl 44D Core Sets, stroke, cerebrovascular accident, outcome assessment, ICF Y ?I
Geyh S, et al 2004 ICF Core Sets for Stroke 135-141 J Rehabil Medical Suppl 44x Core Sets, stroke, cerebrovascular accident, consensus development conferences, outcome assessment, quality of?J + Giannangelo K, Bowman S, Dougherty M, et al 2005J ICF: Representing the patient beyond a medical classification of diagnoses 1-9 2 7 ICF classification, coding, EHR Fall 2005 The International Classification of Functioning, Disability and Health (ICF) is a component essential to ensuring the collection of accurate and complete healthcare data that correctly reflect the care provided to individuals. In fact, many countries outside of the United States have found uses for ICF. While research continues in the United States on the potential value of implementing ICF, deliberations are establishing the need to implement ICF to develop knowledge about the physical, mental, and social functioning of patients. In the course of these deliberations, issues related to current data collection activities, the use of ICF in an electronic health record (EHR) system, training requirements, and terminology maps are beginning to emerge.;F?K Giannini M, 2003 How the Federal Government is Working To Tear Down Barriers for Persons with Disabilities, and how we can use the ICF to ensure maximum impact?9 Remarks from Presentation: 9th Annual NACC Meeting on ICFJ New Freedom Initiative, ICF, government, disability, environmental factors ?L Granger C V, 1995G Reliability of a Brief Outpatient Functional Outcome Assessment Measure 469-475Q Outcomes Research Series - American Journal of Physical Medicine & Rehabilitation 74, Outcome measurement, Quality of Daily Living3?M Granlund M,
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Ylven R 2004 Utility of International Classification of Functioning Disability and Healths Participation Dimension in assigning ICF codes to items from extant rating instruments 130-137 Journal Rehabilitation Medicine 36% ICF, translation, evaluation, utility ?N Gray D, 2005L Evidence-based medicine and patient-centered medicine: the need to harmonize 66-67 Journal Health Serv Res Policy 10 2 ?O Gregory R J, 1997 Definitions as power 487-489 Disability and Rehabilitation 19 119 Models of Disability, medical model, models of disability ?P
Griffin T, The relevance of the WHO International Classification of Functioning and Disability and Health for the definition of classification and intellectual disability 1-17 D?Q
Halbertsma J, 1995> The ICIDH: health problems in a medical and social perspective 128-134 Disability and Rehabilitation 17 3/4 classificati `?R
Halbertsma J, 1996> H.G. Dicksons problems with the ICIDH definition of impairment 533-535 Disability and Rehabilitation 18 10 ICIDH, theoretical fr O(of patients referred to manual physical therapy (MPT) in the Netherlands. Statistical analysis indicated that that the MPT sample was significantly (P<0.01) different from the PT samples with regards to the socio-demographic data in that the patients in the MPT sample were younger, had attended post-secondary education to a greater degree, and were more often gainfully employed. The MPT sample was significantly (P< or = 0.01) different from the PT samples in that health problem data in the MPT sample indicated mainly acute, non-surgical orthopaedic or neurological, spine-related complaints of recent occurrence. Recurrence was significantly (P<0.01) more common and complaints were significantly (P=0.01) more often non-traumatic in t ?T Haley Stephen M,
Coster, Wendy J
Andres, Patricia L
Ludlow, Larry H
Ni, Pensheg
Bodn, Tamara L Y
Sinclair, Samuel J
Jette, Alan M 2004/ Activity Outcome Measurement for Postacute Care I-49-I-61 Medical Care 42 1 suppl ?U Harada N, 1993S Functional Status Outcomes in Rehabilitation - Implications for Prospective Payment 345-357 Medical Care 31 4@ Functional status, outcomes, rehabilitation, prospective payment ?V Harada N, 1993P Development of a Resource-Based Patient Classification Scheme for Rehabilitation 54-63 Inquiry 30F Prospective payment, Functional Related Groups, medical rehabilitation F?W . Harris, Jocelyn E
MacDermid, Joy C
Roth, James 2005~ The International Classification of Functioning as an explanatory model of health after distal radius fracture: A cohort study# Health and Quality of Life Outcomes 3 73 ?X R Heerkens, YF
Engels, Josephine
Kuiper, Chris
Van der Gulden, Joost
Oostendorp, Rob 2004W The use of the ICF to describe work related factors influencing the health of employees 1060-1066 Disability and Rehabilitation 26 17 ?Y = Heerkens YF,
Brandsma JW
Lakerveld-Heyl K
van Ravensberg DC 1994 Impairments and Disabilities-The Difference: Proposal for Adjustment of the International Classificationof Impairments, Disabilities, and Handicaps 430/442 Physical Therapy 74 Number 5/May 1994 ?Z b Helvic A-S,
Jacobsen, Geir
Wennberg, Siri
Arnesen, Haakon
Ringdahl, Anders
Hallberg, Lillemor R-M 2006k Activity limitation and participation restrictions in adults seeking hearing aid fitting and rehabilitation 281-288 Disability and Rehabilitation 28 5 G?/ 4 Henry, James A.
Dennis, Kyle C.
Schechter, Martin A. 2005K General Review of Tinnitus: Prevalence, Mechanisms, Effects, and Management 1204-1235 J Speech Lang Hear Res 48 5 October 1, 2005 Tinnitus is an increasing health concern across a ?\
Hendershot G, 2003 Nothing About us without us 1-15 Survey Research 34 29 Paradigms, survey, rehabilitation Act, government surveys ?]
Herbert R, 1988~ The Functional Autonomy Measurement System (SMAF) Description and validation of an instrument for the measurement of handicaps 293-302 Age and Ageing 17' WHO, classification, functions, profile Y$?2 M Hickson, Louise
Worrall, Linda
Wilson, Jill
Tilse, Cheryl
Setterlund, Deborah 2005L Evaluating communication for resident participation in an aged care facility 245-257% Advances in Speech Language Pathology 7C ICF; communic#?_ Hogan, D. 2005h The Developmental Epidemiology of Mental Retardation and Developmental Disabilities (draft of Chapter 8) 1-226 International Review of Research on Mental RetardationJ Mental retardation, developmental disabilities, developmental epidemiology
27/10/2005 ?` Hollingsworth H, 2003[ Measure of quality of participation in life situations for people with mobility limitationsP Health related stated, classification, environment, quality of life, situations. Abstract # 61255X ?; Imms Christine, 2006d The International Classification of Functioning, Disability and Health: They're talking our language 65-66' Australian Occupational Therapy Journ ?b " Hwang, Jeng-Liang
Nochajski, Susan 2003g The International Classification of Function, Disability and Health (ICF) and Its Application with AIDS 4-12 Journal of Rehabilitation 69 4k ? # Hebert, R.
Carrier, R.
Bilodeau, A. 1988 THE FUNCTIONAL AUTONOMY MEASUREMENT SYSTEM (SMAF): DESCRIPTION AND VALIDATION OF AN INSTRUMENT FOR THE MEASUREMENT OF HANDICAPS 293-302
Age Ageing 17 5 January 1, 1988< The Functional Autonomy Measurement System (SMAF) is an instrument developed for the measurement of the needs of the elderly and the handicapped. Its elaboration was based on the World Health Organization's classification of impairments, disabilities and handicaps. A functional autonomy rating scale, using a four-level measurement scale, quantifies a subject's performance on 29 functions in five sectors of activity: activities of daily living, mobility, communication, mental functions and instrumental activities of daily living. For each function, the evaluator must also estimate available resources to compensate for any identif Ll factors@ http://www.dinf.ne.jp/doc/english/asia/resource/z00ap/z00ap.html Hct # 70049; http://www.apta.org//AM/Template.cfm?Section=Current_Issue1 # |?t Karppi S-L, 2007 re expenditure is likely to be dependent upon the extent to which the data reflects the full range of costs and difficulties experienced by disabled people. ICF – yhteinen kirjaus-käytäntö ja kieli moniammatilliseen työhön. ( ICF - a unified recording practice and language for multiprofessional work) 25-27 Fysioterapia 3/ http://ww+ {?e Joy YM, Wee Richard Schwarz, 2004 An International Comparitive Study Assesing Impairment, activities, and participation in spinal cord injury rehabilitation - A pilot study 42$ Asia & Pacific Journal on Disability 15 2> ICF, SCI (spinal cord injury), measures, environmentaW {xD?f Jurkowski E, 2003y Conceptualising disabiity within curriculum content for pubic health and allied health professionals academic preperation2 ICF Sessions at APHA Annual Meeting, San Francisco/ Community impairment and census, public health, Abstra 1
;Pied disability in order to estimate the handicap. The disability and handicap profile obtained is the basis for the prescription of home care or the allocation of chronic care beds. An inter-observer study concluded that the scale is reliable for evaluators from different professions in the community as ?h Koshel J, 19784 Rehabilitation Terminolgy: Who is severley Disabled? 102-106 Rehabilitation Literature 39 46 Impairments, diagnostic labels, stereotypingR?i Kriegsman,
DMW Deeg
DJH 1999U Implications of alternative definitions of disability beyond health care expenditures 388-391 Disability and Rehabilitation 21 8 definition, Discussion on the effect of different definitions of disability on health care expenditures. Methodological limitations and other issues. b ? ; Kucukdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant , 2004. Issues in cross-cultural validity: example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. ?k
Kuipers P, 2003= Incorporation of environmental factors into outcomes research 125-129: Future Drugs - Expert Rev. Pharmacoeconomics Outcomes Res. 3 2A Disability, environment, ICF, outcome measurement, social ecology g 9p? h Law Mary, Shayna Finkelman, Patricia Hurley, Peter Rosenbaum, Susanne King, Gillian King, Steven Hanna, 2004 Participation of children with physical disabilities: relationships with diagnosis, physical function, and demograp ?m Lehman Cheryl A, 2003Q Idiopathic Intracranial Hypertension Within the ICF Model: A Review of Literature 263-269 Journal of Neuroscience Nursing 35 5 OF?n Leonardi M, Jerome Bickenbach, Alberto Raggi, Marina Sala , Guido Fusaro, Emanuela Russo, Carlo Francescutti, Ugo Nocentini, Andrea Martinuzzi, 2005 Training on the International Classification of Functioning, Disability and Health (ICF): the ICF-DIN Basic and the ICF-DIN Advanced Course developed by the Disability Italian Network Journal Headache pain 6B Disability, Public Health, ICF dissemination. Trainin v?o Livneh H, 1990; Person-environment congruence: A rehabilitation perspective 3-190 International Journal of Rehabilitation Research 10 1& Conceptualised, environmental* {7 Donald J Lollar 2002 4 Public health and disability: emerging opportunities 131–136. Public Health Rep. Mar–Apr; 117 2a The public health community has traditionally paid little attention to the health needs of people with disabilities. Recent activities, however, on the part of federal and international organizations mark a shift toward engaging the health concerns of this large and growing population. First, the World Health Organization published the International Classification of Functioning, Disability, and Health (ICF), a companion to the International Classification of Diseases. The ICF describes both a conceptual framework and a classification system, providing the foundation for public health science and policy. Second, a vision for the future of public health and disability is outlined in Healthy People 2010 that, for the first time, includes people with disabilities as a targeted population. The article briefly describes activities and emerging opportunities for a public health focus on people with disabilities with the ICF as a foundation and Healthy People 2010 as a vision. Public health has traditionally responded to emerging nee ?q Lukasson 1992* Dimension IV: Environmental Considerations 93-99 AAMR Manual 9 Chapter 8J Mental Retardation : Definition, Classification , and Symptoms of Supports ? MacDonald-Wilson KL, Nemec PB, 2005k The International Classification of Functioning, Disability and Health (ICF): in psychatric rehabilitation. 159-176 Rehab"?s F Maeda S,
Kita, F
Miyawaki, T
Takeuchi, K
Ishida, R
Egusa, M
Shimada, M 2005 Assessment of patients with intellectual disability using the International Classification of Functioning, Disability and Health to evaluate dental treatment tolerability 253-259 2005 48 4 ?t * Majnemer Annette,
Limperopoulos, Catherine 2002? Importance of outcome determination in pediatric rehabilitation 773-777* Developmental Medicine and Child Neurology 44 11 ?u ! Manns Patricia J,
Darrah, Johanna 2006W Linking research and clinical practice in physical therapy: strategies for intervention 88-94
Physiotherapy 92?v $ Marinus Johan,
van Hilten, Jacobus J 2006 Clinical expression profiles of Complex Regional Pain Syndrome Fibromyalgia and a-specific Repetitive Strain Injury: More common denominators than pain? 351-362 Disability and Rehabilitation 28 6 ?w Marks D, 1997 Who needs models? 492-495 Disability and Rehabilitation 19 11 ICIDHc Discussion paper referring to other authors in the special issue 1997 Disability and Rehabilitation F?x W Mayo Nancy E,
Nadeau, Lyne
Levesque, Linda
Miller, Sydney
Poissant, Lise
Tamblyn, Robyn 2005 Does the Addition of Functional Status Indicators to Case-Mix Adjustment Indices Improve Prediction of Hospitalization, Institutionalization, and Death in the Elderly? 43 12]?y : Mayo nancy E,
Poissant, Lise
Ahmed, Sara
Finch, Lois
al et 2004 Incorporating the International Classification of Functioning, Disability, and Health (ICF) into an Electronic Health Record to Create Indicators of Function: Proof of Concept Using the SF-12 514-227 Journal of the American Medical Informatics Association 11 6 ?z V McArdle Rachel,
Chisolm, Theresa H
Abrams, Harvey B
Wilson, Richard H
Doyle, Patrick J 2005J The WHO-DAS II: Measuring Outcomes of Hearing Aid Interventions for Adults 127-143 Trends in Amplification 9 3 ?{ McDonough P, 19959 Disability, resources, role demands and mobility handicap 159-168 Disability and Rehabilitation 17 3/4 ICIDH, social enviY+ L=| McDougall J, Miller L.T, 2003 Measuring chronic health condition and disability as distinct conceptsin national surveys of school-aged children in Canada: a comprehensive review with recommendations based on the ICD-10 and ICF 922-939 Disability and Rehabilitation 25 16. Surveys, Chronic Health conditions, disability Research Purpose: With the aim of improving the measurement of child health and disability in survey research, this paper reviews the coverage of chronic health conditions and the domains of disability ?~ U Meester-Delver, Anke
Beelen, Anita
hennekam. Raoul
Hadders-Algra, Mijna
Nollet, Frans 2006p Predicting additional care in young children with neourodevelopmental disability: a systematic literature review 143-150* Developmental Medicine and Child Neurology 48 2 nnecting impairment, disability, and handicap in immune mediated polyneuropathies 99-104 J Neurol Neurosurg Psychiatry 74 1 January 1, 2003 Background: In the World Health Organisation (WHO) Internatio ? H Mihaylov Svetozar I,
Jarvis, Stephen N
Colver, Allan F
Beresford, Bryony 2004t Identification and description of environmental factors that influence participation of children with cerebral palsy 299-304* Developmental Medicine and Child Neurology 46 5F' ? Murphy Nancy, Paul C. Young, 20057 Sexuality in children and adolescents with disabilities 640-644( Developmental Medicine & Child Neurology 47 9 This review presents a discussion of the sexual development of children and adolescents with disabilities, described in the E perform a range of activities and thereby indicate participation. The LAQ-CP also provides additional contextual information on the impact of any disability on the participation of the family unit.Conclusion There remains much scope for developin ww.informaworld.com/smpp/title~content=t713723807x Examination of ICIDH concepts with examples from opthalmology. Different definitions of Blindness, Oz, UK, US and Canada ) r framework of body structure and function ? Nieuwenhuijsen E, 1995= The ICIDH in the USA: applications and relevance to ADA goals 154-158 Disability and Rehabilitation 17 3/4& ICIDH, Americans with Disabilities Act ?
Nordenfelt L, 19973 The importance of a Disability/Handicap Distinction 607-622& The Journal of Medicine and Philosophy 22O Classification, disability, handicap, Steven Edwards, World Health Organisation F? . Okochi Jiro,
Sakiko, Utsonomiya
Takahashi, Tai 2005m Health measurement using the ICF: Test-retest reliability study of ICF codes and qualifiers in geriatric care# Health and Quality of Life Outcomes 3 46 ? L Paltamaa Jaana,
West, Heidi
Sarasoja, Taneli
JWilkstrom, Juhani
Malkia, Esko 2005K Reliability of physical functioning measures in ambulatory subjects with MS 93-109$ Physiotherapy Research International 10 2 ? / Pathak Dev S,
Chisolm, Deena J
Weis, Kathleen A 2005 Functional Assessment in Migraine (FAIM) Questionnaire: Development of an Instrument Based Upon the WHO's International Classification of Functioning, Disability, and Health 591-600 Value in Health 8 5 ? Pfeiffer D, 1998' The ICIDH and the need for its revision 503-523 Disability and Society 13 4 ICIDH, WHO, eugenics, disability a? Pfeiffer, D, 1998' The ICIDH and the Need for its Revision 503-523 Disability & Society 13 Number 4 Research The International Classification of Impairments, Disabilities, and Handic ? Prigatano G, 1990I Impaired awareness of behaviural limitations after traumatic brain injury 1058-1063 Arch Phys Med Rehabilitation 71G Awareness, Brain Injuries, Cognition disorders, denial, rehabiliatation ? Pryo J,
Forbes R,
Hall-Pullin L, 2003 Is there evidence of the International Classification of Functioning, Disability and Health in undergraduate nursing students' patient assessments? 131-141) International Journal of Nursing Practice 10 ? _ Rentsch, H P,
Bucher P,Dommen Nyffeler
Wolf C,
Heifti H.
Fluri, E
Wenger, U
Walti C,
Boyer. I, 2003 The implementation of the 'International Classification of Functioning, Disability and Health' (ICF) in daily practice of neurorehabilitation: an interdisciplinary project at the Kantonsspital of Lucerne, Switzerland 411-421 Disability and Rehabilitation 25 8 ? Riddle D, 1998f Classification and Low Back Pain: A review of the literature and critical analysis of selected systems 708-736 Physical Therapy 78 7( Classification, diagnosis, low back pain linary conceptual framework of rehabilitation in the context of HIV, using the perceptions of PLHAs and rehabilitation professionals. Rehabilitation, broadly defined, is a dynamic process that includes all prevention and/or t }? X Rusch, Melanie
Nixon, Stephanie
Schilder, Arn
Braitstein, Paula
Chan, Keith
Hogg, Robert 2004 Impairments, activity limitations and participation restrictions: Prevalence and asT ? Rusch M, 2004 Impairments, activity limitations and participation restrictions: Prevalence and associations among persons living with HIV/AIDS in British Columbia 1477-7525# Health and Quality of Life Outcomes 2 46b physical and mental impairments, specific limitations, social restriction, independant association
? d
Results. It proved possible to link most constructs to the ICF. Most constructs fitted into the activities and participation component, with mobility being t? < Mary E Tinetti Heather Allore Katy L B Araujo Teresa Seeman, 2002I Modifiable Impairments Predict Progressive Disability Among Older Persons 239-256 Journal of Health & Ageing 17 26 ageing, progressive disability; modifiable impairments ? - Sigl T,
Cieza, A
van der Heijde, D
Stucki, G 2005t ICF based comparison of disease specific instruments measuring physical functional ability in ankylosing spondylitis 1576-1581 Annals of Rheumatic Diseases 64 ?
Simeonsson R, 2000m Revision of the International Classification of Impairments, Disabilities, and Handicaps, Developmenal issues 113-124 Journal of Clinical Epidemiology 53B ICIDH, Childhood disability, impairment environment, public health nt serves as a framework for identifying the nature and extent of access and opportunity for individuals and populations.6 http://www.informaworld.com/10.3109/14992020309074618 1499-2027
July 20, 2009 )ve when provided with what is
? M Simeonsson R.J,
Leonardi M
Lollar D
Bjorck-Akesson E
Hollenweger
Martinuzzi A 20050 Applying the ICF to measure childhood Disability 602-610 Disability and Rehabilitation 25 11-12; ICF, Disability, Children, social , individual, measurement ?F ' Simons M, Zivianib J. M, Tyackc Z. F, August 2004? The ICF: foundations for a common understanding of measurement 409-410
Burns 30
b Italian National Neurological Institute.
c National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
d Malardalen Universit ? Skeat J,+ Australian Therapy Outcome Measures Project 1-3 Talking Casemix 2N Speech pathology, Occupational Therapy, physiotherpy, measure therapy outcomess x/ 2 Smith, Dylan M.
Brown, Stephanie L.
Ubel, Peter A. 2008R Mispredictions and misrecollections: Challenges for subjective outcome measurement 418 - 424 Disability & Rehabilitation 30 6 Purpose. To review research from the behavioral sciences that demonstrates how predictions of future events – and memories of past events – are often systematically biased.
Method. Description of how these biases present challenges for subjective outcome measurement in rehabilitation settings, and for measuring health utility.
Results. Two new ? Stineman M, 1994V Four methods for characterising Disability in the Formation of function Related Groups 1277-1283 Arch Phys Med Rehabilitation 75% Functional, groupings, rehabilitation? & Robert Cummins Anna LD Lau Mark Stokes 2004N HRQOL and subjective well-being: noncomplementary forms of outcome measurement 413-420 Future Drugs Ltd 4 4[ Disability, health-related quality of life, illness, quality of life, subjective well-being °/j v Stucki, Armin
Stoll, Thomas
Cieza, Alarcos
Weigl, Martin
Giardini, Anna
Wever, Daniel
Kostanjsek, Nenad
Stucki, Gerold 20040 ICF Core Sets for obstructive pulmonary diseases 114 - 120" Journal of Rehabilitation Medicine 36 4 supp 44g chronic obstructive pulmonary diseases; asthma; health status; outcomes research; quality of life; ICF Objective: To report on the results of the consensus process i ? Stucki G, 2002; Value and application of the ICF in rehabilitation medicine 932-938 Disability and Rehabilitation 24 17C Assesment and intervention, prinicples, feasability, ICF core sets, 2 ? Stucki G, 2002p Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practise 281-282 Disability and Rehabilitation 24 5( Rehabilitation, health states, d @?r Stucki G, Cieza A, 2004: Applying the ICF and ICF Core Sets in Rheumatoid Arthritis 49-562 International Journal of Advances in Rheumatology ? Stucki G, 2004& ICF Core Sets for Rheumatoid Arthritis 87-93 J Rehabil Medical Suppl 44a Core Sets, Rhematoid arthritis, musculoskeletal diseases, outcome assesment, quality of life, ICF ? ' Stucki G,
T Bedirhan
Ustun John Melvin 2005V Applying the ICF for the acute hospital and early post-acute rehabilitation facilities 349-352 Disability and Rehabilitation 27 7/8' Idenitification, health, ICF Core sets,
3oaches. These encompass the identification and specification of a common mission and research goals, the organization of research along distinct scientific fields, the set-up of a respective core competence, and the design of research structures suited to conduct studies o $techniques for outcome measurement that have been specifically designed to resist these biases – Ecological Momentary Assessment and Bmaworld.com/10.1080/09638280600947542 0963-8288
July 24, 2009 \ng swiss paraplegic research: Building a research institution from the comprehensive perspective 1063 - 1078 Disability & Rehabilitation 30 14 Purpose. To illustrate the conceptualization and development of a research institution from the comprehensive perspective based on the integrative model of functioning provided by the World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF). The newly founded research institution Swiss Paraplegic Research which focuses on the comprehensive study of spinal cord injury (SCI) serves as an example.
Method. Description of organizational development and structure.
Results. The creation of specialized research institutions which develop their core competence from the comprehensive perspective poses unique challenges. It is depicted how these challenges can be met through several appr 6dion 30 12 Research Purpose. Rehabilitation research information can be obtained from various bibliographic sources. Nevertheless, search strategies and terminologies differ from one database to another making it challenging for the novice us the Day Reconstruction Method are successful.
Conclusion. We propose that these techniques could be adopted for measuring rehabilitation outcomes.6 http://www.informaworld.com/10.1080/0963828070162523 -9638289709166050 0963-8288
July 23, 2009 xamine the evidence from these three areas and align it to the needs of their research or practice before embarking on action.6 http://www.infor / G Sundar, Vidyalakshmi
Daumen, Marcia E.
Conley, Daniel J.
Stone, John H. 2008] The use of ICF codes for information retrieval in rehabilitation research: An empirical study 955 - 962 Disability & Rehabilitat 7 0963-8288
July 27, 2009 ` of cake or a hard nut to crack? 1295 - 1300 Disability & Rehabilitation 29 16 Purpose. To describe what aspects, categorized according to t ? Tweedy S, 2002[ Taxonomic Theory and tye ICF: Foundations for a Unified Disability Athletics Classification 220-237 Adapted Physical Activity 19: Disability, athletics, analysis, classifications, researcht ? Van Achterberg, Theo,
Gerda, Holleman
Yvonne, Heijnen-Kaales
Ype Van der, Brug
Gabriël, Roodbol
Hillegonda, A. Stallinga
Fokje, Hellema
Carla, M. A. Frederiks 2005z 963-8288
July 23, 2009 L that more complete information is required on the methods employed from the three areas of our framework. Secondly, researchers, clinicians and other practitioners should e
2/0963828031000137063 ܸhe ICF model, insurance physicians (IPs) take into account in assessing short- and long-term work-ability.
Method. An interview study on a random sample of 60 ? Ustun TB, 2004` Comments From WHO for the Journal of Rehabilitation Medicine Special Supplement on ICF Core Sets 7-8 J Rehabil Medical Suppl 44* Core Sets, ICF, HAMD,OMERACT, WHO-DAS II, / Š; G Ustun TB,
Rehm
J Chatterji
S Saxena
S Trotter
R, Room
R Bickenbach J 1999 Multiple-informant ranking of the disabling effects of different health conditions in 14 countries. WHO/NIH Joint Project CAR Study Group 111-115 Lancet 354 July 10) disability, GBD, DALY, disability weights The Global Burden of Disease study provided international statistics on the burden of diseases, combining mortality and disability, that can be used for priority setting and policy making. However, there are concerns about the universality of the disability weights used. We undertook a study to investigate the stabilituy of such weightling in different countries and informant groups.
Rank ordering of disabling effect of health conditions is relatively stable across countries, in formant groups and methods. However, the differences are large enough to cast doubt on the assumption of universality of expert's judgements and about disability weights. further studies are needed because disability weights re central to the calculation of disability-adju / Van Brakel, Wim H.
Anderson, Alison M.
Mutatkar, R. K.
Bakirtzief, Zoica
Nicholls, Peter G.
Raju, M. S.
Das-Pattanayak, Robert K. 2006A The Participation Scale: Measuring a key concept in public health 193 - 203 Disability & Rehabilitation 28 4/ Purpose. To develop a scale to measure (social) participation for use in rehabilitation, stigma reduction and social integration programmes.
Method. A scale development study was carried out in Nepal, India an P~? T Vandervelde Laure, Peter Y. K. Van den Bergh, Nathalie Goemans, Jean-Louis Thonnard, 2007k ACTIVLIM: A Rasch-built measure of activity limitations in children and adults with neuromuscular disorders 459-469 Neuromuscular disorders
H? _ van der Ploeg, Hidde, P.
Allard, J. van der Beek
Luc, H. V. van der Woude
Willem van, Mechelen 2004B Physical Activity for People with a Disability: A Conceptual Model 639-649 Sports Medicine 34 Nu
. 24 11 An international working group was formed to select core sets to be used as endpoints in clinical trials in ankylosing spondylitis (AS). The results of the first steps of the selection of these core sets are described. The definition of the settings for which the core set will be intended are defined. The methods used to select the core sets were a combination of literature search, nominal group discussions, and plenary discu}
? Wade, Derick T.
Halligan, Peter 2003O New wine in old bottles: the WHO ICF as an explanatory model of human behaviour 349-354 Clinical Rehabilitation 17 IPs of the Dutch National Institute for Employee Benefit Schemes, stratified by region and years of experience.
Results. In determining work-abil-
D? Wang, P. P, Badley, E. M.
2001q The contribution of arthritis and arthritis disability to nonparticipation in the labor force: a Canadian example 1077-1082 The Journal of Rheumatology 28 5 May 2001 OBJECTI ontributes to the optimal standardization of the GMDS-25.5 http://www.springerlink.com/content/a7k133j2752355nv/ 20093085916 1) Gerontology, Faculty of Medicine and Pharmacy, Vrije Universiteit Brussel, Brussels, Belgium
(2) Geriatric department, Universitair Ziekenhuis Br /? = Whiteneck, Gale G.
Gerhart, Kenneth A.
Cusick, Christopher P. 2004c Identifying Environmental Factors That Influence the Outcomes of People With Traumatic Brain Injury 191-204) The Journal of Head Trauma Rehabilitation 19 3C brain injury, ] 5x
Walton, David 2009h A review of the definitions of 'recovery' used in prognostic st ? Whiteneck G, 1992H Quantifying Handicap: A new Measure of Long-term Rehabilitation Outcomes 519-526 Arch Phys Med Rehabilitation 73 6G Patient outcome assesment; physically handicapped: spinal ? 8 Worthington C, Myers T, O'Brien K, Nixon S, Cockerill R. 2005, April 25,K Rehabilitation in HIV/AIDS: Development of an Expanded Conceptual Framework 258-71 AIDS Patient Care and STDs 19 4w In industrialized countries where HIV infection is becoming a chronic, episodic condition, rehabilitation services have the potential to play an expanded role for people living with HIV/AI, ? : Wolinsky FD,
Miller DK
Andressen EM
Malmstrom TK
Miller JP 2005B Reproducibility of Physical Performance and Physiologic Assesments 111-124 Journal of Health and Ageing 17 2c test-retest reliability; physical performance assesments; physiologic assesments; African Americans ? Wood P, 1980O The language of diablement: a glossary relating to disease and its condequences 86-92
Int Rehab Med 2 Handicapped, Nomenclature
the concepts contained in outcome assessment used in clinical trials.6 http://www.informaworld.com/10.1080/16501960410015407 1650-1977
July 27, 2009 Scherer MJ, Dicowden MA 2008 Organizing future research and intervention efforts on the impact and effects of gender differences on disability and rehabilitation: The usefulness of the ICF 161-165 Disab and Rehab 30 3 Research, gender, disability u ? Wells, Thomas
Hogan, Dennis 2003= Developing Concise Measures of Childhood Activity Limitations 115-126! Maternal and Child Health Journal 7 2 Objectives: Although several national health surveys have implemented data col ?; ^ Sigl, Tanja
Cieza, Alarcos
Brockow, Thomas
Chatterji, Somnath
Kostanjsek, Nenad
Stucki, Gerold 2006 Content Comparison of Low Back Pain-Specific Measures Based on the International Classification of Functioning, D| ? * Sinnott, K. A.
Dunn, J. A.
Rothwell, A. G. 2004y Use of the ICF conceptual framework to interpret hand function outcomes following tendon p ? Smedby B, Schiøler G 2006. Health Classifications in the Nordic Countries 110
Kopenhagen / k Slebus, Frans G.
Sluiter, Judith K.
Kuijer, P. Paul F. M.
Willems, J. H. B. M.
Frings-Dresen, Monique H. W. 2007@ Work-ability evaluation: A piece ? Soberg HL, Sandvik L, Ostensjo S 2008r Reliability and applicability of the ICF in coding problems, resources and goals of persons with multiple injuries 98-106 Disab and Rehab 30 2 Multiple injuries, coding 7 $ Stallinga HA, Napel H ten, Jansen GJ 2007V Inhoudsvalidering van functioneringsproblemen van CVA-patiënten in relatie tot de ICF 31-45 Verpleegkunde 22 1 Stroke Dutch ? , Stineman MG, Kurz AE, Kelleher D, Kennedy BL 2008W The patient's view of recovery: An emerging tool for empowerment through self-knowledge 679-688 Disab and Rehab 30 9 ? Stineman MG, Ross RN et al. 2007z Population-based study of home accessibility features and the activities of daily living: Clinical and policy implications 1165-1175 Disab and Rehab 29 15 ~? Stone J, 2008) Guest Editor's Introduction and Overview 899-900 Disab and Rehab 30 12-13 Editorial ? ? Kim Van Naarden Braun, Marshalyn Yeargin-Allsopp, Donald Lollar 2006 September-October\ Factors associated with leisure activity among young adults with developmental disabilities 567-58 ;ctiveness in this area is poorly measured and has not been documented empirically. Therefore, the Craig Handicap Assessment and Reporting Technique (CHART) was designed to quantify the extent o j?
Threats T, 2006 July-August O Towards an international framework for communication disorders: Use of the ICF 251-265 J of Communic Disorders ? Threats T, Worrall L 20042 Classifying communication disability using the ICF 53-62% Advances in Speech-Language Pathology 6 Communication,
yility, CAT PURPOSE: The purpose of this paper is to show how the Rasch model can be used to develop a computer adaptive self-report of walking, climbing, and running. METHOD: Our instrument development work on the w ? Velozo CA, Wang Y, Lehman L, 2008o Utilizing Rasch measurement models to develop a computer adaptive self-report of walking, climbing, and running 458-467 Disab and Rehab 30 6 Measurement, mob
Xp? Videler AJ, Beelen A, Nollet F 2008u Manual dexterity and related functional limitations in Hereditary Motor and Sensory Neuropathy. An explorative study. 634-638 Disab and Rehab
sX/ Vanleit, Betsy 2008m Using the ICF to address needs of people with disabilities in international development: Cambodian ca
? Wade, Derick 2006k Why physical medicine, physical disability and physical rehabilitation? We should abandon Cartesian dualism 185-190 Clinical Rehabilitation 2 cord injuriesu According to the World Health Organization (WHO), handicaps exist when individuals are unable to fulfill expected social roles. Although ameliorating handicaps is one of the prime goals of rehabilitation, its effe 405000-00001 -xn a formal model of the structure of the heteroskedasticity. By comparing the elements of the new estimator to those of the usual covariance estimator, one obtains a direct test for heteroskedasticity, sin ? Wynia K, 2008- The Multiple Sclerosis Impact Profile (MSIP)
Groningen Proefschrift ISBN 978-90-77113-64-6 ? Wynia K, Middel B, Ruiter H de 2008O Stability and relative validity of the Multiple Sclerosis Impact Profile (MSIP) 1027-1038 Disab and Rehab 30 4& Multiple sclerosis, measurement, scale ? Wynia K, Middel B, Dijk JP van 2008| The Multiple Sclerosis Impact Profile (MSIP). Development and testing psychometric properties of an ICF-based health measure 261-274 Disab and Rehab 30 4& Multiple sclerosis, measurement, scale ? Yorkston KM, Baylor CB, Dietz J 2008R Developing a scale of communicative participation: A cognitive interviewing study 425-433 Disab and Rehab 30 6# Participation, communication, scale ? Yorkston KM, Kuehn CM 2008 Measuring participation in people living with multiple sclerosis: a comparison of self-reported frequency, importance and self-efficacy 88-97 Disab and Rehab 30 2. Multiple sclerosis, measurement, participationK? * McBurney H, Taylor NF, Dodd KJ, Graham HK, 2003b A qualitative analysis of the benefits of strength training for young people with cerebral palsy. 658-63* Developmental Medicine and Child Neurology 45 10. Cerebral Palsy, strength training, qualitative3 Good eg of how ICF can inform outcomes measurement. 7 G Bjornson K, Hays R, Graubert C, Price R, Won F, McLaughlin JF, Cohen M, 2007 (July)[ Botulinum Toxin for spasticity in children with cerebral palsy: a comprehensive evaluation. 49-58 Pediatrics 120 1+ Cerebral Palsy, spasticity, botulinum toxin BACKGROUND. Spasticity is a prevalent disabling clinical symptom for children with cerebral palsy. Treatment of spasticity with botulinum toxin in children with cerebral palsy was first reported in 1993. Botulinum toxin provides a focal, controlled muscle weakness with reduction in spasticity. Interpretation of the literature is difficult because of the paucity of reliable measures of spasticity and challenges with measuring meaningful functional changes in children with disabilities.
OBJECTIVE. This study documents the effects of botulinum toxin A injections into the gastrocnemius muscles in children with spastic diplegia. Outcomes are evaluated across all 5 domains of the National Centers for Medical and Rehabilitation Research domains of medical rehabilitation.
METHODS. A randomized, double-masked, placebo-controlled design was applied to 33 children with spastic diplegia with a mean age of 5.5 and Gross Motor Function Classification System Levels of I through III. Participants received either 12 U/kg botulinum toxin A or placebo saline injections to bilateral gastrocnemius muscles. Outcomes were measured at baseline and 3, 8, 12, and 24 weeks after injection.
RESULTS. Significant decreases in the electromyographic representation of spasticity were documented 3 weeks after botulinum toxin A treatment. A significant decrease in viscoelastic aspects of spasticity was present at 8 weeks, and subsequent increases in dorsiflexion range were documented at 12 weeks for the botulinum toxin A group. Improvement was found in performance goals at 12 weeks and in maximum voluntary torque and gross motor function at 24 weeks for the botulinum toxin A. There were no significant differences between groups in satisfaction with performance goals, energy expenditure, Ashworth scores, or frequency of adverse effects.
CONCLUSIONS. The safety profile of 12 U/kg of botulinum toxin A is excellent. Although physiologic and mechanical effects of treatment with botulinum toxin A were documented with functional improvement at 6 months, family satisfaction with outcomes were no different. Communication is needed to ensure realistic expectations of treatment. http://pediatrics.aappublications.org/cgi/content/full/120/1/49?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=Cerebral+Palsy%2C+spasticity&searchid=1&FIRSTINDEX=0&volume=120&issue=1&resourcetype=HWCIT Example of how a research study can look across the ICF components, and show Rx of impairments does not necessarily lead to p outcomes a. Department of Rehabilitation Medicine, Children's Hospital and Regional Medical Center, Seattle, Washington
b Departments of Rehabilitation Medicine
c. Pediatrics, University of Washington, Seattle, Washington English {?
Mont D, Loeb M 2008 Beyond DALYs: Developing Indicators to Assess the Impact of Public Health Interventions on the Lives of People with Disabilities 33^ The World Bank, National Center for Health Statistics Centers for Disease Control & Preventioni http://siteresources.worldbank.org/SOCIALPROTECTION/Resources/SP-Discussion-papers/Disability-DP/0815.pdf ? Badley EM, 2008 Enhancing the conceptual clarity of the activity and participation components of the International Classification of Functioning, Disability and Health 2355-2345 Social Science & Medicine 66 11 June http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VBF-4S0RC6J-2-1&_cdi=5925&_user=856389&_orig=browse&_coverDate=06%2F30%2F2008&_sk=999339988&view=c&wchp=dGLbVtb-zSkWb&md5=697ac9481fbb5dfab6de574aa038e9a2&ie=/sdarticle.pdf d < Nordenfelt Lennart, 2003! Action theory, disability and ICF 1075-1079 Disability and Rehabilitation 25 Purpose: The purpose of this paper is to make a critical an ? 1 Nieuwenhuijsen ER, Zemper E, Miner KR, Epstein M. 2006 M Health behavior change models and theories: Contributions to rehabilitation. 245-256 Disability and Rehabilitation 28 5 March 15 ? Nieuwenhuijsen ER, 2004i Health behavior change among office workers: An exploratory study to prevent repetitive strain injuries. 215-224 Work 23 3 ? Stark SL, 2001E Creating disability in the home: The role of environmental barriers. 37-49 Disability and Society 16 ? _ Reed GM, Lux JB, Bufka LF, Trask C, Peterson DB, Stark SL, Threats TT, Jacobson JA, Hawley JW. 2005r Operationalizing the International Classification of Functioning, Disability and Health (ICF) in clinical settings 122-131 Rehabilitation Psychology 50 2 ? Stark SL, 2004p Removing environmental barriers in the homes of older adults with disabilities improves occupational performance 32-39( Occupational Therapy Journal of Research 24? 1 Stark SL, Edwards DF, Hollingsworth HH, Gray DB. 2005 ~ Validation of the Reintegration to Normal Living Index in a population of community-dwelling people with mobility limitations. 344-3450 Archives of Physical Medicine and Rehabilitation 86 2 FebruaryB? X Cieza A, Brockow T, Ewert T, Amman E, Kollerits B, Chatterji S, Ustun TB, Stucki G 2002l Linking Health-Status Measurements to the International Classification of Functioning, Disability and Health 205 - 210" Journal of Rehabilitation Medicine 34 5* ICF Health-status measures; Linking rules P With the approval of the International Classification of Functioning, Disability and Health by the World Health Assembly in May 2001, the concurrent use of both health-status measures and the International Classification of Functioning, Disability and Health is expected. It is therefore important to understand the relationship between these two concepts. The objective of this paper is to provide a systematic and standardized approach when linking health-status measures to the International Classification of Functioning, Disability and Health. The specific aims are to develop rules, to test their reliability and to illustrate these rules with examples. Ten linking rules and an example of their use are presented in this paper. The percentage agreement between two health professionals for 8 health-status instruments tested is also presented. A high level of agreement between the health professionals reflects that the linking rules established in this study allow the sound linking of items from health-status measures to the International Classification of Functioning, Disability and Health. http://www.informaworld.com/smpp/content~db=all~content=a713797756?back=%2e%2frelated%7edb%3dall%7econtent%3da795254772%7efirst%3d1%7evaa%3d0%3fbookmark%3d1&words=&hash= considered an optimal AT system based on current technologies and user priorities. This comparison throws into sharp relief the role of AT systems as well as of universal design (UD) in reducing environmental barriers for AT users in a way that is cost-effective for society as a whole.
Conclusion. Cost-effectiveness analysis based on the ICF can provide powerful economic evidence for how best to allocate existing funding for AT systems. We can identify three particular scenarios in which clear recommendations can be made. In addition, cost-effectiveness analysis provides a means to identify how society can comply with its obligation towards ? Richardson B, 2008 6 Rehabilitation, lifestyle and the ICF -do they match? 105 - 107 Advances in Physiotherapy 10 3 EditorialM http://www.informaworld.com/smpp/content~content=a901899343~db=all~order=page ? Bickenbach JE, 2008 & ICF and the Allied Health Professions
108 - 109 Advances in Physiotherapy 10 3 EditorialM http://www.informaworld.com/smpp/content~content=a794877571~db=all~order=page ;F? J Morris ME, Watts JJ, Iansek R, Jolley D, Campbell D, Murphy AT, Martin CL 2009 Quantifying the profile and progression of impairments, activity, participation, and quality of life in people with Parkinson disease: protocol for a prospective cohort study BMC Geriatrics 9 2 20 January 2009 4 F? r French HP, Cusack T, Brennan A, White B, Gilsenan C, Fitzpatrick M, O'Connell P, Kane D, FitzGerald O, McCarthy GM 2009o Exercise and manual physiotherapy arthritis research trial(EMPART)- A multicentre randomised controlled trial. BMC Musculoskeletal Disorders 10 9 19 January 2009 ? Dawson DR, Schwartz ML, et al. 2007 Return to productivity following traumatic brain injury: Cognitive, psychological, physical, spiritual, and environmental correlates, 301-313 Disability & Rehabilitation 29 4? Kempen GIJM, Todd CJ, et al. 2007 Cross-cultural validation of the Falls Efficacy Scale International (FES-I) in older people: Results from Germany, the Netherlands and the UK were satisfactory, 155-162 Disability & Rehabilitation 29 2 h? Khan F, Pallant JF 2007` Use of the ICF to identify preliminary comprehensive and brief core sets for multiple sclerosis, 205-213 Disability & Rehabilitation ?
Nagata KK, 2007H Perspectives on disability, poverty and development in the Asian region, 3-19- Asia Pacific Disabilty Rehabilitation Journal 18 1 ? Packer TL, McKercher B, Yau MK 2007Z Understanding the complex interplay between tourism, disability and environmental contexts 281-292 Disability & Rehabilitation 29 4 ? Rentsch HP, et al. 2003 The implementation of the ICF in daily practice of neurorehabilitation:an interdisciplinary project at the Kantonspital of Lucerne, Switzerland 411-421 Disability & Rehab 25 8 0 1362-4393 ^ #?% ( Scherer, M. J. Sax, C. L. Glueckauf, R, 2005l Activities and Participation: The Need to Include Assistive Technology in R ? % Slot WMA van der, Roebroeck ME et al. 2007_ Everyday physical activity and community participation of adults with hemiplegic Cerebral Palsy 179-189 Disability & Rehab 29 3 ? Stark SL, Hollingsworth HH etc. 2007C Development of a measure of receptivity of the physical environment 123-137 Disability & Rehab 29 2 h/ Stucki, Gerold
Reinhardt, Jan D.
Cieza, Alarcos
Brach, Mirjam
Celio, Marco
Joggi, Daniel
Villiger, Beat
Zäch, Guido A.
Krieg, Walter 2008h Developi /|
Svestkova, O. 2002I Conceptual framework for rehabilitation in the Czech Republic: a proposal 798 - 801 Disability & Rehabilitation ? Tufan I, 2007d Status of the disabled in Turkey. A theoretical approach to the perception of the disabled in Turkey 173-178 Disability & Rehab 29 2 ?
Utley A (ed), 2007" Children with Movement Dificulties 1-89 Disability & Rehab 29 1O http://www.informaworld.com/smpp/ftinterface?content=a713813367&rt=0&format=pdf F? ^ Starrost K, Geyh S, Trautwein A, Grunow J, Ceballos-Baumann A, Prosiegel M, Stucki G, Cieza A. 2008 ] Interrater Reliability of the Extended ICF Core Set for Stroke Applied by Physical Therapists Physical Therapy May 15m? Prodinger B, Cieza A, Williams DA, Mease P, Boonen A, Kerschan-Schindl K, Fialka-Moser V, Smolen J, Stucki G, Machold K, Stamm T. 2008 Measuring health in patients with fibromyalgia: Content comparison of questionnaires based on the International Classification of Functioning, Disability and Health 650-658 Arthritis Rheum. 59 5 Apr 25 d? 5 Weigl M, Cieza A, Cantista P, Reinhardt JD, Stucki G. 2008\ Determinants of disability in chronic musculoskeletal health conditions: a literature review 67-79 Eur J Phys Rehabil Med 44 ? 0 Mueller M, Boldt C, Grill E, Strobl R, Stucki G. 2008 s Identification of ICF categories relevant for nursing in the situation of acute and early post-acute rehabilitation 3 BMC Nurs 18 7 Feb | 7 : Bürge E, Cieza A, Allet L, Finger ME, Stucki G, Huber EO. 2008 Intervention categories for physiotherapists treating patients with internal medicine conditions on the basis of the International Classification of Functioning Disability and Health. 43-50 Int J Rehabil Res 31 1 Mar9 http://journals.lww.com/intjrehabilres/pages/default.aspx English ? D Kesselring J, Coenen M, Cieza A, Thompson A, Kostanjsek N, Stucki G. 2008 K Developing the ICF Core Sets for multiple sclerosis to specify functioning. 252-4
Mult Scler 14 2 Mar F? Kluding P, Gajewski B 2008` Lower-extremity strength differences predict activity limitations in people with chronic stroke. Physical Therapy 89 73-81 ? $ Rundall SD, Davenport TE, Wagner T . 2009 Physical Therapist management of acute and chronic low back pain using the World Health Organization’s International Classification of Functioning, Disability and Health. 82-90 Physical Therapy 897 Brage S, Donceel P, Falez F 2008H Development of ICF core set for disability evaluation in social security 1392-6 Disabil Rehabil 30 18 Purpose. The purpose of this paper is to report on the development of an ICF core set for functional assessment in disability claims in European social security systems. Method. A formal decision-making process was applied. First, national meetings suggested categories to be included in the core set. Thereafter, the members of EUMASS working group for ICF selected a core set based on these suggestions, in a formal voting procedure. Results. From 191 different suggestions for ICF categories given by the national meetings, 20 were selected for the core set. Five were from body functions and 15 from activities and participation. No category from environmental factors was included. Conclusion. The EUMASS working group successfully reached consensus on a core set for functional assessments in disability benefit claims. The core set is generic, and should be used by medical doctors. It is intended for evaluation of rights to long term benefits. For the assessment in short term sickness absence, return to work, and vocational rehabilitation, other core sets need to be developed. The usefulness of the ICF qualifiers for the level of functioning in disability assessment has yet to be established.9 http://www.informaworld.com/smpp/title~content=t713723807 English ? Editor 2008F The International Classification of Functioning Disability and Health 149-150 Journal of Tropical Pediatrics 54 3 Editorial: http://tropej.oxfordjournals.org/cgi/content/full/54/3/1493? & Okawa Y, Ueda S, Shuto K, Mizoguchi T. 2008 Development of criteria for the qualifiers of activity and participation in the 'International Classification of Functioning, Disability and Health' based on the accumulated data of population surveys. 97-103 Int J Rehabil Res 31 1 Mar ? Okawa Y, Ueda S, 2008 Implementation of the International Classification of Functioning, Disability and Health in national legislation and policy in Japan. 73-7 Int J Rehabil Res 31 1 Mar ? Hemmingsson H, Jonsson H. 2005 An occupational perspective on the concept of participation in the International Classification of Functioning, Disability and Health--some critical remarks. 569-76 Am J Occup Ther 59 5 Sep-Oct ? Daremo A, Haglund L. 2008= Activity and participation in psychiatric institutional care. 131-42 Scand J Occup Ther 15 3 Sep ?! . Stier-Jarmer M, Cieza A, Borchers M, Stucki G. 2009 9 How to apply the ICF and ICF core sets for low back pain. 29-38 Clin J Pain 25 1 Jan F?" G Gilchrist LS, Galantino ML, Wampler M, Marchese VG, Morris GS, Ness KK. 2009 6 A Framework for Assessment in Oncology Rehabilitation. Phys Ther Jan 15 ?# Baron S Linden M., 2009 _ Disorders of functions and disorders of capacity in relation to sick leave in mental disorders. 57-63 Int J Soc Psychiatry 55 1 Jan http://isp.sagepub.com/ W?$ S Bauernfeind B, Aringer M, Prodinger B, Kirchberger I, Machold K, Smolen J, Stamm T, 2009 Identification of relevant concepts of functioning in daily life in people with systemic lupus erythematosus: A patient Delphi exercise. 21-8 Arthritis Rheum. 61 1 Jan 155 http://www.rheumatology.org/publications/ar/index.asp ?% Walton D, 2008h A review of the definitions of 'recovery' used in prognostic studies on whiplash using an ICF framework. 1-15 Disabil Rehabil. 29 Dec ?& 0
Dunn J, Sinnott AK, Nunnerley J, Scheuringer M. 2008i Utilisation of patient perspective to validate clinical measures of outcome following spinal cord injury. 1-9 Disabil Rehabil Dec 299 http://www.informaworld.com/smpp/title~content=t713723807 ?' 9 Tschiesner UM, Rogers SN, Harreus U, Berghaus A, Cieza A. 2009 T Comparison of outcome measures in head and neck cancer--literature review 2000-2006. 251-9
Head Neck. 31 2 Feb ?( 8 Elhan AH, Oztuna D, Kutlay S, Kucukdeveci AA, Tennant A. 2008 v An initial application of computerized adaptive testing (CAT) for measuring disability in patients with low back pain. 166 BMC Musculoskelet Disord 9 1 Dec 183) Anita Bemis-Dougherty 2009# Practice Matters: What is the ICF? 44, 46 PT magazine of Physical Therapy 17 No. 1 Introduction to ICF 1 http://www.apta.org//AM/Template.cfm?Section=Home To increase awareness of teh ICF among physical therapists and physical therapist assistants, APTA developed a WEb page that includes educational material and links to multiple resources. From APTA's home page, click on "Areas of Interest," the "Practice," then Clinical Resources." What is the ICF? \ Anita Bemis-Dougherty, PT, DPT, MAS, is associate director of APTA's Department of Practice References:
1.) International Classification of Functioning, Disability and Health, World Health Organization, 2001, Geneva
2.) Guide to Physical Therapist Practice, 2nd Ed. pHYS Ther. 2001;81:9-744
3.) Nagi SZ. Some conceptual issues in disability and rehabilitation. In: Sussman MB, ed, Sociology and Rehabilitation. Washington, DC: American Sociological Assciation; 1965:100-113
English w4* - American Physical Therapy Association (APTA), 2009" Practice Matters: What is the ICF? 44, 46 PT magazine of Physical Therapy 17 1 www.apta.org/adinfo- For more information: To increase awareness of the ICF among physical therapists and physical therapist assistants, APTA developed a Web page that includes educational material and links to multiple resources. From APTA's home page, click on "Areas of interest," then "Practice," "Clinical Resources."I Anita Bemis-Dougherty
Associate Director of APTA's Department of Practice+ American Physical Therapy Assciation (APTA) APTA (APTA) English 7+ Allanson J, Bass C, Wade DT. 2002} Characteristics of patients with persistent severe disability and medically unexplained neurological symptons: a pilot study. 307-309 Neuro Neurosurg Psychiatry 73 3 http://jnnp.bmj.com/ English ( 7, % Andriesse H; Hagglund G; Jarnlo G-B, 2005{ The clubfoot assessment protocol (CAP); description and reliability of a structured multi-level instrucment for follow-up. 40 BMC Musculoskeletal Disorders 6 14 http://www.biomedcentral.com/bmcmusculoskeletdisord/ English $ ?. L Aringer M, Stamm TA, Pisetsky DS, Yarboro CH, Cieza A, Smolen JS, Stucki G. 2006T ICF core sets: how to specify impairment and functionin systemic lupus erythemasus 248-53 Lupus 15 4 English C http://www.uk.sagepub.com/journalsProdDesc.nav?prodId=Journal201819?F7/ 2 Atijosan O, Kuper H, Rischewski D, Simms V, Lavy C 2007 Musculoskeletal impairment survey in Rwanda: Design of survey tool, survey methodology, and results of the pilot study (a cross sectional survey). BMC Musculoskeletal Disorders 8 30+ http://www.biomedcentral.com/1471-2474/8/30 English F70 2 Australian Institute of Health and Welfare (AIHW), 2006] The development of a data capture tool for health and community services information systems.+ Australian Institute of Health and Welfare - http://www.aihw.gov.au/publications/index.cfm English 71 2 Australian Institute of Health and Welfare (AHIW), 2005 Functioning and related health outcomes module: Testing and refining a data capture tool for health and community services information systems - http://www.aihw.gov.au/publications/index.cfm English 72 2 Australian Institute of Health and Welfare (AIHW), 2004Z The comparability of Dependency Information Across Three Aged and Community Care Programs - http://www.aihw.gov.au/publications/index.cfm English 73 2 Australian Institute of Health and Welfare (AIHW), 2004G Disability and its relationship to health Conditions and other Factors - http://www.aihw.gov.au/publications/index.cfm English 74 + Australian Institute of Health and Welfare 20039 ICF Australian User Guide Version 1.0 Disability Series. - http://www.aihw.gov.au/publications/index.cfm DIS 33 English 75 Brickness S, 2003< Disability: the Use of Aids and the Role of the Environment + Australian Institute of Health and Welfare - http://www.aihw.gov.au/publications/index.cfm English 76 Wen X, Fourtune N 1999= Definition and Prevalence of Physical Disability in Australia- http://www.aihw.gov.au/publications/index.cfm* Australian Institute of Health and Welfare English 77 2 Australian Institute of Health and Welfare (AIHW), 1997R Definition of Disability in Australia: Moving Towards National Consistency Summary pp8- http://www.aihw.gov.au/publications/index.cfm English f78 F Ayuso-Mateos JL, Nieto-Moreno M, Sanchez-Moreno J, Vazquez-Barquero JL 2006z The International Classification of Functioning. Disability and Health:applicability and usefulness in clinical practice. 461-6 Med Clin (Barc) 126 12 April 1Q http://www.ncbi.nlm.nih.gov/sites/entrez?linkbar=plain&db=journals&term=0025-7753 Spanish 79 Baalen B Odding E, Woesel MPC, 2006j Reliability and sensivity to change of measurement instruments used in atraumatic brain injury population. 686-700 Clinical Rehabilitation 20 8 http://cre.sagepub.com/ English #7: Badley EM, Rothman LM, Wang PP 1998y Modelling physical dependence in arthritis: the relative contribution of specific disabilities and environmental factors 335-345 Arthritis Care Research 11 58 http://www3.interscience.wiley.com/journal/77005015/home English 7; Badley EM, 1995Z The genesis of handicap: definition, models of disablement, and role of external factors. 53-62 Disability and Rehabilitation 17 2, http://www.informaworld.com/smpp/home~db=all English 7< Badley EM, IbaZez D, 1994; Socio-economic risk factors and musculoskeletal disability 515-522 Journal of Rheumatology 21 http://www.jrheum.org/ English 7= Badley EM, Tennant A, 1993 Disablement associated with rheumatic disorders in a British population:Problems with activities of daily living and level of support. 601-608 British Journal of Rheumatology 32' http://rheumatology.oxfordjournals.org/ English 7> Badley EM, Tennant A 1993 The impact of disablement of due to rheumatic disorders in a British population:Estimates of severity and prevalence from the Calderdale Rheumatic Disablement Survey. 6-13 Annals of Rheumatic Diseases 51 http://ard.bmj.com/ English ( 7? - Badley EM, Yoshida K, Webster G, Stephens M. 1993u Disablement and Chronic health problems in Ontario: A report on the 1990 Ontario health Survey. (Working paper No. 5) November Ontario Ministry of Health Peer-reviewed report http://www.health.gov.on.ca/ English ?@ - Myezwa H, Stewart, A., Musenge, E, Nesara, P, 2009 Assessment of HIV-positive in-patients using the International Classification of Functioning, Disability and Health (ICF) at Chris Hani Baragwanath Hospital, Johannesburg 93-105 African Journal of AIDS Research 8 1 The International Classification of Functioning, Disability and Health (ICF) short-version checklist was used to assess the impairments, activity limitations and participation restrictions experienced by a sample of HIV-positive in-patients admitted to Chris Hani Baragwanath Hospital in Johannesburg, South Africa. Laboratory tests, observation and review of patients' medical records were used to complete the ICF Checklist. Eighty patients were assessed (23 males and 57 females). Common impairments related to the following functions: digestive, metabolic and endocrine systems (83.9%); sensory (83.5%); haematological, immunological and respiratory systems (82.5%); neuromusculoskeletal movement (73.8%); mental (72.6%); energy and drive (75%); sleep (71%); emotional (62%); and muscle power (75%). Activity limitations were present in the area of mobility (56.4%), major life areas (55.1%), and community, social and civic life (50%). Associations found among impairments, activity limitations and participation restrictions were that patients with sensory problems were five-times more likely to have problems in self-care than people without sensory problems. Patients with impairments in the digestive, genitourinary and neuromusculoskeletal systems experienced problems with general tasks (confidence interval [CI]: 4.05-103.03; p<0.01). Patients with cardiovascular, haematological, immunological and respiratory system problems were 14-times more likely to have problems with execution of general tasks (odds ratio [OR] 14.06, CI: 2. 75-71.94; p=0.002). Activities of participation restriction, difficulties with general tasks and demands (OR 9.68, CI: 1.20-77.92), interpersonal relationships (OR 3.62, CI: 1.09-12.00), domestic life (OR 3.97, CI: 1.12-14.16), and community, social and civic life (OR 4.13, CI: 1.05-16.20) were closely associated with barriers in obtaining products for personal use and using technology. Understanding the prevalence and associations of disability and function in the course of HIV disease may serve as a baseline for developing appropriate and context-sensitive rehabilitation interventions and management strategies for people living with HIV or AIDS. 20093142077 N?A Sampaio, R. F.
Luz, M. T. 2009u Human functioning and disability: exploring the scope of the World Health Organization's international classification 475-483~ Funcionalidade e incapacidade humana: explorando o escopo da classificação internacional da Organização Mundial da Saúde. 25 3 The theoretical discussion on disability is dichotomized according to medical and social perspectives. The biomedical model focuses on impairment, disease, or physical abnormality and how these factors produce disability. The social approach suggests that the meaning of disability and impairment emerges from specific social and cultural contexts. The WHO created the International Classification of Functioning, Disability and Health (ICF) with a classification system and theoretical model based on the combination of the medical and social models and using a biopsychosocial approach to integrate different health dimensions. Despite the importance and immediacy of the ICF, some concepts were insufficiently detailed and justified and could lead to distinct interpretations. This essay proposes to describe the ICF model and analyse the scope of the biopsychosocial theory for exploring the correlational nature of the "disability" and "impairment" categories, as well as the universal nature of the WHO proposal. One of the most positive aspects of the ICF is to highlight the interactive nature of disability and the division of the phenomenon into three dimensions, thus demonstrating the degree of complexity in the process of human functioning and disability. 20093135714
?B 8 As M. van,
Myezwa, H.
Stewart, A.
Maleka, D.
Musenge, E. 2009 The International Classification of Function Disability and Health (ICF) in adults visiting the HIV outpatient clinic at a regional hospital in Johannesburg, South Africa 50-58 AIDS Care 21 1 In 2005, 16.6% of South Africans between 15 and 49 years of age were HIV positive. The advent of anti-retroviral therapy has led to improved longevity, CD4 counts and clinical well-being of people living with HIV/AIDS (PLWHA). Physical impairments, activity limitations and participation restrictions of PLWHA have profound effects on the Health-related Quality of Life and functional abilities of those with the disease, and understanding thereof may assist in the formulation of rehabilitation protocols, health care interventions as well as vocational and legislative policies. The International Classification of Function, Disability and Health (ICF) is a standardised tool, endorsed by the World Health Assembly for international use, which aims to classify functioning and disability. It is structured to assess body functions and structure, functional activities and associated personal and environmental factors. This study aimed to develop a profile of the level of functional activity, using the ICF Checklist, of an urban cohort of 45 South African individuals who are HIV positive attending an outpatient clinic at the Helen Joseph Memorial Hospital, Gauteng, South Africa. The results showed a high prevalence of physical impairments, participation restrictions and selective activity limitations and that environmental factors influence their level of ability. Specific impairments where patients had problems were mental functions 69% (n=31), sensory and pain - 71% (n=32), digestive and metabolic functions 45% (n=20) and neuromuscular 27% (n=12). Activity limitations included major life areas' 58% (n=26), interpersonal relationships 56% (n=25), mobility 40% (n=18) and general tasks and demands 38% (n=17). Limitations in mobility were significantly associated with problems of sensory functions (p=0.05), pain (p=0.006), neuromusculoskeletal and movement-related functions (p=0.006), muscle power (p=0.006) as well as energy and drive functions (p=0.001). The study identifies the level of function and ability of PLWHA, clinical markers, and how these affect the physical, psychological and social functioning of this population.3 http://www.tandf.co.uk/journals/titles/09540121.asp 20093086213 `?C " Vriendt P. de,
Lambert M,
Mets T, 2009 Integrating the international classification of functioning, disability and health (ICF) in the geriatric minimum data set-25 (GMDS-25) for intervention studies in older people 128-134$ Journal of Nutrition, Health & Aging 13 2: MDS - GMDS-25 - older adults - ICF - geriatric assessment Objective: Since the number of older people is rising worldwide, there is an increasing need for a structured and integrated approach for the participation of the older person in clinical research. The introduction of a 'Geriatric Minimum Data Set' (GMDS) will allow a standardized description of the older person participating in clinical research. ICF, a universal tool for the comprehensive description of human functioning, developed by the World Health Organisation, can make a substantial contribution to the development of a GMDS. It can serve as a 'framework', including all the functional characteristics needed in research in Gerontology and Geriatrics. The objective was to integrate ICF terminology in a recently proposed GMDS-25. Design: ICF is explored to determine the most relevant ICF-categories for GMDS-25. Results and conclusion: Several items of the GMDS-25 can be described in terms of ICF. This description c3 /@ Simeonsson, Rune J. 2003 Classification of communication disabilities in children: contribution of the International Classification on Functioning, Disability and Health 2 - 8" International Journal of Audiology 42 6 supp 1 Problems in communication serve as frequent markers of developmental delay and disability in childhood. Documentation of delayed or atypical receptive or expressive communication is one of the key diagnostic factors in the identification of children for intervention and support. This paper (1) reviews issues in classification and measurement of communication disabilities, (2) presents an overview of the development and publication of the WHO International Classification of Functioning, Disability and Health (ICF), and (3) identifies the implications of the ICF for children and youths with communication disabilities. As a conceptual framework, the ICF may be used productively to define the focus for different efforts to address children's language and communication difficulties. Impairments of a physical or mental nature can be covered in the Body Function and Body Structure components, complementing the information provided by the ICD-10 with descriptive documentation. The component of Activities, encompassing performance aspects of communication, lends itself to functional assessment and intervention in habilitation and education programs. The component of Participation provides an operational basis for policy initiatives focusing on social integration and community life. Finally, the Environmental Factors compone 3 ? * Morris C, J. J. Kurinczuk, R Fitzpatrick, 2005 Child or family assessed measures of activity performance and participation for children with cerebral palsy: a structured review 397-407# Child: Care, Health and Development 31 4> Cerebral palsy • disability • activities • participation` Background There is a need to measure children's 'activity performance and participation' as defined in the World Health Organization's International Classification of Functioning, Disability and Health for Children and Youth (WHO ICF). The aim of this review is to identify instruments that are suitable for use in postal surveys with families of children with cerebral palsy.Methods We conducted a structured review of instruments that use child or family self-assessment of 'activity performance and participation'. The review involved a systematic search for instruments using multiple published sources. Appraisal of the instruments used the predefined criteria of appropriateness, validity, reliability, responsiveness, precision, interpretability, acceptability and feasibility.Results There are relatively few child or family assessed instruments appropriate for measuring children's activities and participation. Seven instruments were identified that could potentially be administered by mail. The Assessment of Life Habits for Children (LIFE-H) was the most appropriate instrument as assessed by its content but the reliability of child or family self-assessment is not known. If the LIFE-H were shown to be a reliable self-report measure then the LIFE-H would be the recommended choice. Currently, the Activities Scale for Kids and the condition-specific Lifestyle Assessment Questionnaire for cerebral palsy (LAQ-CP) provide the broadest description of what and how frequently children with cerebral palsy| ?F k Nicholls P. G,
Bakirtzief, Z.
Brakel, W. H. van
Das-Pattanaya, R. K.
Raju, M. S.
Norman, G.
Mutatkar, R. K. 2005y Risk factors for participation restriction in leprosy and development of a screening tool to identify individuals at risk 305-315 Leprosy Review 76 4K The World Health Organization International Classification of Functioning, Disability and Health defines participation as involvement in a life situation. Participation restrictions are problems experienced in any life situation, for example, in relationships or in employment. Our research explored risk factors for participation restrictions experienced by people affected by leprosy. Our objective was to develop a screening tool to identify individuals at risk. An initial round of qualitative fieldwork in eight centres in Nepal, India and Brazil identified 35 potential risk factors for participation restriction. These were then further assessed through quantitative fieldwork in six centres in India and Brazil. In all, 264 individuals receiving leprosy treatment or rehabilitation services made a retrospective assessment of their status at time of diagnosis. Their level of participation restriction was assessed using the Participation Scale. Regression analysis identified risk factors for participation restriction including fear of abandonment by family members (odds ratio 2.63, 95% CI 1.35-5.13) and hospitalization at diagnosis (3.98, 1.0-7.32). We recommend four consolidated items as the basis for a simple screening tool to identify individuals at risk. These are the physical impact of leprosy, an emotional response to the diagnosis, female gender and having little or no education. Such a tool may form the basis for a screening and referral procedure to identify newly diagnosed individuals at risk of participation restrictions and in need of actions that may prevent such restrictions. 20063019251F /" Y Schepers, V. P. M.
Ketelaar, M.
van de Port, I. G. L.
Visser-Meily, J. M. A.
Lindeman, E. 2007 Comparing contents of functional outcome measures in stroke rehabilitation using the International Classification of Functioning, Disability and Health 221 - 230 Disability & Rehabilitation 29 3 Purpose. To examine the content of outcome measures that are frequently used in stroke rehabilitation and focus on activities and participation, by linking them to the International Classification of Functioning, Disability and Health (ICF).
Method. Constructs of the following instruments were linked to the ICF: Barthel Index, Berg Balance Scale, Chedoke McMaster Stroke Assessment Scale, Euroqol-5D, Functional Independence Measure, Frenchay Activities Index, Nottingham Health Profile, Rankin Scale, Rivermead Motor Assessment, Rivermead Mobility Index, Stroke Adapted Sickness Impact Profile 30, Medical Outcomes Study Short Form 36, Stroke Impact Scale, Stroke Specific Quality of Life Scale a
?H C Nienhuis W. A.,
Brakel, W. H. van
Butlin, C. R.
Werf, T. S. van der 2004e Measuring impairment caused by leprosy: inter-tester reliability of the WHO disability grading system 221-232 Leprosy Review 75 3 This paper reports the results of a study on the inter-tester reliability of the WHO disability grading system. The WHO disability grading system is the most frequently used method of grading impairment in leprosy patients. With this method, a grade of 0-2 is assigned to each of six individual body sites (both eyes, hands and feet). The maximum grade of any of these sites is used as an overall indicator of the person's impairment status. To date, the WHO disability grading scale has not been subjected to reliability testing. The reliability of the grading system depends on the operational definitions of the grades, the way the tester interprets these definitions and the skill of the tester. It is therefore important that the definitions are unambiguous and leave as little room as possible for multiple interpretations. Three testers with varying degrees of experience did paired assessments on a total of 150 leprosy patients in the Leprosy Mission Hospital Purulia, India, using recently published operational definitions of the WHO disability grades. For every patient, they determined the maximum grade (minimum 0, maximum 2), and calculated the impairment sum-score (eyes, hands, feet score), adding up the six grades for eyes, hands and feet (minimum 0, maximum 12). The weighted Kappa statistic (Kw) was used as the coefficient of inter-tester reliability. A kappa of 0 represents agreement no better than chance, and 1.0 complete (chance-corrected) agreement. Kw values of more than or equal to 0. 80 are considered very good and adequate for monitoring and research. Weighted Kappa analysis yielded a reliability coefficient of 0.89 (95% CI 0.84-0.94) for the maximum grade and a Kw of 0.97 (95% CI 0-96-0.98) for the EHF score. We concluded that, when using standard operational definitions, the WHO disability grading system can be used reliably in the hands of both experienced and inexperienced testers, provided adequate training has been given. Reliability should be evaluated further in a field setting, when used by primary health care workers. It is recommended that the 'WHO disability grading' be renamed 'WHO impairment grading', using the terminology as defined by the International Classification of Functioning, Disability and Health (ICF). 20043173433?I Crews, J. E.
Campbell, V. A. 2004t Vision impairment and hearing loss among community-dwelling older Americans: implications for health and functioning 823-829! American Journal of Public Health 94 5 Objectives: We investigated the health, activity, and social participation of people aged 70 years or older with vision impairment, hearing loss, or both. Methods: We examined the 1994 Second Supplement on Aging to determine the health and activities of these 3 groups compared with those without sensory loss. We calculated odds ratios and classified variables according to the International Classification of Functioning, Disability and Health framework. Results: Older people with only hearing loss reported disparities in health, activities, and social roles; those with only vision impairment reported greater disparities; and those with both reported the greatest disparities. Conclusions: A hierarchical pattern emerged as impairments predicted consistent disparities in activities and social participation. This population's patterns of health and activities have public health implications., http://www.ajph.org/contents-by-date.0.shtml 20043080881?J C Jiménez Buñuales, M. T.
González Diego, P.
Martín Moreno, J. M. 2002M International Classification of Functioning, Disability and Health (ICF) 2001 271-279_ La Clasificación Internacional del Funcionamiento de la Discapacidad y de la Salud (CIF) 2001. 76 4} This article presents the revised and updated International Classification of Functioning, Disability and Health drafted by the WHO, which has been accepted by 191 countries after revamping the previous model (Classification of Impairments, Disabilities and Handicaps) and reaching a consensus regarding a new international model for describing and measuring health and disability. 20023144946 F7K Badley EM, Tennant A, 1991 A survey of diablement in a British population using an action-orientated measure, physical independence handicap:
problems with activities of daily living and level support. 91-98, International Journal of disability Studies 13 3 http://www.rds.hawaii.edu/ English 7L Badley EM, Lee J, 1987` Impairment, Disability and the ICIDH model III: underlying disease, impairment and disability. 174-1810 International Journal of Rehabilitation Medicine 8 http://jrm.medicaljournals.se/ English 7M Badley EM, Lee, Wood PHN, 1987p Impairment, Disability and the ICDH model II: the nature of the underlying condition and pattern of impairment. 118-1241 International Journal of Rehabilitation Medicine. 8" http://www.medicaljournals.se/jrm/ Eglish wF7N Badley EM, 1987 The ICDH: format, application in different settings, and distinction between disability and handicap; a crique of papers on the application of the International Classification of impairments, Disabiities and Handicaps. , International Journal of Disability Studies 9 122-125. http://www.ingentaconnect.com/content/mjl/sreh English ?O " Badley EM, WoggstAFF S, Wood PHN, 1984n Measures of functional ability (disability) in arthritis in relation to impairment of range of joint movement) 563-569 Annals of Rheumatic Diseases 436 http://www.rheumatology.org.uk/link/journals_links/ARD ?P Badley EM, Lee, J, Wood PHN, 1979M Patterns of disability related to joint involvement in rheumatoid arthritis. 105-109 Rheumatology and Rehabilitation 18D http://rheumatology.oxfordjournals.org/cgi/content/abstract/15/4/245-?Q " badley EM, Thompson RP, Wood PHN, 1978 The prevalence and severity of major disabling conditions - A reappraisal of the government social survey of the handicapped and impaired in Great Britain. 145-151& International Journal of Epidemiology 7 http://ije.oxfordjournals.org/>F?R - Bales EM, Kukafka R, Burkhardt A, Friedman C, 2006 Qualitative assessment of the International Classification of Functioning , Disability and Health with respect to the desiderata for controlled medical vocabularies Int J Med Inform. Aug 225 http://www.sciencedirect.com/science/journal/13865056 ?S " Ball LJ, Beukelman DR, Pattee GL, 2004M Communication effectiveness of individuals with amyotrophic lateral sclerosis 197-215 J Commun Disord May-June 37 3 http://www.ncbi.nlm.nih.gov 7T Barak S, Duncan PW, 2006Q Issues in selecting outcome measures to assess functional outcomes after stroke. 505-524C Journal of the American Society for Experimental Neuro Therapeutics 3 http://www.neurorx.org/ English [~?U 4 Olivier, Barbier
Massimo, Penta
Jean-Louis, Thonnard 2003} Outcome evaluation of the hand and wrist according to the International Classification of Functioning, Disability, and Health 371-378 Hand clinics 19 3 Saunders> http://linkinghub.elsevier.com/retrieve/pii/S0749071202001506 0749-0712 S0749-0712(02)00150-6 )7V Barrow FH, 2006m The International Classification fo Functioning, Disability and Health (ICF), A New Tool for Social Workers. 65-73(9)4 Jounal of Social Work in Disability & Rehabilitation 5 1A http://www.informaworld.com/smpp/title~content=t792306971~db=jour English *7W , Bartholomeyczik S, Boldt C, Grill E, Konig P 2006 Development and use of the ICF from the nusring point of view - a position statement of the German speking group "ICF and Nursing" 1-7
Pflege Z.. 59 9; http://www.unboundmedicine.com/medline/ebm/journal/Pflege_Z German b7X p Bartlett DJ, MacNab J, MacArthur C, Mandich A, Magill-Evans J, Young NL, Beal D, Conti-Becker A & Polatajko HJ, 2006] Advancing rehabilitation research: An interactionist perspective to guide question and design 1169-1176 Disability and Rehabilitation 28 199 http://www.informaworld.com/smpp/title~content=t713723807 English 7Y
Baxter P, 2004 Health vs disease 291+ Developmental Medicine and Child Neurology 46K http://www3.interscience.wiley.com/journal/118482279/home?CRETRY=1&SRETRY=0 English ?Z Bedell GM, 2004 Developing a follow-up survey focused on participation of children and youth with acquired brain injuries after discharge from inpatient rehabilitation 191-205 Neurorehabilitation 195 http://www.iospress.nl/loadtop/load.php?isbn=10538135
?[ Bergemalm P-O, Borg E, 2005r Peripheral and Central AudioSequelae of Closed Head Injury: Function, Activity, Participation and Quality of Life. 185-198(14) Audiological Medicine 3 3: http://iapa-online.org/publications/audiological-medicine/ ?\ Berger M, 2005? The NSF Mental Health Standard 9: the Devil is in the Delivery! 123-126# Child and Adolescent Mental Health 10 31 http://www.wiley.com/bw/journal.asp?ref=1475-357X ?] Q Biering-Sorenson F, Charlifue S, DeVivo M, Noonan V, Post M, Stripling T, Wing p, 2006+ International Spinal Cord Injury Data Sets 530-534 Spinal Cord 442 http://www.nature.com/sc/journal/v44/n9/index.html 7^ i Biering-Sorenson F, Schuringer M, Baumberger M, Charlifue SW, Post MW, Montero F, Kostanjsek N, Stucki G, 2006 Developing core sets for persons with spinal cord injuries based on the International Classification of Functioning, Disability and Health as a way to specify functioning. 541-6 Spinal Cord Sept. 44 92 http://www.nature.com/sc/journal/v44/n9/index.html English&?_ B Bilbao A, Kennedy C, Chatterji S, Ustun B, Barquero JL, Barth JT, 2003l The ICF: Applications of the WHO model of functioning, disability and health to brain injury rehabilitation. 239-50 Neurorehabilitation 18 35 http://www.iospress.nl/loadtop/load.php?isbn=10538135 o?` Boer AH, 2006 Rapportage ouderen 281 Sociaal Cultureel Planbureau http://www.scp.nl/ ?a ! Boldt C, Scheuringer M, Grill E, 2005H Functional health and nursing performance: WHO classification challenge. 164-8 Pflege Z. Mar 58 3; http://www.unboundmedicine.com/medline/ebm/journal/Pflege_ZV?b H Boldt C, Brach M, Grill E, Berthou A, Meister K, Scheuinger M &Stucki G, 2005 The ICF categories identified in nursing interventions administered to neurological patients with post-acute rehabilitation needs. 420-431 Disability and Rehabilitation. 27 7/89 http://www.informaworld.com/smpp/title~content=t713723807 1?c X Boldt C, Grill E, Wildner M, Portenier L, Wilke S, Stucki G, Kostanjsek N, & Quittan M, 2005O ICF Core Set for patients with cardiopulmonary conditions in the acute hospital 375-380 Disability and Rehabilitation 27
7/89 http://www.informaworld.com/smpp/title~content=t713723807 ?d " Boldt C, Winter S, Grill E, et al, 2003J Use of standarddized assessment measures in acute inpatient rehabilitation 1-8 Phys Med Rehab Kuror 13% http://www.ohiolink.edu/resources.cgi 7e Boles L, 20044 Commentary; The ICF language of numeric adjectives. 71-73& Advances in speech language Pathology. Mar. 6 1f http://www.ingentaconnect.com/content/tandf/tasl/2004/00000006/00000001;jsessionid=33287ptinm7ag.alice Englishf7f C Borchers M, Cieza A, Sigl T, Kolleritis B, Kostanjsek N, Stucki G, 2005 Content comparison of osteoroposis-targeted health status measures in relation to the International Classification of Functioning, Disability and health (ICF). 139-44 Clin. Rheumatol Apr; 24 25 http://journals.lww.com/jclinrheum/pages/default.aspx English *?g 9 Borell L, Asaba E, Rosenberg L, Schult M-L & Townsend E, 2006U Exploring experiences of "participation" among individuals living with chronic pain.
76-85, Scandinavian Journal of Occupational Therapy 13E http://www.scimagojr.com/journalsearch.php?clean=0&q=11038128&tip=iss ?h Bornman J, Murphy J, 2006H Using the ICF in goal setting: clinical application using Talking Mats. 145-1543 Disability and Rehabilitation: Assistive Technology 1 3G http://journals.indexcopernicus.com/karta.php?action=masterlist&id=2693 7i Bostrom K, Ahlstrom G, 2004c Living with a chronic deteriorating disease: the trajectory with muscular dystrophy over ten years. 1388-98 Disabil Rehabil
Dec 2; 26
239 http://www.informaworld.com/smpp/title~content=t713723807 English 7j Botha-Scheepers S, Riyazi N, Kroon HM, Scharloo M, Houwing-Duistermaat JJ, Slagboom E, Rosendaal FR, Breedveld FC, Kloppenburg M, 2006 Activity limitations in the lower extremities in patients with osteoarthritis: the modifying effects of illness perceptions and mental health. 1104-1110 OsteoArthritis and Cartilage 14K http://www.oarsijournal.com/issues/contents?issue_key=S1063-4584(06)X0091-2 English B?k R Bouras N, Martin G, Leese M, Vanstrelen M, Holt G, Thomas C, Hindler C, Boardman J 2004T Schizophrenia-spectrum psychoses in people with and without intellectual disability. 548-55 J Intellect Disabil Res. Sept; 48 (Pt 6)J http://www.unboundmedicine.com/medline/ebm/journal/J_Intellect_Disabil_Res x 7l E Broekman TG, Schippers GM, Maarten W.J. Koeter MWJ, Van Den Brink W, 2004 Standardized assessment in substance abuse treatment in the Netherlands: The case of the Addiction Severity Index and new developments. 147-155 Journal of Substance Use 9 (3-4)T http://www.informaworld.com/smpp/2016107152-58568706/title~content=t713655978~db=all English 2?m " Brush JA, Threats TT, Calkins MP, 2003< Influences on perceived function of a nusring home resident 379-93 J Commun Disord
Sept.-Oct; 36 5 http://www.novoseek.com/ShowDetailAction.action?typeId=journal&bioType=false&internalId=jrn_journalofcommunicationdisorders&corpus=MEDLINE )7n Bruyere SM, Peterson DB, 2005 Introduction to the special section on the International Classification of Functioning, disability and Health: Implications for Rehabilitation Psychology 103-104 Rehabilitation Psychology 50 2 http://www.apa.org/journals/rep/ English .7o Bruyere SM, Peterson DB 2005 using the International Classification of Functioning, Disability and Health (ICF) to promote employment and community integration in rehabilitation. 105-117 Rehabilitation Education 19 2&3* http://www.elliottfitzpatrick.com/jre.html English www.who.int/nmh/en/
WHO Geneva
5 $$~? r Whiteneck, Gale, G.
Cynthia, L. Harrison-Felix
David, C. Mellick
C. A. Brooks
Susan, B. Charlifue
Ken, A. Gerhart 2004q Quantifying environmental factors: A measure of physical, attitudinal, service, productivity, and policy ?q Burhrlen B,Gerdes N, jackel WH, 2005 Development and Psychomtric testings of a patient questionnaire for medical rehabilititation (IRES-3) 63-74 Rehabilitation (Stugg) Apr. 44 (2)c http://www.ncbi.nlm.nih.gov/sites/entrez?db=nlmcatalog&term=%22Rehabilitation%20(Stuttg)%22%5Bta%5D 7r $ Butler A, Blanton S, Rowe V, Wolf S, 2006W Attempting to improve function and quality of life using the FTM Protocol; case report. 148-56 J Neurol Phys Ther Sept; 30 3E http://www.unboundmedicine.com/medline/ebm/journal/J_Neurol_Phys_Ther English GD7s
( Buuren S van, Hopman-Rock M & Miedema HS 1996^ The development of a proposal for revision of the severity of disabilities scale of the ICIDH. ; Lieden: TNO Prevention and Health Division of Public HealthW http://www.ist-world.org/OrgUnitDetails.aspx?OrgUnitId=725516046a3f406a8080a3f85b44a113 English m?t Byrne, Kerry
Orange, J. 2005h Conceptualizing communication enhancement in dementia for family caregivers using the WHO- ICF framework 187-202% Advances in Speech Language Pathology 7} http://www.ingentaconnect.com/content/tandf/tasl/2005/00000007/00000004/art00001
http://dx.doi.org/10.1080/14417040500337062 doi:10.1080/14417040500337062x ?~ i Carr Vaughan J, Johnston Patrick J, Lewin Terry J, Rajkumar Sadanand, Carter Gregory L, Issakidis Cathy, 2003V Patterns of Service Use Among Persons With Schizophrenia and Other Psychotic Disorders 226-235 Psychiatr Serv 54 2 February 1, 2003 OBJECTIVE: This study assessed 12-month service use patterns among people with psychotic disorders and sought to identify determinants of service use. METHODS: As part of a large two-phase Australian study of psychotic disorders, structured interviews were conducted with a stratified random sample of adults who screened positive for psychosis. Demographic characteristics, social functioning, symptoms, mental health diagnoses, and use of psychiatric and nonpsychiatric services were assessed. Data were analyzed for 858 persons who had an ICD-10 diagnosis of a psychotic disorder and who had been hospitalized for less than six months during the previous year. RESULTS: People with psychotic disorders had high levels of use of health services, both in absolute terms and relative to people with nonpsychotic disorders. Those with psychotic disorders were estimated to have an average of one contact with health services per week. Use of psychiatric inpatient services was associated with parenthood, higher symptom levels, recent attempts at suicide or self-harm, personal disability, medication status, and frequency of alcohol consumption. Services provided by general practitioners (family physicians) were more likely to be obtained by older people, women, people with greater availability of friends, those with fewer negative symptoms, and those whose service needs were unmet by other sources. People who were high users of health services also reported having more contact with a range of non-health agencies. CONCLUSIONS: The predictors of service use accounted for small proportions of the variance in overall use of health services. The role of general practitioners in providing and monitoring treatment programs and other psychosocial interventions needs to be acknowledged and enhanced.= http://ps.psychiatryonline.org/cgi/content/abstract/54/2/226 10.1176/appi.ps.54.2.226 F7{ Campbell WN, Skarakis-Doyle E, 2007Z School-aged children with SLI: The ICF as a framework for collaborative service delivery, # Journal of Communication Disorders http://www.science-direct.com English I?| Z Capodaglio EM, Vittadini G, Bossi D, Sverzellati S, Facioli M, Montomoli C Dalla Toffola E 2003i A functional assessment methodology for alcohol dependent patients undergoing rehabilitative treatments. 1224-1230 Disability Rehabilitation 25 219 http://www.informaworld.com/smpp/title~content=t713723807( ?} Francois, Chapireau 2005Y The Environment in the International Classification of Functioning, Disability and Health 305-3118 Journal of Applied Research in Intellectual Disabilities 18 4^ Background The World Health Organization has adopted two classifications relating to disability, one was published in 1980 and the more recent one in 2001. Although the international classification of functioning, disability and health (ICF) was drafted as a revision of the international classification of impairments, disabilities and handicaps (ICIDH), the ICF is based on major changes when compared with the ICIDH. One of them has to do with the environment.Method Quotations from the classification manuals and related articles are presented in order to make clear the scope of the environment in the ICF.Results The ICF has a universal application. The gap between capacity and performance reflects the barriers created by the environment.Conclusions In the ICF, universalism and barriers have specific meanings, reflecting specific policy choices.3 http://dx.doi.org/10.1111/j.1468-3148.2005.00269.x 10.1111/j.1468-3148.2005.00269.x 1468-3148 French World Health Organisation Collaborating Centre for Research and Training in Mental Health, Hopital Erasme, BP 85, 92160 Antony, Francep ? Chopra P, Couper J, Herrman H, 2002a The assessment of disability in patients with psychotic disprders; an application of the ICIDH-2. 127-32 Aust N Z J Psychiatry Feb; 36 1 http://www.medworm.com/rss/search.php?qu=The+Australian+and+New+Zealand+Journal+of+Psychiatry&t=The+Australian+and+New+Zealand+Journal+of+Psychiatry&s=Search&f=source ? Z Chisolm, Theresa H.
Abrams, Harvey B.
McArdle, Rachel
Wilson, Richard H.
Doyle, Patrick J. 2005{ The WHO-DAS II: Psychometric Properties in the Measurement of Functional Health Status in Adults With Acquired Hearing Loss 111-126 Trends in Amplification 9 3 September 1, 2005
The World Health Organization's (WHO) Disability Assessment Scale II (WHO-DAS II) is a generic health-status instrument firmly grounded in the WHO's International Classification of Functioning, Disability and Health (WHO-ICF). As such, it assesses functioning for six domains: communication, mobility, self-care, interpersonal, life activities, and participation. Domain scores aggregate to a total score. Because the WHO-DAS II contains questions relevant to hearing and communication, it has good face validity for use as an outcome measure for audiologic intervention. The purpose of the present study was to determine the psychometric properties of the WHO-DAS II on a sample of individuals with adult-onset hearing loss, including convergent validity, internal consistency, and test-retest stability. Convergent validity was established by examining correlations between the WHO-DAS II (domain and total scores) and the Abbreviated Profile of Hearing Aid Benefit (APHAB) and the Hearing Aid Handicap for the Elderly (HHIE), two disease-specific measures, as well as with the Short Form-36 for veterans (SF-36V), a second generic measure. Data on all four measures were collected from 380 older individuals with adult-onset hearing loss who were not hearing aid users. The results of the convergent validity analysis revealed that the WHODAS II communication domain score was moderately and significantly correlated with scores on the APHAB and the HHIE. WHO-DAS II interpersonal and participation domain scores and the total scores were also moderately and significantly correlated with HHIE scores. These findings support the validity of using the WHO-DAS II for assessing activity limitations and participation restrictions of adult-onset hearing loss. Several WHO-DAS II domain scores and the total score were also significantly and moderately-markedly correlated with scores from the SF-36V. These findings support the validity of the WHO-DAS II as a generic health-status instrument. Internal consistency reliability for all the domain scores was adequate for all but the interpersonal domain. Test-retest stability for all the domain scores was adequate. Critical difference values were calculated for use in clinical application of the WHO-DAS II. From these findings, we concluded that the WHO-DAS II communication, participation, and total scores can be used to examine the effects of adult-onset hearing loss on functional health status. Further work examining the utility of the WHO-DAS II as an outcome measure for hearing aid intervention is warranted.4 http://tia.sagepub.com/cgi/content/abstract/9/3/111 10.1177/108471380500900303 }? ` Cieza, Alarcos
Geyh, Szilvia
Chatterji, Somnath
Kostanjsek, Nenad
Ustun, Bedirhan
Stucki, Gerold 2006 Identification of candidate categories of the International Classification of Functioning Disability and Health (ICF) for a Generic ICF Core Set based on regression modelling 36 BMC Medical Research Methodology 6 14 BACKGROUND:The International Classification of Functioning, Disability and Health (ICF) is the framework developed by WHO to describe functioning and disability at both the individual and population levels.While condition-specific ICF Core Sets are useful, a Generic ICF Core Set is needed to describe and compare problems in functioning across health conditions.METHODS:The aims of the multi-centre, cross-sectional study presented here were: a) to propose a method to select ICF categories when a large amount of ICF-based data have to be handled, and b) to identify candidate ICF categories for a Generic ICF Core Set by examining their explanatory power in relation to item one of the SF-36.The data were collected from 1039 patients using the ICF checklist, the SF-36 and a Comorbidity Questionnaire.ICF categories to be entered in an initial regression model were selected following systematic steps in accordance with the ICF structure. Based on an initial regression model, additional models were designed by systematically substituting the ICF categories included in it with ICF categories with which they were highly correlated.RESULTS:Fourteen different regression models were performed. The variance the performed models account for ranged from 22.27% to 24.0%. The ICF category that explained the highest amount of variance in all the models was sensation of pain. In total, thirteen candidate ICF categories for a Generic ICF Core Set were proposed.CONCLUSION:The selection strategy based on the ICF structure and the examination of the best possible alternative models does not provide a final answer about which ICF categories must be considered, but leads to a selection of suitable candidates which needs further consideration and comparison with the results of other selection strategies in developing a Generic ICF Core Set., http://www.biomedcentral.com/1471-2288/6/36 1471-2288 doi:10.1186/1471-2288-6-36 ? D Cieza, A.
Geyh, S.
Chatterji, S.
Kostanjsek, N.
Ustun, B.
Stucki, G. 20055 ICF linking rules: an update based on lessons learned 212 - 8
J Rehabil Med 37 4 doi:10.1080/16501970510040263
5`3 & Research in Developmental Disabilities 27 5 ICF; Developmental disabilities; Transition; Population-based study; Mental retardation; Cerebral palsy; Hearing loss; Vision impairment; Epilepsy The framework of the International Classification of ? % Disler, P. B.
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New, P. W. 2005{ Functional outcomes and disability after nontraumatic spinal cord injury rehabilitation: Results from a retrospective study 250 - 61 Arch Phys Med Rehabil 86 2 doi:10.1016/j.apmr.2004.04.028 Tuppl 41 The WHO/ILAR core set of endpoints for rheumatoid arthritis clinical trials signifies progress in a continuing worldwide effort. This core set includes the following measures: pain, patient global asse t ? World Health, Organization 2001B International Classification of Functioning, Disability and Health ? Stucki, G.
Ewert, T.
Cieza, A. 2002; Value and application of the ICF in rehabilitation medicine 932 - 8 Disabil Rehabil 20;24 17 doi:10.1080/09638280210148594 ? Cieza, A.
Stucki, G. 2005l Understanding functioning, disability, and health in rheumatoid arthritis: the basis for rehabilitation care 183 - 9 Curr Opin Rheumatol 17 2& doi:10.1097/01.bor.0000151405.56769.e4 ? & Ustun, B.
Chatterji, S.
Kostanjsek, N. 2004 World Health Assembly Resolution on ICF
Comments from WHO for the Journal of Rehabilitation Medicine Special Supplement on ICF Core Sets 7 - 8
J Rehabil Med 44 Supplt http://www3.who.int/icf/icftemplate.cfm?mytitle=World%20Health%20Assembly%20Resolution%20on%20ICF&myurl=whares.html Downloaded: February 1st, 2006 8? Stucki G, Grimby G, 2004 Applying the ICF in medicine 5 - 6
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WHO Geneva? < Sangha, O.
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Ewert, T.
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Chatterji, S.
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Smolen, J. S.
Khaltaev, N.
Muirden, K. D. 1994 World Health Organisation and international league of associations for rheumatology core endpoints for symptom modifying antirheumatic drugs in rheumatoid arthritis clinical trials 86 - 9 J Rheumatol S? Felson, D. T.
Anderson, J. J.
Boers, M.
Bombardier, C.
Chernoff, M.
Fried, B.
Furst, D.
Goldsmith, C.
Kieszak, S.
Lightfoot, R.
Paulus, H.
Tugwell, P.
Weinblatt, M.
Widmark, R.
Williams, H. J.
Wolfe, F. 1993 The American College of Rheumatology preliminary core set of disease activity measures for rheumatoid arthritis clinical trials. The Committee on Outcome Measures in Rheumatoid Arthritis Clinical Trials 729 - 40 Arthritis Rheum 36 6 ? Tugwell, P.
Boers, M. 1993w Developing consensus on preliminary core efficacy endpoints for rheumatoid arthritis clinical trials. OMERACT Committee 555 - 6 J Rheumatol 20 3 <F? Bullinger, M.
Kirchberger, I. 1998` Der SF-36 Fragebogen zum Gesundheitszustand. Handbuch fur die Deutschsprachige Fragebok7 Cieza A, Stucki G, 2005 Content comparison of Health Related Quality of Life (HRQOL) instruments based on the International Classification of Functioning Disability and health (ICF) for a Generic ICF Core Set based on regression modelling. 1225-1237 Quality of Life Research 14. http://www.springer.com/medicine/journal/11136 English ( ? Francois, Chapireau 2005Y The Environment in the International Classification of Functioning, Disability and Health 305-3118 Journal of Applied Research in Intellectual Disabilities 18 4^ Background The World Health Organization has adopted two classifications relating to disability, one was published in 1980 and the more recent one in 2001. Although the international classification of functioning, disability and health (ICF) was drafted as a revision of the international classification of impairments, disabilities and handicaps (ICIDH), the ICF is based on major changes when compared with the ICIDH. One of them has to do with the environment.Method Quotations from the classification manuals and related articles are presented in order to make clear the scope of the environment in the ICF.Results The ICF has a universal application. The gap between capacity and performance reflects the barriers created by the environment.Conclusions In the ICF, universalism and barriers have specific meanings, reflecting specific policy choices.3 http://dx.doi.org/10.1111/j.1468-3148.2005.00269.x 10.1111/j.1468-3148.2005.00269.x 1468-3148 French World Health Organisation Collaborating Centre for Research and Training in Mental Health, Hopital Erasme, BP 85, 92160 Antony, France? Cieza A, Stucki G, 2005m Understanding functioning, disability, and health in rheumatoid arthritis: the basis for rehabilitation care 183-9 Curr Opin Rheumatol Mar; 17 2 Abstract:
Purpose of review: To examine the recent literature on rheumatoid arthritis in relation to functioning and disability, highlighting it from the perspective of the biopsychosocial model of functioning, disability, and health of the World Health Organization. This review focuses on longitudinal studies because they clarify associations found in cross-sectional studies and are useful in shedding light on the mechanisms that explain functioning and disability.
Recent findings: The studies that contribute best to understanding of functioning and disability in patients with rheumatoid arthritis are studies that (1) incorporate a comprehensive model to integrate different variables of interest, (2) use a longitudinal design to examine the potential casual relationships among the variables, and (3) use hierarchical regression analyses or path analysis to study the relation among variables.
Summary: It is time to rethink and redefine what should be measured when addressing functioning and disability of patients with rheumatoid arthritis. The use of a universally agreed framework and classification, such as the International Classification of Functioning, Disability and Health, a universally agreed-on comprehensive list of variables potentially relevant to functioning and disability in rheumatoid arthritis, and a greater focus on functioning-oriented versus disability-oriented perspectives constitute a solid foundation for such a rethinking process.6 http://journals.lww.com/co-rheumatology/toc/2005/03000 ? > Cieza A, Geyh S, Chatterji S, Kostanjsek N, Ustun B, Stucki G, 20057 ICF linking rules: an update based on lessons learned. 212-218# Journal of Rehabilitation Medicine 37 4Q ICF, health-status measures, linking rules, outcome assessment, outcome research h Objective: Outcome research seeks to understand the end results of health services. Researchers use a wide variety of outcome measures including technical, clinical and patient-oriented measures. The International Classification of Functioning, Disability and Health (ICF) as a common reference framework for functioning may contribute to improved outcome research. The objective of this paper is to provide an updated version of the linking rules published in 2002 and illustrate how these rules are applied to link technical and clinical measures, health-status measures and interventions to the ICF.Results: Three specific linking rules have been established to link health-status measures to the ICF and one specific linking rule has been created to link technical and clinical measures and interventions. A total of 8 linking rules have been established for use with all different outcome measures and with interventions.Conclusion: The newly updated linking rules will allow researchers systematically to link and compare meaningful concepts contained in them. This should prove extremely useful in selecting the most appropriate outcome measures among a number of candidate measures for the applied interventions. Further possible applications are the operationalization of concrete ICF categories using specific measures or the creation of ICF category-based item bankings.
H http://jrm.medicaljournals.se/article/abstract/10.1080/16501970510040263)7 Cieza A, Stucki G, 2005 Content comparison of health-related quality of life (HRQOL) instruments based on the international classification of functioning, disability and health (ICF) 1225-37
Qual Life Res June 14 5+ http://www.springerlink.com/content/100213/ English ? ` Cieza Alarcos, Stucki G, Weigl M, Disler P, Jackel W, van der Linden S, Kostanjsek N, de Bie R, 2004 ICF Core Set for Low Back pain 69-74# Journal of Rehabilitation Medicine 36 44 Suppl/ pain; outcome assessment; quality of life; ICF, Objective: To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of a Comprehensive ICF Core Set and a Brief ICF Core Set for chronic widespread pain.
Methods: A formal decision-making and consensus process integrating evidence gathered from preliminary studies was followed. Preliminary studies included a Delphi exercise, a systematic review and an empirical data collection. After training in the ICF and based on these preliminary studies relevant ICF categories were identified in a formal consensus process by international experts from different backgrounds.
Results: The preliminary studies identified a set of 365 ICF categories at the second, third and fourth ICF levels with 143 categories on body functions, 45 on body structures, 125 on activities and participation and 125 on environmental factors. Thirty experts attended the consensus conference on chronic widespread pain (16 physicians with at least a specialization in physical and rehabilitation medicine, 4 rheumatologists, 2 psychiatrists, 5 physical therapists, one psychologist, one occupational therapist and 1 social worker). Altogether 65 second-level and 2 third-level categories were included in the Comprehensive ICF Core Set with 23 categories from the component body functions, one from body structures, 27 from activities and participation and 16 from environmental factors. The Brief ICF Core Set included a total of 24 second-level categories and 2 third-level categories with 10 on body functions, 10 on activities and participation and 6 on environmental factors. No body structures were included in the Brief ICF Core Set.
Conclusion: A formal consensus process integrating evidence and expert opinion based on the ICF framework and classification led to the definition of ICF Core Sets for chronic widespread pain. Both the Comprehensive ICF Core Set and the Brief ICF Core Set were defined.) http://jrm.medicaljournals.se/issue/36/44C http://jrm.medicaljournals.se/article/pdf/10.1080/16501960410016046 ? Cieza A, Stucki G, 2004J New approaches to understanding the impact of musculoskeletal conditions. 141-54 Best Pract Res Clin Rheumatol. Apr; 18 2[ http://www.elsevier.com/wps/find/journaldescription.cws_home/623005/description#description ? 9 Clarke MJ, Badley EM, Black SE, Lawrence JM, Williams JI, 1999 Handicap in stroke survivors. 116-23 Disability and Rehabilitation 21 39 http://www.informaworld.com/smpp/title~content=t713723807
^}? Z Coenen, Michaela
Cieza, Alarcos
Stamm, Tanja
Amann, Edda
Kollerits, Barbara
Stucki, Gerold 2006 Validation of the International Classification of Functioning, Disability and Health (ICF) Core Set for rheumatoid arthritis from the patient perspective using focus groups R84 Arthritis Research & Therapy 8 4 Functioning is recognized as an important study outcome in rheumatoid arthritis (RA). The Comprehensive ICF Core Set for RA is an application of the International Classification of Functioning, Disability and Health (ICF) of the World Health Organisation with the purpose of representing the typical spectrum of functioning of patients with RA. To strengthen the patient perspective, persons with RA were explicitly involved in the validation of the Comprehensive ICF Core Set for RA using qualitative methodology. The objective of the study was twofold: to come forward with a proposal for the most appropriate methodology to validate Comprehensive ICF Core Sets from the patient perspective; and to add evidence to the validation of the Comprehensive ICF Core Set for RA from the perspective of patients. The specific aims were to explore the aspects of functioning and health important to patients with RA using two different focus group approaches (open approach and ICF-based approach) and to examine to what extent these aspects are represented by the current version of the Comprehensive ICF Core Set for RA. The sampling of patients followed the maximum variation strategy. Sample size was determined by saturation. The focus groups were digitally recorded and transcribed verbatim. The meaning condensation procedure was used for the data analysis. After qualitative data analysis, the resulting concepts were linked to ICF categories according to established linking rules. Forty-nine patients participated in ten focus groups (five in each approach). Of the 76 ICF categories contained in the Comprehensive ICF Core Set for RA, 65 were reported by the patients based on the open approach and 71 based on the ICF-based approach. Sixty-six additional categories (open approach, 41; ICF-based approach, 57) that are not covered in the Comprehensive ICF Core Set for RA were raised. The existing version of the Comprehensive ICF Core Set for RA could be confirmed almost entirely by the two different focus group approaches applied. Focus groups are a highly useful qualitative method to validate the Comprehensive ICF Core Set for RA from the patient perspective. The ICF-based approach seems to be the most appropriate technique.. http://arthritis-research.com/content/8/4/R84 1478-6354 doi:10.1186/ar1956 ? < Coenen M, Stamm TA, Cieza A, Amann E, Kollerits B, Stucki G, 2005w Validation of the Comprehensive ICF Core Set for rheumatoid arthritis from the patient's perspective using focus groups 395 Annals of Rheumatic Diseases 64 Supplement 3 http://ard.bmj.com/ ? < Coenen M, Stamm TA, Cieza A, Kollerits B, Amann E, Stucki G, 2005w Comparing two qualitative methods methods: Individual Interviews and focus groups in patients with rheumatoid arthritis 70 Annals of Rheumatic Diseases 64 Suppl 3 http://ard.bmj.com/ ? Colenbrander A, 2005( Visual functions and functional vision. 482-486 International Congress Series 12823 http://www1.elsevier.com/homepage/sab/ics/menu.html A? Colver A and the SPARCLE group, 2006 Study protocol: SPARCLE - a multi-centre European study of the relationship of environment to participation and quality of life in children with cerebral palsy 1186/1471-2458-6-105 BMC Public Health 6 105:10.- http://www.biomedcentral.com/1471-2458/6/105 M? $ Cook CE, Richardson JK, Pietrobon R, 2006 Validation of the NHANES ADL Scale in a sample of patients with report of cervical pain: Factor analysis, item response theory analysis, and line item validity. 929-935 Disability and Rehabilitation 28 159 http://www.informaworld.com/smpp/title~content=t713723807 ~?
Cools HJ, 2005A Stroke services are increasing ly effective Ned Tijschr Geneeskd 2321-3
Oct 15 149 42 F? Crews JE, Jones GC, Kim JH, 2006W Double Jeopardy: The Effects of Cormobid Conditions among Older People with Vision Loss) Journal of Visual Impairment & Blindness Special Supplement 824-8489 http://www.afb.org/afbpress/pubjvib.asp?DocID=jvib0305toc ? Crews, John E.
Smith, Suzanne M. 2003 PUBLIC HEALTH AND AGING 700-701 Am J Public Health 93 5 May 1, 2003 http://www.ajph.org 10.2105/ajph.93.5.700;? Dahl TH, 2002 international classification of fucntioning, disability and health: an introduction and discussion of its potential impact on rehabilitation services and research 201-4
J Rehabil Med Sep; 34 5 International Classification Of Functioning, Disability And Health, Rehabilitation Research, Rehabilitation Concepts, Disability Studies / This paper provides an introduction to the content and concepts of the World Health Organization's new International Classification of Functioning, Disability and Health (2001) and discusses its potential applications in rehabilitation services and research. Great interest has been expressed in the International Classification of Functioning, Disability and Health by its potential users and there is growing evidence that its conceptual framework is consistent with the understanding of functioning both for professionals and for people with disabilities. I http://jrm.medicaljournals.se/article/abstract/10.1080/165019702760279170D http://jrm.medicaljournals.se/article/pdf/10.1080/165019702760279170 1? Darzins P, Fone S, Darzins S 2006q The International Classification of Functioning, Disability and health can help to structure and evaluate therapy 127-131( Australian Occupational Therapy Journal 53 Number 2D http://www.ingentaconnect.com/content/bsc/aot/2006/00000053/00000002 ? Das, Amar K.
Olfson, Mark
Gameroff, Marc J.
Pilowsky, Daniel J.
Blanco, Carlos
Feder, Adriana
Gross, Raz
Neria, Yuval
Lantigua, Rafael
Shea, Steven
Weissman, Myrna M. 20059 Screening for Bipolar Disorder in a Primary Care Practice 956-963 JAMA 293 8 February 23, 2005;
Context Bipolar disorder consists of episodes of manic and depressive symptoms. Efforts to screen for depression in a primary care setting without assessment of past manic symptoms can lead to incorrect diagnosis and treatment of bipolar disorder. Objectives To screen for bipolar disorder in adult primary care patients and to examine its clinical presentation and effect on functioning. Design, Setting, and Participants A systematic sample of 1157 patients between 18 and 70 years of age who were seeking primary care at an urban general medicine clinic serving a low-income population. The study was conducted between December 2001 and January 2003. Main Outcome Measures Prevalence of bipolar disorder, its treatment and patient functioning. Study measures included the Mood Disorder Questionnaire, the PRIME-MD Patient Health Questionnaire, the Medical Outcomes Study 12-Item Short Form health survey, the Sheehan Disability Scale, data on past mental health treatments, and a review of medical records and International Classification of Diseases, Ninth Revision codes for each visit dating from 6 months prior to the screening day. Results The prevalence of receiving positive screening results for lifetime bipolar disorder was 9.8% (n = 112; 95% confidence interval, 8.0%-11.5%) and did not differ significantly by age, sex, or race/ethnicity. Eighty-one patients (72.3%) who screened positive for bipolar disorder sought professional help for their symptoms, but only 9 (8.4%) reported receiving a diagnosis of bipolar disorder. Seventy-five patients (68.2%) who screened positive for bipolar disorder had a current major depressive episode or an anxiety or substance use disorder. Of 112 patients, only 7 (6.5%) reported taking a mood-stabilizing agent in the past month. Primary care physicians recorded evidence of current depression in 47 patients (49.0%) who screened positive for bipolar disorder, but did not record a bipolar disorder diagnosis either in administrative billing or the medical record of any of these patients. Patients who screened positive for bipolar disorder reported worse health-related quality of life as well as increased social and family life impairment compared with those who screened negative. Conclusions In an urban general medicine clinic, a positive screen for bipolar disorder appears to be common, clinically significant, and underrecognized. Because of the risks associated with treating bipolar disorder with antidepressant monotherapy, efforts are needed to educate primary care physicians about the screening, management, and pharmacotherapy of bipolar disorders.8 http://jama.ama-assn.org/cgi/content/abstract/293/8/956 10.1001/jama.293.8.956~? X Rita, Damignani
Nancy, L. Young
William, G. Cole
Alison, M. Anthony
Elizabeth, M. Badley 20049 Impairment and activity limitation associated with epiphyseal dysplasia in children 1 1 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated 1647-16520 Archives of physical medicine and rehabilitation 85 10
W.B. SaundersW Limitation of activity, chronic
Multiple epiphyseal dysplasia
Pediatrics
Rehabilitation> http://linkinghub.elsevier.com/retrieve/pii/S0003999304002606 0003-9993 S0003-9993(04)00260-6 ~? V A. M. Davis
E. M. Badley
D. E. Beaton
J. Kopec
J. G. Wright
N. L. Young
J. I. Williams 2003{ Rasch analysis of the western ontariomcmaster (WOMAC) osteoarthritis index: results from community and arthroplasty samples 1076-1083 Journal of clinical epidemiology 56 11 ElsevierW WOMAC
Rasch analysis
Longitudinal data
Joint arthroplasty
Arthritis
Outcome measurement> http://linkinghub.elsevier.com/retrieve/pii/S0895435603001793 0895-4356 S0895-4356(03)00179-3 ? A DavIs, A. M, Kiss A, Anidis Z, Badley EM, Yoshida K, Williams JI, 1999F Evaluating Functining Outcome in Patients with Lower Extremity Sarcoma 90-100 Clinical Orthopaedics 1 358: http://www.springer.com/medicine/orthopedics/journal/11999Z? P DeVivo M, FBiering-Sorensen, Charlifue S, Noonan V, Post M, Stripling T, Wing P, 2006C Excecutive Committee for the International SCI Data Sets Committees 535-540; International Spinal Cord Injury Core Data Set Spinal Cord 44_ https://www.researchgate.net/publication/6835264_International_Spinal_Cord_Injury_Core_Data_Set V? 4 DavIs, A. M, Kiss A, Agnidis Z, Badley EM, Gross AE,A Predictors of functional outcomes post revision hip arthroplasty- Journal of Bone and Joint Surgery (In press) http://www.ejbjs.org/ :? ? Devitt R, Colantonio A, Dawson D, Teare G, Rattcliff G, chase S 2006s Prediction of Ion-term occupational performance outcomes for adults after moderate to severe traumatic brain injury 547-559 Disability and Rehabilitation 28 99 http://www.informaworld.com/smpp/title~content=t713723807 F? Dixon D, Pollard B, Johnston M, 20078 What does the chronicc pain grade questionnaire measure? Pain" doi: 10. 1016/j.pain. 2006. 12.004[ http://www.elsevier.com/wps/find/journaldescription.cws_home/506083/description#description 7 + Donkervoort M, Roebroeck ME, Wiegerink DJHG 2006b Determinanten van dagelijkse activeteiten en sociale partcipatie van jongeren met cerebrale parese 131-27 Revalidata 289 http://www.dchg.nl/pg-12576-7-8722/pagina/revalidata.html Dutsche ? ! Driller E, Pritzbuer EV, Ptaff H, 2004r Care required by disabled persons: are official severe disability statistics good enough for requirement analyses? 319-25 Gesundheitswesen May; 66 5 http://www.thieme.de/fz/gesu/X ? Dworkin, R. H, Turk DC, Farrar JT, Haythornthwaite JA, Jensen MP, Katz NP, Kerns RD, Stucki G, Allen RR, Bellamy N, Carr DB, Chandler J, Cowan P, Dionne R, Galer BS, Hertz S, Jadad AR, Kramer LD, Manning DC, Martin S, McCormick CG, McDermott MP, McGrath P, Quessy S, Rappaport BA, Robbins W, Robinson JP, Rothman M, Royal MA, Simon L, Stauffer JW, Stein W, Tollett J, Wernicke J, Witter J; IMMPACT , 2005P Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. 9-19 Pain Jan 113 (1-2)> http://www.elsevier.com/wps/find/bibliographic_browse.cws_home F? Eliasson A-C, 2005i Improving the Use of Hands in Daily Activities: Aspects of the Treatment of Children with Cerebral Palsy . Physical & Occupational Therapy in Pediatrics 25 34 http://www.tandf.co.uk/journals/haworth-journals.asp? ( Enderby P, John A, Hughes A, Petheram B, 2000A Benchmarking in rehabilitation: comparing physiotherapy services. 86-92 Clin Perform Qual Health Care 8 2R http://www.unboundmedicine.com/medline/ebm/research/Clin_Perform_Qual_Health_Care_ ? Enderby P, John A, 1999k Therapy outcome measures in speech and language therapy: comparing performance between different providers 417-29 Int J Lang Commun Disord. Oct-Dec; 34 4@ http://www.informaworld.com/smpp/title~content=t713393930~db=all$ ? R Erdmann PG, van Meeteren NLU, Kalmjin S, Wokke JHJ, Helders PJM, van den Berg LH, 2005L Functional health status of patients with chronic inflammatory neuropathies 181-189( Jounal of the Peripheral Nervous System 101 http://www.wiley.com/bw/journal.asp?ref=1085-9489
? : Ewert T, Geyh s, Grill E, Cieza A, Zaisserer S, Stucki G, 2005` Die Anwendung der ICF der Neurorehabilitation anhand des ICF-Modellblattes und der ICF Core Sets 179-188
Neuro Rehabil 11 45 http://www.iospress.nl/loadtop/load.php?isbn=10538135( ? R Ewert T, Grill E, Bartholomeyczik S, Finger M, Mokrusch T, Kostanjsek N, Stucki G, 2005M ICF Core set for patients with neurological conditions in the acute hospital 367-374 Disability and Rehabilitation 27 7/89 http://www.informaworld.com/smpp/title~content=t713723807 ? Ewert T, Cieza A, Stucki G, 2002 Die ICF in der Rehabilitation 157-62 Phys Med Rehab Kuror 121 http://www.thieme-connect.com/ejournals/home.html ߿? # Fayad F, Mace Y, Lefevre-Colau MM, 20059 Shoulder disability questionnaires: a systematic review. 298-306 Ann Readapt Med Phys Jul; 48 6G http://www.unboundmedicine.com/medline/ebm/journal/Ann_Readapt_Med_Phys Epub 2005 Apr 26. (French) ? $ Finkenflugel H, Dube S, Munthali A, 2006n CBR research as part of community development in: CBR as Community Development, a poverty reduction strategy P116-1483 http://www.asksource.info/cbr-book/cbraspart_09.pdf %? Finn P, Howard R, Kubala R, 2005j Unassisted recovery from stuttering: Self -perceptions of current speech behaviour, attitudes and feelings 281-305 Journal of Fuency Disorders 30V http://www.elsevier.com/wps/find/journaldescription.cws_home/505771/authorinstructions ? Fitzpatrick R, Badley EM, 19965 Outcomes in Rheumatology: an overview of disability. 184-187- Review paper. British Journal of Rheumatology 35' http://rheumatology.oxfordjournals.org/ ? Fortune N, 20049 A Framework for human functioning - the ICF in Australia 66-68 Journal of AHIMA 75 7 (July-August) http://journal.ahima.org/ d ? Fougeyrollas P, 1995 Documenting environmental factors for preventing the handicap creation process: Quebec contributions relating to ICIDH and social participation of people with functional differences 145-153 Disability and Rehabilitation 17 3/4 ICIDH, integration9 http://www.informaworld.com/smpp/title~content=t7137238073? ) Chatterton, Hilary J.
Spearing, Rachel M. 2006+ Understanding fatigue in multiple sclerosis 235-245 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00001
http://dx.doi.org/10.1179/108331906X144154 doi:10.1179/108331906X144154 ? Smith, Cath 2006 Fatigue in multiple sclerosis 246-247 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00002
http://dx.doi.org/10.1179/108331906X163414 doi:10.1179/108331906X163414 k? McFeely, Jennifer A.
Gracey, J. 2006m Postoperative exercise programmes for lumbar spine decompression surgery: a systematic review of the evidence 248-262 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00003
http://dx.doi.org/10.1179/108331906X144127 doi:10.1179/108331906X144127 ? Kennedy, Norelee 2006 Exercise therapy for patients with rheumatoid arthritis: safety of intensive programmes and effects upon bone mineral density and disease activity: a literature review 263-268 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00004
http://dx.doi.org/10.1179/108331906X144136 doi:10.1179/108331906X144136 5? ) Lawson, Daryl
Revelino, Katie
Owen, Devon 2006- Clinical pathways to improve patient outcomes 269-272 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00005
http://dx.doi.org/10.1179/108331906X144118 doi:10.1179/108331906X144118? French, Helen P. 2006 Use of questionnaire-based outcomes for the measurement of activities and participation in the physiotherapy management of hip osteoarthritis: a review 273-288 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00006
http://dx.doi.org/10.1179/108331906X163423 doi:10.1179/108331906X163423 ? 8 Walsh, N. E.
Mitchell, H. L.
Reeves, B. C.
Hurley, M. V. 2006~ Integrated exercise and self-management programmes in osteoarthritis of the hip and knee: a systematic review of effectiveness 289-297 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00007
http://dx.doi.org/10.1179/108331906X163432 doi:10.1179/108331906X163432 ? 2006 Errata 298-298 Physical Therapy Reviews 11P http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00008 ` ? ' Marques, Alda
Bruton, Anne
Barney, Anna 2006Z Clinically useful outcome measures for physiotherapy airway clearance techniques: a review 299-307 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00009
http://dx.doi.org/10.1179/108331906X163441 doi:10.1179/108331906X163441 ? 2006 Book Reviews 308-312 Physical Therapy Reviews 11{ http://www.ingentaconnect.com/content/maney/ptr/2006/00000011/00000004/art00010
http://dx.doi.org/10.1179/108331906X144109 doi:10.1179/108331906X144109 ߿? - Friesner D, Neufelder D, Raisor J, Khayum M, 2005U Benchmarking patient improvement in physical therapy with data envelopment analysis. 441-578 Int J Health Care Qual Assur Inc Leadersh Health Serv.; 18 6-7h http://www.unboundmedicine.com/medline/ebm/journal/Int_J_Health_Care_Qual_Assur_Inc_Leadersh_Health_Serv& Manuelle Therapie (7): 189-195 GERMAN FuBl M, ? Frommelt P, 2004H Mitteilungen der Forschungsgruppe ICF an der Asklepios-Klinik Schaufling 1-7 Schauflinger ICF-Brief 5: http://www.rivm.nl/who-fic/newsletter/newsletter2007-1.pdfc? = Fucetola, Robert
Tucker, Fran
Blank, Karen
Corbetta, Maurizio 2005Q A process for translating evidence-based aphasia treatment into clinical practice 411 - 422 19 3 Psychology Press: Background: Increased attention in the field of speech-language pathology is directed towards evidence-based treatment, particularly with regard to neurogenic communication disorders.Aims: The paper describes the development of an evidence-based aphasia clinic. Core principles of the clinic are the use of language treatment techniques that have support in efficacy data, and the objective measurement of treatment effectiveness.Main Contribution: Care paths for aphasia treatment are developed according to levels of evidence (Class I, II, III evidence); cognitive neuropsychological and life participation models; and the World Health Organisation International Classification of Health, Disability and Function (ICF). Multi-layered assessments are obtained at the ICF impairment and activity/participation levels throughout treatment (i.e., weekly treatment probes, monthly discourse probes, and biannual aphasia and neuropsychological assessments). Weekly multidisciplinary staffings address patient progress. The paper discusses limitations and challenges of addressing treatment effectiveness and efficacy within a typical outpatient clinical setting.Conclusions: The principles of evidence-based aphasia therapy and single-subject methodology can be applied in routine clinical rehabilitation settings.6 http://www.informaworld.com/10.1080/02687030444000859 0268-7038 %[ June 29, 2009 ? Gallagher P, Mulvany F, 2004 K Levels of ability and functioning: using the WHODAS II in an Irish Context 506-517 Disability and Rehabilitation 26 99 http://www.informaworld.com/smpp/title~content=t713723807 ? Geller G, Warren LR, 2004C Toward an Optimal Healing Environment in Pediatric Rehabilitation.
S-179-S1926 The Journal of Alternative and Complementary Medicine 10 Supplement 1$ http://www.liebertpub.com/index.aspx ? - Getz, Miriam
Hutzler, Yeshayahu
Vermeer, Adri 2006o Effects of aquatic interventions in children with neuromotor impairments: a systematic review of the literature 927-936 20 11 November 1, 2006 Objective: To determine the effectiveness of aquatic interventions in children with neuromotor impairments. Design: A search of electronic databases that included MEDLINE, PubMed, ERIC, PsychLit, PEDro, Sport Discus, CINAHL and Cochrane between 1966 and January 2005 was conducted using the following keywords: hydrotherapy', aquatic therapy', water exercise', aquatics', adapted aquatics', aquatic exercise' and swimming'. An additional resource, the Aquatic Therapy Research Bibliography until 1999, was explored manually. Titles and abstracts were assessed manually according to the following inclusion criteria: (1) population (children with neuromotor or neuromuscular impairments), (2) intervention (aquatic programme). Articles were reviewed according to merit of design, population participants and outcome measures with respect to International Classification of Function and Disability terminology (changes in body function, activity level and participation). Results: Eleven of the 173 articles that were retrieved met the inclusion criteria: one randomized control trial, two quasi-experimental studies, one cohort study, two case control studies and five case reports. Seven articles reported improvement in body functions, and seven articles reported improvement in activity level. Two of the four articles that investigated outcome measures regarding participation described positive effects while the findings of the other two revealed no change. None of the articles reported negative effects due to aquatic interventions. Conclusion: According to this review, there is a substantial lack of evidence-based research evaluating the specific effects of aquatic interventions in this population.6 http://cre.sagepub.com/cgi/content/abstract/20/11/927 10.1177/0269215506070693? 7 Geuskens, Goedele A.
Burdorf, Alex
Hazes, Johanna M. W. 2007Y Consequences of rheumatoid arthritis for performance of social roles--a literature review 1248-1260 34 6 June 2007 OBJECTIVE:To obtain quantitative estimates of restrictions in participation, i.e., the performance of social roles, in patients with rheumatoid arthritis (RA). METHODS: Participation categories were selected from the International Classification of Functioning, Disability and Health (ICF) (preliminary) Comprehensive Core Set for RA. A literature search was performed utilizing PubMed and PsychInfo. Articles were included if: (1) performance in at least one of the participation categories was described; (2) patients with RA were compared to a healthy reference population or their performance over time was described; (3) published between 1995 and 2005; and (4) written in English. RESULTS: Seven participation categories were selected from the Comprehensive Core Set for RA, resulting in 50 articles included in the review. Almost all studies focused on remunerative employment (n = 30), recreation and leisure (n = 17), or both (n = 3). RA patients had an increased risk of being without a paid job compared to well adjusted reference groups (absolute difference 4% to 28%, odds ratios 1.2 to 3.4). Restrictions in employment occurred already within the early phase of RA and varied greatly among studies. Two years after diagnosis, disability benefits increased up to roughly 30% in some European cohorts. In the category of recreation and leisure most studies focused on socializing (n = 16). Patients with longstanding RA experienced a decrease in socializing (range, Cohen's d, -0.46 to -1.0), but changes over time were minor. CONCLUSION: RA patients experience restrictions in the performance of remunerative employment and in recreation and leisure (socializing). Due to the lack of studies, no conclusions on other ICF categories describing social roles could be made.1 http://www.jrheum.org/content/34/6/1248.abstract ? g Szilvia Geyh, Thomas Kurt, Thomas Brockow, Alarcos Cieza, Thomas Ewert, Zaliha Omar, Karl-Ludwig Resch, 2004 Identifying the concepts contained in outcome measures of clinical trials on stroke using the international classification of functioning, disability and health as a reference 56-62" Journal of Rehabilitation Medicine 36 44: stroke; cerebrovascular accident; outcome assessment; ICF, Objectives: To systematically identify and quantify the concepts contained in outcome measures in stroke trials using the International Classification of Functioning, Disability and Health (ICF) as a reference.
Methods: Randomized controlled trials between 1992 and 2001 were located in MEDLINE and selected according to predefined criteria. Outcome measures were extracted and concepts contained in the outcome measures were linked to the ICF.
Results: A random sample of 160 (50%) of 320 eligible studies was included. A total of 148 standardized health status measures were identified. Of 11 283 extracted concepts, 91% could be linked to the ICF. The most used ICF categories for each component were d450 walking (70%) for activities and participation, b525 defecation functions (62%) for body functions, and e399 support and relationships, unspecified (30%) for environmental factors.
Conclusion: The ICF provides a useful reference to identify and quantify the concepts contained in outcome measures used in stroke trials. Outcome measurement in stroke refers to an enormous variety of concepts; for comparability of research findings agreement on what should be measured is needed.H http://jrm.medicaljournals.se/article/abstract/10.1080/16501960410015399J 1. ICF Research Branch, WHO FIC Collaborating Center (DIMDI), IMBK Ludwig-Maximilians-University Munich Germany 2: Spa Medicine Research Institute Bad Elster Germany 3: Department of Physical Medicine and Rehabilitation Ludwig-Maximilians-University Munich Germany 4: University of Malaya Faculty of Medicine Kuala Lumpur Malaysia DOI: 10.1080/16501960410015399 q? Libby Gibson, Jenny Strong 2003h A conceptual framework of functional capacity evaluation for occupational therapy in work rehabilitation 64-71' Australian Occupational Therapy Journal 50 2 functional assessment • functional capacity evaluation • occupational performance model • work assessment • work rehabilitation@ Functional capacity evaluation (FCE) is commonly used in work rehabilitation to assess the capacity of the injured worker for return to work. Occupational therapists are major providers of FCE, especially in Australia. Despite a history of involvement in the functional assessment of clients for work, occupational therapy has few theoretical models for work assessment in general, and for FCE in particular. This may account for some of the confusion that exists about the conceptual basis of FCE in occupational therapy practice. This paper presents a framework for FCE that parallels occupational therapy's occupational performance model and the World Health Organisation's International Classification of Functioning, Disability and Health. The framework is used to clarify some of the confusions that exist in FCE research and practice, particularly the issue of measuring a client's function versus impairment. A redefinition of FCE for occupational therapy practice in the work assessment continuum is presented that supports occupational therapy practice and research in the area.= http://www3.interscience.wiley.com/journal/118835450/abstracta Department of Occupational Therapy, The University of Queensland, Brisbane, Queensland, Australia$ DOI:10.1046/j.1440-1630.2003.00323.x7? C Gignac MAM, Cott C, Badley EM, Lacaille D, Cott CA, Adam P, Anis A, 2004b Managing arthritis and employment. Making arthritis-related work changes as a means of adaptation 909-16 Arthritis and Rheumatology. 51 (Dec. 15) 6= http://www.rheumatology.org/publications/ar/index.asp?aud=mem ? Gignac MA, Cott C, Badley EM 2002 Adaptation to disability: Applying selective optimization with compensation to the behaviours of older adults with osteoarthritis 520-4 Psychology of Aging Sept; 17 3 http://www.apa.org/journals/pag/ ;? Gignac MAM, Cott C, Badley EM, 2000p Adaptation to chronic illness and disability and its relationship to perceptions of independence and dependence 362-72@ Journal of Gerontology: Psychological Science and Social Science Nov. 55 67 http://psychsocgerontology.oxfordjournals.org/index.dtl ? Gignac MA, Cott C, Badley EM, 1998T Living with a chronic disabling illness and then some: Data form the 1998 Ice storm 249-259 Canadian Journal of Aging 22 30 http://utpjournals.metapress.com/content/120323/ 0 ? ! Gignac MAM, Sutton D, Badley EM, 2005Y Re-examining the arthritis-employment interface: Perceptions of arthritis-work spillover. 233-240" Arthritis Care Research (In Press) 55 2_ Arthritis • Employment • Spillover • Role conflict • Disability • Occupational stress Objective
To examine employed individuals' perceptions of arthritis-work spillover (AWS), the reciprocal influence of arthritis on work and work on arthritis, and the demographic, illness, and work context factors associated with AWS.
Methods
The study group comprised 492 employed individuals with osteoarthritis or inflammatory arthritis. Participants completed an interview-administered, structured questionnaire assessing AWS, demographic (e.g., age, sex), illness (e.g., disease type, pain, activity limitations), and work context (e.g., workplace control, hours of work) variables. Principal components analysis, reliability analysis, and multiple linear regression were used to analyze the data.
Results
A single factor solution emerged for AWS. The scale had an internal reliability of 0.88. Respondents were more likely to report that work interfered with caring for their arthritis than they were to report that their disease affected their work performance. Younger respondents, those with more fatigue and workplace activity limitations, and those working in trades and transportation reported more AWS. Individuals with more control over their work schedules reported less AWS.
Conclusion
The results of this study extend research on arthritis by reexamining the interface between arthritis and employment. This study introduces a new measure of AWS that enhances the range of tools available to researchers and clinicians examining the impact of arthritis in individuals' lives.= http://www3.interscience.wiley.com/journal/112579017/abstract Monique A. M. Gignac 1, 3 *, Deborah Sutton 2, Elizabeth M. Badley .
1Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute at the University Health Network, Toronto, Ontario, Canada
2Arthritis Community Research & Evaluation Unit, Toronto Western Research Institute at the University Health Network, Toronto, Ontario, Canada
3University of Toronto, Toronto, Ontario, Canada
email: Monique A. M. Gignac (gignac@uhnres.utoronto.ca) DOI:
10.1002/art.21848 ? K Gimeno P, Nieto-Moreno M, Adan J, Chatterji S, Leonardi M, Ayuso-Mateos JL, 2006l Depression beyond the symptoms: its impact on functioning according to the biopsychosocial model of the ICF ' http://www.mhadie.com/publications.aspx ? * Gladman, John
Radford, Kate
Walker, Marion 2006 Letter to the editor 635-636 20 7 July 1, 2006 http://cre.sagepub.com 10.1191/0269215506cr992xx ? Goldstein DN, Cohn E, Coster W, 2004 Enhancing Participation for Children with Disabilities: Application of the ICF Enablement Framework to Pediatric Physical Therapist Practice.
pp 114-120$ Lippincott Williams & Wilkins, Inc. 16 2 http://www.lww.com/ ? " Gorter JW, Visser-Meily A, Heuts P 2006Q Family Matters; het belang van systeemgericht werken in de revalidatiegeneeskunde 18-22
Revalidata 28 1329 http://www.dchg.nl/pg-12576-7-8722/pagina/revalidata.html ? ( Gotherstrom U-C, Persson J, Johnsson D, 2004b A socioeconomic model for evaluation of postal and telecommunication services for disabled persons 91-99 Technology and Disability 165 http://www.iospress.nl/loadtop/load.php?isbn=10554181 F? Gray DB, Gould M, Bickenbach J, 19992 Assessing environmental facilitators and barriers - Journal of architecture and planning researchW http://journalseek.net/cgi-bin/journalseek/journalsearch.cgi?field=issn&query=0738-0895 ? ; Eva Grill, Ulrich Mansmann, Alarcos Cieza and Gerold Stucki 2007 Assessing observer agreement when describing and classifying functioning with the International Classification of Functioning, Disability and Health 71-76" Journal of Rehabilitation Medicine 39 1T reproducibility of results, rehabilitation, rater agreement, ICF, log linear models.D http://jrm.medicaljournals.se/article/abstract/10.2340/16501977-0016 DOI: 10.2340/16501977-0016? C Grill E, Uus A, Hessel K, Davies F, Taylor L, Wasem RS, Bamford J, 2006g Neonatal hearing screening: modelling cost and effectiveness of hospital and community -based screening 14 BMC Health Serv Res Feb 23 6( http://www.biomedcentral.com/1472-6963/6 ? + Grill E, Stucki G, Scheuringer M, Mevin J, 2006 Validation of International Classification of Functioning, Disability and Health (ICF) Core Sets for early postacute rehabilitation faciliities: comparisons with three other fuctional measures. 640-9 Am J Phys Med Rehabil Aug; 85 8P Disability Evaluation, Rehabilitation, Activities of Daily Living, Function, ICF Objective: Short lists of International Classification of Functioning, Disability, and Health (ICF) categories, ICF Core Sets, have been developed as reference standards for clinical practice and research. The objective of this study was to validate the ICF Core Sets for early postacute rehabilitation facilities against the measures most commonly used in early postacute rehabilitation, the FIM™ instrument, the Functional Assessment Measure, and the Barthel index.
Design: Linking study matching the concepts of three commonly used outcome measures to corresponding ICF categories.
Results: Corresponding ICF categories could be found for all of the items of the FIM™ instrument + Functional Assessment Measure and Barthel index. The 40 items of these three measures were linked to 33 different ICF categories. Four items could be linked to ICF categories that were not part of any of the Postacute ICF Core Sets.
Conclusions: The Postacute ICF Core Sets cover the concepts of the most frequently used measures in early postacute rehabilitation. Yet, many aspects of human functioning are not measured by the FIM™ instrument + Functional Assessment Measure and the Barthel index. If this information is considered relevant, these items would have to be added by using supplementary measures. Our comparison demonstrates the benefit of using a common language when comparing items using different wordings and concepts.f http://journals.lww.com/ajpmr/Abstract/2006/08000/Validation_of_International_Classification_of.2.aspx
l ? i Eva Grill, Franz Hessel, Uwe Siebert, Petra Schnell-Inderst, Silke Kunze, Andreas Nickisch, Jürgen Wasem 2005l Comparing the clinical effectiveness of different new-born hearing screening strategies. A decision analysis 12 BMC Public Health Jan 31 5 Background
Children with congenital hearing impairment benefit from early detection and treatment. At present, no model exists which explicitly quantifies the effectiveness of universal newborn hearing screening (UNHS) versus other programme alternatives in terms of early diagnosis. It has yet to be considered whether early diagnosis (within the first few months) of hearing impairment is of importance with regard to the further development of the child compared with effects resulting from a later diagnosis. The objective was to systematically compare two screening strategies for the early detection of new-born hearing disorders, UNHS and risk factor screening, with no systematic screening regarding their influence on early diagnosis.
Methods
Design: Clinical effectiveness analysis using a Markov Model.
Data Sources: Systematic literature review, empirical data survey, and expert opinion. Target Population: All newborn babies.
Time scale: 6, 12 and 120 months.
Perspective: Health care system.
Compared Strategies: UNHS, Risk factor screening (RS), no systematic screening (NS). Outcome Measures: Quality weighted detected child months (QCM).
Results
UNHS detected 644 QCM up until the age of 6 months (72,2%). RS detected 393 child months (44,1%) and no systematic screening 152 child months (17,0%). UNHS detected 74,3% and 86,7% weighted child months at 12 and 120 months, RS 48,4% and 73,3%, NS 23,7% and 60,6%. At the age of 6 months UNHS identified approximately 75% of all children born with hearing impairment, RS 50% and NS 25%. At the time of screening UNHS marked 10% of screened healthy children for further testing (false positives), RS 2%. UNHS demonstrated higher effectiveness even under a wide range of relevant parameters. The model was insensitive to test parameters within the assumed range but results varied along the prevalence of hearing impairment.
Conclusion
We have shown that UNHS is able to detect hearing impairment at an earlier age and more accurately than selective RS. Further research should be carried out to establish the effects of hearing loss on the quality of life of an individual, its influence on school performance and career achievement and the differences made by early fitting of a hearing aid on these factors.T http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=549034&rendertype=abstract doi: 10.1186/1471-2458-5-12. ? A Grill E, Hermes R, Swoboda W, Uzarewicz, Kostanjsek N, Stucki G, 2005R ICF Core Set for geriatric patients in early post-acute rehabilitation facilities. 411-418 Disability and Rehabilitation 27 7/89 http://www.informaworld.com/smpp/title~content=t713723807? @ Grill E, Harder M, Fischbacher L, Boldt C, Mittrach R, Stucki G, 2005e Identification of Relevant ICF Categories by Patients in Early Post-acute Rehabilitation Facilities. 168-173 Phys Med Rehab Kuror 151 http://www.thieme-connect.com/ejournals/home.html .? 0 Grill E, Stucki G, Boldt C, Joisten S, Swoboda W 2005n Identification of relevant ICF categories by geriatric patients in an early post-acute rehabilitation facility 467-73 Disability Rehabilitation Apr 8-22; 27 (7-8)9 http://www.informaworld.com/smpp/title~content=t713723807 - fxtient Characteristics 113-124- The Journal of Manual & Manipulative Therapy 13 2] Abstract: This study compared socio-demographic characteristics, health problem characteristics, and primary process data between database samples of patients referred to physical therapy (PT) versus a sample ? B Grill E, Huber EO, Stucki G, Herceg M, Fialka-Moser V, Quittan M, 2005L Identification of relevant ICF categories by patients in the acute hospital 447-58 Disabil Rehabil Apr 8-22; 27 (7-8)9 http://www.informaworld.com/smpp/title~content=t713723807 ? van Ravensberg, D. Dorine, Rob A. B. Oostendorp, T, Lonneke M. van Berkel, Gwendolijne G. M. Scholten-Peeters, Jan J.M. Pool, Raymond A. H. M. Swinkels, Peter A. Huijbregts, 2005U Physical Therapy and Manual Physical Therapy: Differences in Pa ?
7 Grill E, Ewert T, Chatterji S, Kostanjsek N, Stucki G, 2005` ICF Core Sets development for the acute hospital and early post-acute rehabilitation facilities 361-6 Disabil Rehabil Apr 8-22; 27 (7-8)9 http://www.informaworld.com/smpp/title~content=t713723807C? , Grundmann J, Keller K, Brauning-Edelmann M, 2005 The practical application of the International Classification of Functioning, Disability and Health (ICF) in medical rehabilitation of psychiatric patients. 335-43 Rehabilitation (Stugg) Dec; 44 60 http://www.thieme-connect.de/ejournals/home.html ? Grotle M, Brox JI, Vollestad NK, 2005 Functional status and disability questionnaires: what do they assess? A systematic review of back-specific outcome questionnaires. 130-40 Spine Jan 1;30 1 http://thejns.org/?cookieSet=1? ( Guscia R, Ekberg S, Harries J, Kirby N, 2006M Measurement of Environmental Constructs in Disability Assessment Instruments. 173-180< Journal of Policy and Practice in Intellectual Disabilities 3 31 http://www.wiley.com/bw/journal.asp?ref=1741-1122 ? Gustavsen M, Mengshoel AM, 2003] Clinical physiotherapy documentation in stroke rehabilitation: an ICIDH-2 Beta based analysis 1089-1096 Disability and Rehabilitation 25 199 http://www.informaworld.com/smpp/title~content=t713723807
1~? 4 Christina, Gummesson
Isam, Atroshi
Charlotte, Ekdahl 2004 The quality of reporting and outcome measures in randomized clinical trials related to upper-extremity disorders1 1 No benefits in any form have been received or will be received by a commercial party related directly or indirectly to the subject of this article 727-734 The Journal of hand surgery 29 4 Churchill LivingstoneG Clinical trials
Jadad scale
outcome measures
randomized
upper extremity Randomized clinical trials can provide strong evidence regarding effective treatment options. The quality of reporting and the type of outcome measures used are important when judging whether results justify change in clinical practice. The aim of this study was to assess the quality of reporting of randomized clinical trials related to treatment of upper-extremity disorders, published in 4 hand surgical and orthopedic journals during an 11-year period, and assess the type of outcome measures used in the trials. Eligible articles were identified by reviewing all abstracts published in the 4 journals from 1992 through 2002. The quality of reporting was assessed by a modified Jadad scale that consisted of 3 items (randomization, blinding, and withdrawals/dropouts). A higher score (0–5) indicated higher quality. The outcome measures were classified according to the International Classification of Functioning, Disability and Health into the levels of body function and structure, activity, and participation. Of 92 articles reporting randomized clinical trials, 40 articles described appropriate randomization method that implied they were truly randomized studies, 31 articles did not describe the randomization method, and 21 articles (23%) described inappropriate randomization methods. Double or single blinding was reported in 33 articles. Absence or description of withdrawals/dropouts was shown in 77 articles. The median quality score calculated for all 92 articles was 2 (range, 0–5) points. The median score for the 28 articles published 1992 through 1996 was 1 (range, 0–5) points and for the 64 articles published from 1997 through 2002 was 3 (range, 0–5) points. All trials used outcome measures on body function and structure level; 41% used measures of activity and/or participation. There is a need to improve the quality of reporting of upper-extremity randomized clinical trials and to increase the use of outcome measures covering different aspects of disability.> http://linkinghub.elsevier.com/retrieve/pii/S0363502304002515 0363-5023 S0363-5023(04)00251-5 F? B Gutenbrunner C, Linden M, Gerdes N, Ehlebracht-konig I, Grosch E, 2005b Significance of the chronic fatigue syndrome in rehabilitation medicine - status and perspectives Rehabilitation (Stugg)0 http://www.thieme-connect.de/ejournals/home.html j118 8 Clinicians and policymakers are recognizing the importance of measuring health-related quality of life (HRQL) to inform patient management and policy decisions. Self- or interviewer-administered questionnaires can be used to measure cross-sectional differences in quality of life between patients at a point in time (discriminative instruments) or longitudinal changes in HRQL within patients during a period of time (evaluative instruments). Both discriminative and evaluative instruments must be valid (really measuring what they are supposed to measure) and have a high ratio of signal to noise (reliability and responsiveness, respectively). Reliable discriminative instruments are able to reproducibly differentiate between persons. Responsive evaluative measures are able to detect important changes in HRQL during a period of time, even if those changes are small. Health-related quality of life measures should also be interpretable—that is, clinicians and policymakers must be able to identify differences in scores that correspond to trivial, small, moderate, and large differences.
Two basic approaches to quality-of-life measurement are available: generic instruments that provide a summary of HRQL; and specific instruments that focus on problems associated with single disease states, patient groups, or areas of function. Generic instruments include health profiles and instruments that generate health utilities. The approaches are not mutually exclusive. Each approach has its strengths and weaknesses and may be suitable for different circumstances. Investigations in HRQL have led to instruments suitable for detecting minimally important effects in clinical trials, for measuring the health of populations, and for providing information for policy decisions. 4 http://www.annals.org/cgi/content/abstract/118/8/622/ http://www.annals.org/cgi/reprint/118/8/622.pdf Eon, ICIDH9 http://www.informaworld.com/smpp/title~content=t713723807 life, ICF9 http://www.informaworld.com/smpp/title~content=t7137238079 http://jrm.medicaljournals.se/files/pdf/36/44/135-141.pdf ? " Gummesson C, Atroshi I, Ekdahl C, 2004p The quality of reporting and outcome measures in randomized clinical trials related to upper-extremity disorders 727-34 J Hand Surg (Am) July 29 4 http://www.jhandsurg.org/ 7 " Gutenbrunner C, Cieza A, Stucki G, 2004 Die international Klassifikation der Funktionen, Behinderungen und Gesundheit ICF in der Rehabilitation von Patienten mit chronischer Polyarthritis 239-247
Akt Rheumatol 29 http://www.ingentaconnect.com/ German ? Gwilliam L, 20069 Outcome measures following surgery to the rheumatoid hand 43-55 International Congress Series 12953 http://www1.elsevier.com/homepage/sab/ics/menu.html
?( > Heerkens, Y.
Van Der Brug, Y.
Ten Napel, H.
Van Ravensberg, D. 2003X Past and future use of the ICF (former ICIDH) by nursing and allied health professionals 620-627 Disability and Rehabilitation 25} http://www.ingentaconnect.com/content/apl/tids/2003/00000025/F0020011/art00009
http://dx.doi.org/10.1080/0963828031000137135 / [1]
[2]
[3]
[1]
doi:10.1080/0963828031000137135 8?* < M. M. Heinen
T. van Achterberg
G. Roodbol
C. M. A. Frederiks 2005K Applying ICF in nursing practice: classifying elements of nursing diagnoses 304-312 International Nursing Review 52 4= Classification • ICF • Nursing Diagnosis • Terminology HEINEN M.M., VAN ACHTERBERG T., ROODBOL G. & FREDERIKS M.A. (2005) Applying ICF in nursing practice: classifying elements of nursing diagnoses. International Nursing Review52, 3042013312Aim: This study explores the relevance of the International Classification of Functioning, Disability and Health (ICF) to nursing diagnoses.Background: As a multidisciplinary classification of human functioning, the ICF (previously known as ICIDH-2) is potentially relevant to nursing care. However, nurses have rarely used the classification during the 23 years of its existence.Method: In part 1 of the study, 51 nursing diagnoses from anonymous patients were deliberately selected for diversity from an existing database. The 427 diagnostic elements from these diagnoses (problem statements, aetiological factors, signs and symptoms) were classified, using the ICF, by a panel of six nurses. In part 2 of the study, the panel classified 223 elements from 30 diagnoses of patients they had actually cared for.Results: Nearly all diagnostic elements could be classified, most often in the sub-dimensions of body functions and activities. Agreement on appropriate ICF components was 61% for anonymous patients and 75% for familiar patients. Agreement at the more detailed 3-digit level of the cla (ing H, Avni N, Katz N, 2007? Activities, partcipation and satisfaction one-year post stroke 559-566 Disability and Rehabilitation Apr 29 79 http Camework9 http://www.informaworld.com/smpp/title~content=t713723807 .p://www.cms.hhs.gov/HealthCareFinancingReview/ + ?" 3 Hartman-Maeir A, Soroker N, R 7
rnaldescription.cws_home/506043/description#description ?! " Harris MR, Ruggerie AP, Chute CG, 2003Q From clinical records to regulatory reporting: formal terminologies as foundation 102-20 Health Care Financ Rev Spring 24 31 htt$ ? Nicola, J. Spalding 2004j Using Vignettes to Assist Reflection within an Action Research Study on a Preoperative Education Programme 388-395+ The British Journal of Occupational Therapy 67O http://www.ingentaconnect.com/content/cot/bjot/2004/00000067/00000009/art00003 4 ? # Michael, Hirneth
Lynette, Mackenzie 2004j The Practice Education of Occupational Therapy Students with Disabilities: Practice Educators Perspectives 396-403+ The British Journal of Occupational Therapy 67O http://www.ingentaconnect.com/content/cot/bjot/2004/00000067/00000009/art00004 F ? A Harichandrakumar KT, Krishnamoorthy K, Krishna Kumari A, Das LK, 2006p Health status of lymphatic filariasis assessed from patients using seven domains five levels (7D5L) instrument 137-143
Acta Tropica 99[ http://www.elsevier.com/wps/find/jou ? Karen Whalley, Hammell 2004] Deviating from the Norm: a Sceptical Interrogation of the Classificatory Practices of the ICF 408-411+ The British Journal of Occupational Therapy 67 Short communication The World Health Organisation's systems for classifying disability have been embraced, largely uncritically, by occupational therapists. In contrast, disability theorists critique the idea of normality against which judgements of deviance are made, challenge the privilege to make such judgements and contest the belief that the outcome of classification is necessarily benign or benevolent. Because systems for classifying impairments have been used to justify human rights' abuses, they cannot be used uncritically. Accordingly, this opinion piece draws on the work of disability theorists to undertake a sceptical interrogation of the classificatory practices of the International Classification of Functioning, Disability and Health (ICF). O http://www.ingentaconnect.com/content/cot/bjot/2004/00000067/00000009/art00006 5://www.informaworld.com/smpp/title~content=t713723807 eled mobility device users 137-1483 Disability and Rehabilitation: Assistive Technology May 2 3O http://www.informaworld.com/smpp/title~db=all~content=t741771157~tab=issueslist?$ ' Harwood, R. H.
Gompertz, P.
Ebrahim, S. 19949 Handicap one year after a stroke: validity of a new scale 825-829 J Neurol Neurosurg Psychiatry 57 7 July 1, 1994
The aim was to determine the handicap experienced by subjects one year after a stroke, and assess the acceptability, validity, and reliability of a new handicap measurement scale. A cross sectional survey of 141 survivors of a cohort of consecutive hospital admissions with acute stroke was undertaken. The London handicap scale (a new health outcome measurement scale), Barthel index, Nottingham extended activities of daily living scale, Nottingham health profile, Geriatric depression score, and a global life satisfaction scale were used. 94 subjects (67%) responded to a single mailing; 89 (95%) responses were usable. Mean handicap was 0.40 (range 0.06-1.0, SD 0.20) on a scale of 0 (maximum handicap) to 1 (no handicap). All handicap dimensions showed a wide range of problems, with physical independence and occupation particularly affected. Correlations between handicap score and other outcome measures were all in the expected direction and of about the strength expected (0.36 < r < 0.69). The reliability coefficient was 0.91, limits of agreement +/- 0.19. The measurements demonstrated substantial handicap one year after a stroke, reflecting considerable unmet rehabilitation needs. The scale proved acceptable to subjects, and the results were consistent with good validity.7 http://jnnp.bmj.com/cgi/content/abstract/jnnp;57/7/825 10.1136/jnnp.57.7.825 k 0\?& Hays RD, Hahn H, Marshall G, 2002g Use if the SF-36 and other health-related quality of li fe measures to assess persons with disabilities S4-9 Arch Phys Med Rehabil Dec; 83
12 Suppl 2 http://www.archives-pmr.org/ ?' Lena, Haglund
Chris, Henriksson 20037 Concepts in occupational therapy in relation to the ICF 253-268" Occupational Therapy International 10 4 Occupational therapists need an acceptable terminology to describe a client's clinical performance. The language or terminology must be in harmony with common language in the health care system but also reflect occupational therapists' professional responsibility. The aim of this paper is to help clarify similarities and differences between concepts in occupational therapy and the International Classification of Functioning, Disability and Health (ICF). Two studies were completed in which items in the International Classification of Impairments, Disabilities and Handicaps (ICIDH-2) were compared with concepts from the Swedish version of the assessment of Motor and Process Skills (AMPS) and the Assessment of Communication and Interaction Skills (ACIS-S). An expert panel of occupational therapists served as raters and 33 clients with learning disabilities and mental health problems were assessed. The result showed that 12 (60%) of the skills items from the ACIS-S were found to be equivalent to items in then ICIDH-2. In total, 41% (n=23) of the items in the AMPS or ACIS-S have a correlation higher then 0.60 with the ICIDH-2. The classification can serve as a useful tool for occupational therapists and supports communication between professions, but is not sufficient as a professional language for occupational therapists. Further research is indicated to examine how the ICF can be applied in occupational therapy and its implications on clinical practice. Copyright © 2003 Whurr Publishers Ltd." http://dx.doi.org/10.1002/oti.189 10.1002/oti.189 1557-0703 Department of Neuroscience and Locomotion, Section of Occupational Therapy and Section of Psychiatry, Linköping University, Sweden; Department of Neuroscience and Locomotion, Section of Occupational Therapy, Linköping University, Sweden.ssification was 42% for anonymous and 60% for familiar patients.Conclusion: The ICF has relevance to nursing care. As a general classification, it was not designed by nurses or specifically for nursing care. This can explain some difficulties in using the classification that were identified in this study, as well as the rather low levels of agreement. To resolve these issues and to further improve the classification, nurses should further explore the use of the ICF and participate in future revision processes.3 http://dx.doi.org/10.1111/j.1466-7657.2005.00433.x 10.1111/j.1466-7657.2005.00433.x 1466-7657 Researcher, ; Professor, Centre for Quality of Care Research, Nursing Science, ; Researcher & Clinical Nurse Specialist, Department of Care, ; Emeritus Professor, Centre for Quality of Care Research, Nursing Science, University Medical Centre St Radboud, Nijmegen, The NetherlandsF?+ < Helena Hemmingsson-OT (reg), PhD, Hans Jonsson-OT (reg), PhD 2005 (Sept/Oct.) THE ISSUE IS -- An Occupational Perspective on the Concept of Participation in the International Classification of Functioning, Disability and Health -- Some Critical Remarks) American Journal of Occupational Therapy 59 5 critical analysis, ICFa The International Classification of Functioning, Disability and Health (ICF; World Health Organization, 2001) provides an international and interprofessional scientific basis for understanding and studying health. The concept of participation plays an important role in the classification and has become a central construct in health care, rehabilitation, and in occupational therapy. The aim of this paper is to provide a critical analysis of the concept of participation in the ICF. As background, the origins and current presentation of the ICF are presented. The use and function of the ICF and the contemporary discussions regarding the classification are reviewed. An occupational perspective on participation in the ICF reveals major shortcomings regarding the subjective experience of meaning and autonomy. Furthermore, the ICF has limitations in capturing different kinds of participation in a single life situation. Following these analyses we discuss the advantages and shortcomings of using the ICF, and how an occupational perspective can contribute to an ongoing discussion about the development of the ICF.S http://www1.aota.org/ajot/abstract.asp?IVol=59&INum=5&ArtID=10&Date=Sept/Oct%202005 ?, $ Hendershot GE, Placek PJ, Goodman N, 2006l Taming the beast: Measuring vision-related disability using the International Classification of Functioning. 806-823( Journal of Visual Impairment & Blindness 100 (Supplement)' http://www.afb.org/jvib/jvib001306.asp ?- Hendershot GE, Crews JE, 2006a Toward International Comparability of Survey Statistics on Visual Impairment: The DISTAB Project. 11-25( Journal of Visual Impairment & Blindness 100 Jan. Using data from recent national disability surveys in Australia, Canada, France, the Netherlands, South Africa, and the United States, an international team of researchers coded indicators of several types of disability using the International Classification of Functioning, Disability, and Health. This article discusses the Disability Tabulations (DISTAB) project and presents and evaluates the estimates of the prevalence of visual impairments.@ http://www.afb.org/jvib/jvibabstractNew.asp?articleid=JVIB000104B?. Hendershot G, 2003r Mobility limitations and Complementary and Alternative Medicine: Are people with disabilities more likely to pray? 1079-1080 Research and Practice 93 7N Mobility Limitation and functions, religeous beliefs, personal characteristics( http://jrp.icaap.org/index.php/jrp/index ll strata of the general population. Although an abundant amount of literature has addressed the many facets of tinnitus, wide-ranging differences in professional beliefs and attitudes persist concerning its clinical management. These differences are detrimental to tinnitus patients because the management they receive is based primarily on individual opinion (which can be biased) rather than on medical consensus. It is thus vitally important for the tinnitus professional community to work together to achieve consensus. To that end, this article provides a broad-based review of what is presently known about tinnitus, including prevalence, associated factors, theories of pathophysiology, psychological effects, effects on disability and handicap, workers' compensation issues, clinical assessment, and various forms of treatment. This summary of fundamental information has relevance to both clinical and research arenas.5 http://jslhr.asha.org/cgi/content/abstract/48/5/1204 10.1044/1092-4388(2005/084)
/ Halbertsma, Johanna
Heerkens, Yvonne F.
Hirs, Willem M.
Vrankrijker, Marijke W. de Kleijn-de
Van Ravensberg, C. Dorine
Napel, Huib Ten 2000 Towards a new ICIDH 144 - 156 Disability & Rehabilitation 22 3E In 1995 a special issue of Disability and Rehabilitation was published on the use of the International Classification of Impairments, Disabilities and Handicaps (ICIDH) which was issued by WHO in 1980. Since 1995 a lot of energy has been spent by WHO and other organizations aiming at the development of a new and improved ICIDH. In 1997, a draft ICIDH-2 (Beta-1 version) was circulated by WHO in order to be tested in the field. This paper informs the reader about the content of the draft ICIDH, the revision process planning and some Dutch comments relating to the actual draft.4 http://www.informaworld.com/10.1080/096382800297006 0963-8288
July 24, 2009
he MPT sample. MPT referrals were significantly (P<0.01) different from PT referrals in that the MPT referral originated more frequently with a general practitioner but not with a medical specialist and that referral occurred within three months of occurrence. Primary treatment goals and interventions are discussed, as are study limitations, suggestions for future research, and relevance to the international situation. 5 http://jmmtonline.com/past/vol13no2.php#ixzz0MBfsY82j
=@? @ van Straten, A.
de Haan, R. J.
Limburg, M.
van den Bos, G. A. M. 2000e Clinical Meaning of the Stroke-Adapted Sickness Impact Profile-30 and the Sickness Impact Profile-136 2610-2615 Stroke 31 11 November 1, 2000 Background an?1 Hermann, Karl M.
Reese, C. Shane 2001 Relationships Among Selected Measures of Impairment, Functional Limitation, and Disability in Patients With Cervical Spine Disorders 903-912 PHYS THER 81 3
March 1, 2001 Background and Purpose. Little is known about the relationship among impairments, functional limitations, and disability in people with cervical spine disorders (CSD) despite the fact that these concepts are routinely used in clinical practice. The primary purpose of this study was to investigate the relationships among commonly assessed impairment, functional limitation, and disability measures in patients with CSD. A secondary purpose was to determine the influence of payment source and time since onset of symptoms on these same measures. Subjects. Eighty patients (mean age=45.7 years, SD=15.9, range= 20-88) with CSD who were referred for physical therapy participated in the study. Methods. Data were obtained for 3 measures of impairment, 2 measures of functional limitation, and 3 measures of self-reported disability during the initial visit. Results. All 3 sets of variables (ie, impairment, functional limitation, disability) correlated with each other, with the highest correlation occurring between the impairment measures and the functional limitation measures (r=.82). Other correlations were noted between individual variables. There was no effect of payment type or time since onset of symptoms on the variables. Conclusion and Discussion. Positive correlations were noted among the 3 sets of measures, which supports the assumption that impairments, functional limitations, and disability are related in patients with CSD.7 http://www.ptjournal.org/cgi/content/abstract/81/3/903 - http://www.ptjournal.org/cgi/reprint/81/3/903 ation; participation; aged care facilities; assessment Research article Speech pathologists who work in aged care facilities are often challenged to find appropriate measures of communication that consider the frailty of residents and the policy environment that speech pathologists are required to work within. This article describes a process for evaluating resident participation in an aged care facility (ACF) using the framework of the World Health Organization's International Classification of Functioning, Disability and Health ( ICF ). It also presents the findings of this process from one ACF, a 60-bed high care facility. Assessments of individual resident's communication impairments, activity limitations and participation restrictions were conducted initially, followed by evaluations of the physical and social communication environment of the facility. At the individual level, residents were found to have a high prevalence of communication impairments and reported activity limitations and participation restrictions associated with these. The environmental assessments identified that residents had few opportunities to communicate, and that the physical and social environment was not conducive to communication. This study supports many others that have found a high prevalence of communication disabilities in residents of ACFs. It also confirms that the communication environment is not conducive to participation and recommends assessments for identifying both resident and facility-wide communication problems. } http://www.ingentaconnect.com/content/tandf/tasl/2005/00000007/00000004/art00006
http://dx.doi.org/10.1080/14417040500337047 1 [1]
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doi:10.1080/14417040500337047 DOI: 10.1080/14417040500337047 ?3
David, Hollar 2005> Risk Behaviors for Varying Categories of Disability in NELS:88 350-358 Journal of School Health 75 95 Abstract: A large body of research shows that youth with disabilities, who comprise about 13% of the country's school-aged population, report comparable to higher incidence rates of alcohol, tobacco, and other drug (ATOD) use than their peers. Furthermore, youth with disabilities who reported ATOD use or who engaged in binge drinking had significantly more negative educational outcomes and engaged in sexual activity at a younger age than nonusers. This study describes risk factors for substance use, personal characteristics, aspects of the attitudinal environment, and educational, employment, and social outcomes among youth across 6 categories of disability. Data came from the National Center for Education Statistics' National Education Longitudinal Study of 1988-2000 (NELS:88). The findings indicate that (a) youth with varying types of disabilities are relatively homogenous with respect to risk behaviors, personal characteristics, and outcomes; (b) youth with emotional, learning, or multiple disabilities may be at heightened risk for binge drinking and marijuana use; and (c) youth with emotional and multiple disabilities may be less likely to graduate from high school or its equivalent 8 years beyond the 12th grade. Based on these results and limitations of the NELS sampling strategy, appropriate interventions are discussed as well as the need for more definitive operational definitions for disabilities, specifically the biopsychosocial approach used by the International Classification of Functioning, Disability, and Health. (J Sch Health. 2005;75(9):3502013358)3 http://dx.doi.org/10.1111/j.1746-1561.2005.00049.x 10.1111/j.1746-1561.2005.00049.x 1746-1561 David Hollar, PhD, Assistant Professor, (dhollar@mc.utmck.edu), Department of Medical Genetics, The University of Tennessee Graduate School of Medicine, Suite 435, Physician's Office Building A, 1930 Alcoa Highway, Knoxville, TN 37920. Portions of this work were presented at the April 2, 2004, annual meeting of NCARE and the 132nd annual meeting of APHA, November 8-10, 2004.
Copyright American School Health Association 2005 ?4 Homa DB, Peterson DB, 2005 Using the International Classification of Functioning, Disability and Health (ICF) in teaching rehabilitation client assessment 119-128 Rehabilitation Education 19 2&3. http://www.rehabeducators.org/publications.htm ?5 ) Tami, Howe
Linda, Worrall
Louise, Hickson 2004( Review: What is an aphasia environment? 1015-1037 Aphasiology 18 Research article ^ Background: The provision of aphasia-friendly environments is important for reducing the disability experienced by people with aphasia. However, the term "aphasia-friendly environment" has yet to be explicitly defined in the literature.
Aims: This review defines aphasia-friendly environments, critically evaluates the relevant literature, and highlights the gaps in research in this area.
Main Contribution: The World Health Organisation's (WHO) International Classification of Functioning, Disability and Health (ICF) (WHO, 2001) is used as a framework for identifying the specific barriers and facilitators that need to be considered when creating an aphasia-friendly environment. Research focusing on multiple ICF environmental factor domains is presented, followed by a review of studies that focus on specific environmental factor domains.
Conclusions: More research identifying the range of environmental factors that may be important to consider when creating aphasia-friendly environments is required. In addition, further rigorous studies focusing on specific ICF environmental factor domains are needed. } http://www.ingentaconnect.com/content/psych/paph/2004/00000018/00000011/art00003
http://dx.doi.org/10.1080/02687030444000499 ) [1]
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doi:10.1080/02687030444000499 DOI: 10.1080/02687030444000499 ?6 Hurst R, 2003: The International Disability Rights Movement and the ICF
572-6 Disability Rehabilitation Jun 3-17; 25 11-129 http://www.informaworld.com/smpp/title~content=t713723807
?7 T. Hutchison, D. Gordon 20053 Ascertaining the prevalence of childhood disability 99-107# Child: Care, Health and Development 31 childhood disability; special needs registers; OPCS disability surveys; WHO International Classification of Impairment; Disability and Handicap (ICIDH); WHO International Classification of Function and H Research Objectives
To reapply 1985 Office of Population Census and Surveys (OPCS) disability survey methods, modified as necessary, to a sample of children to ascertain presence of disability. To compare OPCS-based prevalence with prevalence based on carer's views and medical records. Design
Analytical study. Setting
Community Child Health Department in UK. Participants
Principal carers of 100 children aged 5–15, selected from a district special needs register. Main outcome measures
Comparable information about disability from three sources and diagnosis from carers and medical records. Results
Medical records of 46% contained a diagnosis. Carers were always aware of this, although a single question did not always elicit their knowledge. OPCS-derived threshold disability criteria in categories of Hand function, Personal care, Consciousness and Continence gave prevalence results similar to medical records and carers. OPCS criteria yielded higher prevalence of disability in the areas of Locomotion (8%), Communication (14%) and Hearing (18%). Carers, OPCS and medical records disagreed markedly about prevalence of disabilities of Vision, probably because of the use of differing definitions. OPCS learning criteria were judged unsuitable and standard attainment targets (SATs) were substituted. These provided similar prevalence figures to carers and medical records. OPCS behaviour criteria were also unsuitable and were replaced by the General Health and Behaviour Questionnaire (GHBQ). This found an increased prevalence of problems compared with carers and doctors. Conclusions
Diagnostic labels have limited use when collecting data about disabled children. Doubt is cast on the validity of some of the 1985 OPCS threshold criteria, and reassessment is suggested before their future use. Further work is needed on the use of SATs and GHBQ in the benchmarking of disability. To collect population data it would be easier and at least equally effective (with caution in the case of Vision) to ask carers directly rather than applying descriptive thresholds and external judgements. Similar information could be obtained from medical records, however, they are likely to be out of date. http://www.ingentaconnect.com/content/bsc/cchd/2005/00000031/00000001/art00013
http://dx.doi.org/10.1111/j.1365-2214.2005.00462.x ( [1]
doi:10.1111/j.1365-2214.2005.00462.x% DOI: 10.1111/j.1365-2214.2005.00462.x F?8 $ Jeng-Liang Hwang, Susan M. Nochajski 2003 Oct./Nov./Dec.g The International Classification of Function, Disability and Health (ICF) and Its Application with AIDS Journal of Rehabilitation Vol. 69, No. 4n The International Classification of Functioning, Disability and Health (ICF), currently developed by the World Health Organization, is a multidimensional classification system for human functioning and disability. The conceptual framework of the ICF offers a sound basis for demonstrating the different dimensions of disablement across national boundaries and cultures. Its systematic coding scheme along with the uniform terminology used may serve to promote communication between health care professionals, other sectors, and people with disabilities. To facilitate the understanding of the construct as well as the practical usefulness of the ICF, this article provides an explicit overview of the ICF and the examples of its application with persons living with HIV/AIDS. A number of the ICF codes are demonstrated for identifying the various areas of HIV/AIDS disablement. 7 http://www.nationalrehab.org/website/pubs/vol69no4.htmlD York College, the City University of New York, University of Buffalo?9 " Iezzoni, Lisa, Greenberg, Marjorie 2003 Spring S Capturing and Classifying Functional Status Information in Administrative Databases 61-76 Health Care Financing Review 24 3 The health care delivery system aims to improve the functioning of Americans, butlittle information exists to judge progress toward meeting this goal. Administrativedata generated through running and overseeing health care delivery offer considerable http://www.cms.hhs.gov/HealthCareFinancingReview/PastArticles/itemdetail.asp?filterType=dual, data, keyword&filterValue=10|yyyy|Capturing and classifying |3|2003 Spring|||&filterByDID=-1&sortByDID=3&sortOrder=descending&itemID=CMS1191741&intNumPerPage=10K http://www.cms.hhs.gov/HealthCareFinancingReview/Downloads/03springpg61.pdfI?: - Peteris, Darzins, Susan, Fone, Susan, Darzins 2006q The International Classification of Functioning, Disability and Health can help to structure and evaluate therapy 127-131' Australian Occupational Therapy Journal 53 2/ ICF • occupational therapy • rehabilitation3 http://dx.doi.org/10.1111/j.1440-1630.2006.00580.x 10.1111/j.1440-1630.2006.00580.x 1440-1630 Monash Ageing Research Centre, Monash University, ; Rehabilitation and Aged Services Program, Southern Health and ; School of Occupational Therapy, La Trobe University, Victoria, Australia al 53 23 http://dx.doi.org/10.1111/j.1440-1630.2006.00575.x 10.1111/j.1440-1630.2006.00575.x 1440-1630* 10.1111/j.1440-1630.2006.00575.x About DOI?<
Imrie, Rob 2004k Demystifying disability: a review of the International Classification of Functioning, Disability and Health 287-305 Sociology of Health & Illness 26 3[ disability; impairment; World Health Organisation; biopsychosocial theory; universalisation The paper describes and evaluates the theoretical underpinnings of the International Classification of Functioning, Disability and Health (ICF), and develops the proposition that its conceptual framework provides a coherent, if uneven, guide through the competing conceptions of disability. To date, however, there has been little evaluation of the theoretical efficacy of the ICF. In seeking to redress this, the paper develops the argument that the ICF fails to specify, in any detail, the content of some of its main claims about the nature of impairment and disability. This has the potential to limit its capacity to educate and influence users about the relational nature of disability. The paper develops the contention that three parts of the ICF require further conceptual clarification and development: (a) (re)defining the nature of impairment; (b) specifying the content of biopsychosocial theory; and (c) clarifying the meaning and implications of universalisation as a principle for guiding the development of disability policies. http://www.ingentaconnect.com/content/bpl/shil/2004/00000026/00000003/art00002
http://dx.doi.org/10.1111/j.1467-9566.2004.00391.x $ doi:10.1111/j.1467-9566.2004.00391.x ?=
. Jelsma J, Brauer N, Hahn C, Sykes I, Snoek A, 2006 The use of the International Classification of Functioning Disability and Health in documenting the levels of functioning and disability of people living with HIV in a resource poor area of South Africa
Cape Town University of Cape Town 0 jjelsma@uctgsh1.uct.ac.za
http://www.uct.ac.za/ University of Cape Town }?> 3 Jerosch-Herold Christina, Leite, Jose, Song, Fujian 2006 A systematic review of outcomes assessed in randomized controlled trials of surgical interventions for carpal tunnel syndrome using the International Classification of Functioning, Disability and Health (ICF) as a reference tool 96 BMC Musculoskeletal Disorders 7 1 BACKGROUND:A wide range of outcomes have been assessed in trials of interventions for carpal tunnel syndrome (CTS), however there appears to be little consensus on what constitutes the most relevant outcomes. The purpose of this systematic review was to identify the outcomes assessed in randomized clinical trials of surgical interventions for CTS and to compare these to the concepts contained in the International Classification of Functioning, Disability and Health (ICF).METHODS:The bibliographic databases Medline, AMED and CINAHL were searched for randomized controlled trials of surgical treatment for CTS. The outcomes assessed in these trials were identified, classified and linked to the different domains of the ICF.RESULTS:Twenty-eight studies were retrieved which met the inclusion criteria. The most frequently assessed outcomes were self-reported symptom resolution, grip or pinch strength and return to work. The majority of outcome measures employed assessed impairment of body function and body structure and a small number of studies used measures of activity and participation.CONCLUSION:The ICF provides a useful framework for identifying the concepts contained in outcome measures employed to date in trials of surgical intervention for CTS and may help in the selection of the most appropriate domains to be assessed, especially where studies are designed to capture the impact of the intervention at individual and societal level. Comparison of results from different studies and meta-analysis would be facilitated through the use of a core set of standardised outcome measures which cross all domains of the ICF. Further work on developing consensus on such a core set is needed., http://www.biomedcentral.com/1471-2474/7/96 1471-2474 doi:10.1186/1471-2474-7-96; http://www.biomedcentral.com/content/pdf/1471-2474-7-96.pdf |?m 8 Jessen, E. C, Colver, A. F, Mackie, P. C, Jarvis, S. N, 2003 Development and validation of a tool to measure the impact of childhood disabilities on the lives of children and their families 21-34# Child: Care, Health and Development 29 Number 1W childhood disability; impact of disability; special needs register; ICF; participation Research Objective
Information on registers of children with special needs will be more meaningful i
5 Commonwealth Ave, Boston MA 02215, USA.
E-mail: ajette@bu.edu DOI: 10.1080/16501970310010501C http://jrm.medicaljournals.se/article/pdf/10.1080/16501970310010501 ?o Jette, Alan M p310010501 Roybal Center for Enhancement of Late-Life Function, Center for Rehabilitation Effectiveness, Sargent College of Health and Rehabilitation Sciences Boston University, Boston, MA, USA
Sargent College, Boston University, 63 P separate Activity and Participation dimensions within the International Classification of Functioning, Disability, and Health classification. H http://jrm.medicaljournals.se/article/abstract/10.1080/16501970 Y D Participation as proposed in the ICF. We believe this is the first empirical evidence of - bility Activities (24.4%), Daily Activities (24.3%), and Social/Participation (12.4%). All 3 factors achieved high internal consistency with coefficient alphas of 0.90 or above. Conclusion: Within physical functioning, distinct concepts were identified that conformed to the dimensions of Activity and as used to identify interpretable dimensions underlying 48 physical functioning questionnaire items. Results: Findings revealed that one conceptual dimension underlying these physical functioning items was not sufficient to adequately explain the data (X2 = 2383; p < 0.0001). A subsequent solution produced 3 distinct, interpretable factors that accounted for 61.1% of the variance; they were labeled: Mo A ing, Disability, and Health could be identified using physical functioning items drawn from the Late Life Function and Disability Instrument. Design: A cross-sectional, survey design was employed. Subjects: The sample comprised 150 community-dwelling adults aged 60 years and older. Methods: Exploratory factor analysis w \ Of Daily Living, Disabled Persons, Outcome Assessment (health Care), Rehabilitation p Objective: To test the hypothesis that distinct Activity and Participation dimensions of the International Classification of Functiony ?n 8 Jette Alan M, A, Stephen M. Haley, Jill T. Kooyoomjian, 2003 May ; ARE THE ICF ACTIVITY AND PARTICIPATION DIMENSIONS DISTINCT? 145-149# Journal of Rehabilitation Medicine Volume 35 3 _ Activities 46/j.1365-2214.2003.00312.x Affiliations: Northumberland Care Trust, Child Health Office, The Bondgate Surgery, Alnwick, Northumberland, and 2: Department of Child Health (University of Newcastle), Donald Court House, Gateshead, Tyne and Wear, UK |isability for children with a range of common disabling conditions. http://www.ingentaconnect.com/content/bsc/cchd/2003/00000029/00000001/art00004
http://dx.doi.org/10.1046/j.1365-2214.2003.00312.x 4 [1]
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doi:10.10 ! f a validated measure of the severity of impact of a child's disability on life and family is included. Design
We describe the development and initial validation of a parent-completed questionnaire (Generic Lifestyle Assessment Questionnaire LAQ-G) aimed at measuring such impact. Results
Data were collected on 95 case children, representing various disabilities, and 65 control children without disability, and analysed for case–control, test–re-test and inter-reporter reliability. Multidimensional scaling techniques were then used to derive six domains, representing impact of disability in a structure analogous to the participation domains of the revised International Classification ICF ( ). Conclusions
Initial results suggest that the LAQ-G is a reliable measure of the impact of d u nough S, 2007 The relationship between gross motor function and participation restriction in children with cereb y associated with mental disorders: the evolution since ICIDH 611-9 Disabil Rehabil. Jun 3-17;25 11-129 http://www.informaworld.com/smpp/title~content=t713723807 & ' ?w " Kerr C, McDowell, B, McDo bilitation Centre Sydney, Sydney; and School of Nursing, Family and Community Health, University of Western Sydney, Sydney, New South Wales, Australia ; (?v
Kennedy C, 2003V Functioning and disabilit Senior Lecturer, School of Nursing, Family and Community Health, University of Western Sydney, Sydney, New South Wales, Australia; Associate Director, Rehabilitation Nursing Research and Development Unit, Royal Reha xpand nurses' thinking and practice by increasing awareness of the social, political and cultural dimensions of disability.3 http://dx.doi.org/10.1111/j.1365-2648.2003.02976.x 10.1111/j.1365-2648.2003.02976.x 1365-2648m ledgement of the interaction between people and their environments in health and disability, is a useful conceptual framework for nursing education, practice and research. It has the potential to e that a broader view is necessary. It examines ICF and its relationship to changing paradigms of disability and presents some applications for nursing.Conclusion. The ICF, with its acknow al framework for nursing.Method. The paper presents a critical overview of concepts of disability and their implications for nursing and argues t paper are to review the International Classification of Functioning, Disability and Health (ICF), including its history and the theoretical models upon which it is based and to discuss its relevance as a conceptu medical and individual perspectives that do not consider its social dimensions. Disabled people are critical of this paradigm and its impact on their health care.Aim. The aims of this . & pryor j. (2004) Journal of Advanced Nursing46(2), 1622013170 The International Classification of Functioning, Disability and Health (ICF) and nursingBackground. Nursing conceptualizes disability from largely '
ww.fysioterapia.net/fysioterapia-lehti/ ?u Kearney Penelope M, Julie, Pryor 2004X The International Classification of Functioning, Disability and Health (ICF) and nursing 162-170 Journal of Advanced Nursing 46 2 kearney p.m |nt=t713723807j Policy makers and payers seek clarity in information systems. Need data on wider issues of social experience as well as the range of issues that relate to health care costs. Accurate analysis of health ca n E, 1999 Disability and Health care expenditure data: a wide range of user experience is more important than standard definitions of disability 382-384 Disability and Rehabilitation 21 8 Disability definition9 http://www.informaworld.com/smpp/title~conte
s could make comparisons. However, for benchmarking to succeed there is a need for support and commitment from every level of an organisation.1 http://www.unboundmedicine.com/medline/ebm/search ?s
Josly eting treatment. Variation was found on these points between cases with different disorders and across the trusts. TOM data could be used to provide a benchmark for a disorder against which service therapy (SLT) services. The study recruited eight SLT trust sites and ran for eighteen months. The TOM data was analysed to note similarities and differences in cases entering treatment, in the direction of change resulting from treatment, and on compl ped as an indicator to benchmark the outcomes of treatment for different client-groups and compare patterns of outcomes from different speech and language x benchmarking to assess current process and outcome and to use comparative information to inform about current and best practice. The use of the Therapy Outcome Measure (TOM) (Enderby and John 1997) was investigat r and equal access for service users to effective and efficient services. Clinical governance has been introduced as a means of delivering quality improvement. One element of this is the use of of information on outcomes of care. 385-90. Int J Lang Commun Disord Suppl 36 Recent restructuring in the national health service (NHS) aimed to effect cultural and organisation changes that would ensure fai Vine 17-19! International Disability Studies 12 1 http://www.rds.hawaii.edu/ g ?r ( Enderby John A, P, Hughes A, Petheram B 2001K Benchmarking can facilitate the sharing
9 # Revista Española de Salud Pública 76 July-August 4O http://www.scielosp.org/scielo.php?script=sci_issues&pid=1135-5727&lng=&nrm=iso Spanish k ?q # Jiwa-Boerrigter H, V.E. HGM, L.GJ, 19904 Application of the ICIDH in rehabilitation medic s
ultimately to better inform health policy and management.7 http://www.ptjournal.org/cgi/content/abstract/86/5/726 > 7p 8 Jimenez Bunuales MT, Gonzalez Diego P, martin Moreno JM, 2002L International Classfication of functioning, disability and health (ICF) 2001 271- international language with the potential to facilitate communication and scholarly discourse across disciplines and national boundaries, to stimulate interdisciplinary research, to improve clinical care, and isability and Health (ICF) framework has the potential of becoming a standard for disablement language that looks beyond mortality and disease to focus on how people live with their conditions. If widely adopted, the ICF framework could provide the rehabilitation field with a common, - elected contemporary disablement models, and discusses some challenges that need to be addressed to achieve a universal disablement language that can be used to discuss physical therapy research and clinical interventions. The World Health Organization's International Classification of Functioning, D i isease and injury. This perspective provides an update on the changing language of disablement, reviews s . 2006= Toward a Common Language for Function, Disability, and Health 726-734 PHYS THER 86 5 May 1, 2006. Within physical therapy, the disablement model has proven useful as a language to delineate the consequences of d ral palsy: an exploratory analysis 22-27# Child: Care, Health and Development 33 Number 1- cerebral palsy; function; ICF; participation Research 7 Background
Children with cerebral palsy (CP) experience a variety of functional limitations depending on the severity of their condition that impact on their participation in day-to-day activities. Methods
The gross motor function and participation restrictions experienced by 60 ambulant children with CP (mean age 11.04 years) were assessed using the Gross Motor Function Measure (GMFM-88) and the Lifestyle Assessment Questionnaire - Cerebral Palsy (LAQ-CP). Results
A significant negative correlation existed between the GMFM-88 and the LAQ-CP (r = −0.52, P < 0.001). Significant relationships were also identified between the GMFM-88 and the physical independence, mobility, economic burden and social integration domains of the LAQ-CP. Conclusion
In ambulatory children with CP, better physical function is associated with a lesser impact of disability; however, the relationship between function and participation is complex. Measures of participation restriction may assist with goal setting appropriate to the specific needs of the child and family. http://www.ingentaconnect.com/content/bsc/cchd/2007/00000033/00000001/art00004
http://dx.doi.org/10.1111/j.1365-2214.2006.00634.x , [1]
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doi:10.1111/j.1365-2214.2006.00634.x O?x Khan Fary, Julie F. Pallant,
2007 January Use of international classification of functioning, disability and health (ICF) to describe patient-reported disability in multiple sclerosis and identification of relevant environmental factors 39 17 ICF, disability, multiple sclerosis, outcome assessment Objective: To use the International Classification of Functioning, Disability and Health (ICF) to describe patient-reported disability in multiple sclerosis and identify relevant environmental factors.
Methods: Cross-sectional survey of 101 participants in the community. Their multiple sclerosis-related problems were linked with ICF categories (second level) using a checklist, consensus between health professionals and the “linking rules”. The impact of multiple sclerosis on health areas corresponding to 48 ICF categories was also assessed.
Results: A total of 170 ICF categories were identified (mean age 49 years, 72 were female). Average number of problems reported was 18. The categories include 48 (42%) for body function, 16 (34%) body structure, 68 (58%) activities and participation and 38 (51%) for environmental factors. Extreme impact in health areas corresponding to ICF categories for activities and participation were reported for mobility, work, everyday home activities, community and social activities. While those for the environmental factors (barriers) included products for mobility, attitudes of extended family, restriction accessing social security and health resources.
Conclusion: This study is a first step in the use of the ICF in persons with multiple sclerosis and towards development of the ICF Core set for multiple sclerosis from a broader international perspective.D http://jrm.medicaljournals.se/article/abstract/10.2340/16501977-0002 Department of Rehabilitation Medicine, University of Melbourne Neurological Rehabilitation Physician – Royal Melbourne Hospital Melbourne and 2Faculty of Life and Social Sciences, Swinburne University of Technology,
Melbourne, Hawthorn, Australia? http://jrm.medicaljournals.se/article/pdf/10.2340/16501977-0002 D 29 39 http://www.informaworld.com/smpp/title~content=t713723807 ֤?y Khan, Naila Z, Muslima, Humaira, Parveen, Monowara, Bhattacharya Mallika, Begum, Nasreen, Chowdhury, Selim, Jahan, Moshrat, Darmstadt, Gary L, 2006< Neurodevelopmental Outcomes of Preterm Infants in Bangladesh 280-289
Pediatrics 118 1 July 1, 2006} OBJECTIVES. The purpose of this work was to determine neurodevelopmental outcomes of preterm infants followed by a multidisciplinary team in a tertiary hospital in Bangladesh. METHODS. Infants <33 weeks' gestational age were serially assessed for neurodevelopment by physicians and developmental psychologists. An estimate of "low," "moderate," or "high" risk for neurodevelopmental impairments was made at the first visit. At later assessments, neurodevelopmental impairments were graded by severity as "none," "mild," or "serious." RESULTS. Of the 159 enrolled children, 65% survived, 16% died, and 19% were lost to follow-up. Family income was lowest among those who died, and maternal and paternal literacy was highest among the survivors. At a mean age of 31 months, developmental status of the 85 children followed-up for [≥]12 months was normal in 32%; 45% had mild and 23% had serious neurodevelopmental impairments. Cognitive impairment was the most common deficit (60%). Final outcome was significantly better than estimated initially. Most serious (85%) but fewer mild (37%) problems were identified independently by both child health physicians and psychologists. CONCLUSIONS. Parental education and family income had significant influence on postdischarge mortality. Two thirds of infants demonstrated neurodevelopmental impairments. Most mild cognitive impairments would have been missed had either physicians or psychologists alone done the assessments. Preterm infants in this low-resource setting are at high risk for neurodevelopmental impairments, which need to be identified early, preferably by a multidisciplinary team of professionals.E http://pediatrics.aappublications.org/cgi/content/abstract/118/1/280 10.1542/p
eds.2005-2014 O?z { Kim Jae-Min, Robert, Stewart, Nicholas, Glozier, Martin, Prince, Sung-Wan, Kim, Su-Jin, Yang, Il-Seon, Shin, Jin-Sang, Yoon 2005l Physical health, depression and cognitive function as correlates of disability in an older Korean population 160-167- International Journal of Geriatric Psychiatry 20 2 The World Health Organisation Disability Assessment Schedule II (WHODAS II) measures functioning and disability in concordance with the bio-psycho-social model of the WHO's International Classification of Functioning, Disability, and Health. Our objectives were to investigate the independent associations of physical health, depression and cognitive function with WHODAS II disability in an older Korean population.The WHODAS II was administered to a community sample of 1204 residents age 65 or over. Data on demographic characteristics (age, gender, living area, marital state, and religion), socio-economic state (education, type of accommodation, number of rooms, previous occupation, current employment, monthly income), social support, number of physical illness, depression (GMS), and cognitive function (MMSE) was gathered. A subsample (n = 746) received a clinical examination for dementia.Scores on the WHODAS II were significantly and independently associated with worse physical health, depression, and lower cognitive function. Associations with other factors were no longer apparent after adjustment for these. These associations persisted in the absence of dementia. In participants with dementia (n = 110), WHODAS II scores were principally associated with physical health and accommodation type.Level of disability, as measured by the WHODAS II, was principally associated with physical health, depression and cognitive function, rather than socio-demographic factors. Copyright © 2005 John Wiley & Sons, Ltd.# http://dx.doi.org/10.1002/gps.1266 10.1002/gps.1266 1099-1166 Department of Psychiatry & Research Institute of Medical Science, Chonnam National University Medical School, Kwangju, Republic of Korea; Section of Epidemiology, Institute of Psychiatry, London, UK ?{ B Kirchberger Inge, Glaessel, Andrea, Stucki Gerold, Cieza Alarcos, 2007 Validation of the Comprehensive International Classification of Functioning, Disability and Health Core Set for Rheumatoid Arthritis: The Perspective of Physical Therapists 368-384 PHYS THER 87 4
April 1, 2007] Background and PurposeThe Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Rheumatoid Arthritis (RA) represents the typical spectrum of problems in the functioning of patients with RA. The objective of this study was to validate this ICF Core Set from the perspective of physical therapists. MethodsPhysical therapists were asked about their intervention goals in a 3-round Delphi survey. Intervention goals were compiled, and the physical therapists were asked whether they considered the goal classes to be relevant. The goal classes then were linked to the ICF. ResultsA total of 82 physical therapists in 12 countries named 562 intervention goals. A total of 45 goal classes covering all ICF components were identified. The goal classes addressing muscle tone, balance and coordination, and psychological distress were not represented in the ICF Core Set for RA. Discussion and ConclusionThe validity of the ICF Core Set for RA was largely supported. However, some categories currently not covered by the ICF Core Set for RA will need to be investigated further.7 http://www.ptjournal.org/cgi/content/abstract/87/4/368 10.2522/p tj.20050237 ?| Kisioglu AN, Uskun E, Ozturk M, 2003j Socio-demographical examinations on disability prevalence and rehabilitation status in southwest of Turkey 1381–1385 Disability and Rehabilitation 25 24
9 http://www.informaworld.com/smpp/title~content=t713723807 7} 0 Kirschneck M, Cieza A, Schwarzkopf SR, Stucki G, 2005.N Umsetzung der ICF und der ICF Core Sets für Osteoporose in der Rehabilitation 113-119 Physioscience 1: 18 http://www.thieme-connect.de/ejournals/toc/physioscience German ?~ c Kjeken, I, Dagfinrud, H, Slatkowsky-Christensen B, Mowinckel, P, Uhlig, T, Kvien, T. K, Finset, A, 2005 Activity limitations and participation restrictions in women with hand osteoarthritis: patients' descriptions and associations between dimensions of functioning 1633-1638
Ann Rheum Dis 64 11 November 1, 2005Z Objective: To describe the functional consequences of hand osteoarthritis, and analyse associations between personal factors, hand impairment, activity limitations, and participation restrictions within the framework of the International Classification of Functioning (ICF). Methods: 87 women with hand osteoarthritis completed a clinical examination including recording of sociodemographic data, measures of hand impairment, and completion of self reported health status measures. The function subscale of the AUSCAN Osteoarthritis Hand Index was used as a measure of hand related activity limitations, while the Canadian Occupational Performance Measure (COPM) was used to describe and measure activity limitations and participation restrictions as perceived by the individual. The study variables were categorised using the dimensions in the ICF framework and analysed using bivariate and multivariate statistical approaches. Results: The patients described problems in many domains of activity and participation. The most frequently described hand related problems were activities requiring considerable grip strength combined with twisting of the hands. On the impairment level, the patients had reduced grip force and joint mobility in the hands, and resisted motion was painful. Regression analyses showed that hand related activity limitations were associated with measures of hand impairment, while activity and participation (as measured by the COPM) were more strongly associated with personal factors than with hand impairment. Conclusions: Hand osteoarthritis has important functional consequences in terms of pain, reduced hand mobility and grip force, activity limitations, and participation restrictions. Rehabilitation programmes should therefore be multidisciplinary and multidimensional, focusing on hand function, occupational performance, and coping strategies.3 http://ard.bmj.com/cgi/content/abstract/64/11/1633 10.1136/ard.2004.034900X ? Kleijn-de Vrankrijker de MW, 2003 The long way from the International Classification of Impairments, Disabilities and Handicaps (ICIDH) to the International Classification of Functioning, Disability and Health (ICF) 561-4. Disabil Rehabil. Jun 3-17;25 11-129 http://www.informaworld.com/smpp/title~content=t713723807 X K ? 9 Kleijn P. de, F. R. van Genderen, N. L. U. van Meeteren, 2005 Assessing functional health status in adults with haemophilia: towards a preliminary core set of clinimetric instruments based on a literature search in Rheumatoid Arthritis and Osteoarthritis 308-318 Haemophilia 11 4 Summary. People with haemophilia experience a progressive deterioration of their functional health status. Regular clinical assessment of functional health status provides insight into their process of disablement. As such, the development of a core-set of measurement tools is warranted. The aim of this study was to gather data to prepare a (preliminary) core set of clinically relevant and feasible instruments to assess the functional health status of adults with haemophilia, and to indicate their psychometric qualities. Therefore, clinimetric instruments frequently used in two haemophilia-resembling diseases (Rheumatoid Arthritis and Osteoarthritis) were reviewed from the literature. An extensive search in Medline yielded 13 relevant review articles, incorporating a total of 182 instruments, of which 40 were appropriate for haemophilia. Of these 40 instruments 3 measure body structures, 13 body functions, 19 activities (of which 5 are performance based and 14 self-report based), and 3 measure participation. This classification is based on the International Classification of Functioning, Disability and Health. Detailed information regarding the psychometrics (reliability, validity and responsiveness) of four instruments is described fully in the literature, whereas the psychometrics of the majority of the other instruments are only partly described. The results of this literature study may contribute to the formation of a (preliminary) core set of clinimetric instruments to assess the functional health status of adults with haemophilia. Decisions on the final core set should be held within the Musculoskeletal Committee of the World Federation of Haemophilia.3 http://dx.doi.org/10.1111/j.1365-2516.2005.01117.x 10.1111/j.1365-2516.2005.01117.x 1365-2516$ Van Creveldkliniek, University Medical Centre Utrecht; Rudolf Magnus Institute of Neuroscience, Department Neurology and Neurosurgery, Section Rehabilitation Medicine, University Medical Centre Utrecht; Department of Physiotherapy, Academy of Health Sciences Utrecht, Utrecht, Th
e Netherlands n? Q Kleijn P. De, M. Gilbert, G. Roosendaal, P. M. Poonnose, P. M. Narayan, N. Tahir, 2004: Functional recovery after bleeding episodes in haemophilia 157-160 Haemophilia 10 s4a Summary. Haemophilia is characterized by intra-articular and intramuscular bleeding episodes. Although much work has been carried out into post-bleeding mechanisms in both synovial joints and muscles, the picture is not yet clear. A firm post-bleeding rehabilitation protocol is of utmost importance for people with haemophilia. The use of the International Classification of Functioning Disability and Health reveals that information worldwide is on body level, whereas the goals of patients with haemophilia implicitly aim at optimal functional recovery. This interferes much more with activities and participation in society. The Functional Independence Score for Haemophilia and the Post-bleeding Protocol Based on Functional Milestones are examples of post-bleeding approaches that deal more with function. Two cases will emphasize the value of this approach.3 http://dx.doi.org/10.1111/j.1365-2516.2004.00977.x 10.1111/j.1365-2516.2004.00977.x 1365-2516 Van Creveldkliniek, University Medical Centre Utrecht, and Rudolf Magnus Institute of Neuroscience, Dept. Neurology and Neurosurgery, Section Rehabilitation Medicine, Universal Medical Center Uterecht, Uterecht, the Netherlands; Department of Orthopedics, Mount Sinai Medical Center, New York, USA; Christian Medical College and Hospital, Vellore, India; Hemophilia Federation of India, Chapter Hyderabad, Hyderabad, India; Hemophilia Patients Welfare Society, Lahore, Pakistan L? 3 Kleijn P. De, L. Heijnen, N. L U Van Meeteren, 2002l Clinimetric instruments to assess functional health status in patients with haemophilia: a literature review 419-427 Haemophilia 8 3E Summary. The World Federation of Hemophilia scoring system (WFH-1) evaluates primarily body functions and structures, whereas assessment of the whole area of functional health status is considered nowadays to be a better measure. In addition, the WFH-1 lacks psychometric properties (reliability, validity and sensitivity to change). This study aimed to gain insight into the clinimetric assessment of functional health status in patients with haemophilia by way of a systematic literature search. A standardized literature search and selection was performed on the databases of CINAHL (198220132001), Medline (196620132001), and PubMed (January2013July 2001). Clinimetric instruments applied in the selected articles were classified based on the international classification of functioning, disability, and health (ICF) and analysed for their psychometric properties. In 19 articles published between 1979 and 2001, 34 clinimetric instruments were used to assess functional health status. Instruments were classified as measuring the ICF components body structure and function (n = 17), activities (12) and participation (4). Reliability was measured in four articles on three different instruments, the validity (construct) of the instruments for patients with haemophilia was reported in six articles on five instruments, and sensitivity to change in three articles on three instruments. The populations under study varied in number (720139 35), mean age (21.6201350.8 years), and in the distribution of haemophilia severity. Reports on the evaluation of functional health status in patients with haemophilia are increasing. Further research on the psychometric properties of the instruments is warranted in more groups of patients with haemophilia. Development of the new core set of clinimetric instruments, the WFH-2, might benefit from this strategy.3 http://dx.doi.org/10.1046/j.1365-2516.2002.00640.x 10.1046/j.1365-2516.2002.00640.x 1365-2516[ Division of Rehabilitation and Nutritional Sciences, Utrecht, the Netherlands, ; Van Creveldkliniek, National Haemophilia Centre, University Medical Centre Utrecht, Utrecht and Rehabilitation Centre De Trappenberg, Huizen, the Netherlands,and ; Rudolf Magnus Institute for Neurosciences, University Medical Centre Utrecht, Utrecht, The Netherlands
, ? + Mirjam de Klerk, Roelof Schellinger Wood, 2006p People with physical limitations and their facilities in the area of housing, care, transportation and welfare 8 physical limitations, housing, care, transport, welfare Over one million adults in the Netherlands have a long-term physical limitation. Zij zijn noodgedwongen minder mobiel of kunnen zich moeilijk of niet meer persoonlijk verzorgen. They are necessarily less mobile or may be difficult or more personal care. Ongeveer de helft van deze mensen is 65 jaar of ouder. Approximately half of these people is 65 years or older.
Dit rapport schetst een beeld van het gebruik van en de behoefte aan uiteenlopende voorzieningen op het terrein van wonen, zorg, welzijn en vervoer. This report paints a picture of the use of and need for various facilities in the area of housing, care, welfare and transport. Bij wonen zijn dat bijvoorbeeld traploze woningen, woningaanpassingen, wonen met zorg- en dienstverlening. By living that variable, for example housing, housing adaptations, housing with care and service. Zorg betreft huishoudelijke of persoonlijke verzorging of verpleging van de thuiszorg, het eigen netwerk of een particuliere hulp. Residential care or personal care or nursing home care of the home network or a private aid. Voorbeelden van welzijnsvoorzieningen zijn de ouderenadviseur, het maatschappelijk werk of maaltijdvoorzieningen. Examples of welfare, the elderly consultant, social work or meal services. Bij vervoer gaat het om mobiliteitshulpmiddelen (rollator, rolstoel, scootmobiel), de eigen auto, het openbaar vervoer of voorzieningen zoals de regiotaxi. Transport includes mobility devices (walkers, wheelchairs, scooters), the private car, public transport or facilities such as Regiotaxi.
Voor dit rapport zijn ruim 2700 volwassenen met langdurige lichamelijke beperkingen gevraagd naar hun ervaringen met voorzieningen en het aanvragen daarvan. For this report, more than 2700 adults with long-term physical limitations asked about their experiences and applying them. Uniek is dat niet alleen is geïnventariseerd welke voorzieningen zij gebruiken, maar ook welke zij nodig hebben en waarom zij die niet hebben. Unique is that not only inventoried the facilities they use, but also what they need and why they do not.
Dit onderzoek is uitgevoerd op verzoek van het ministerie van Volksgezondheid, Welzijn en Sport. This research was conducted at the request of the Ministry of Health, Welfare and Sport. U http://www.scp.nl/Publicaties/Alle_publicaties/Publicaties_2006/Ondersteuning_gewenst8 7
Korner M, 2005p ICF and social medicine evaluation of capability of gainful activity: is everything clear?--a discussion article 229-36 Rehabilitation (Stuttg) Aug;44 4j http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=Search&db=PubMed&term=Psychother+Med+Psychol+Stuttg%5BJOUR%5D German d , analysisW http://journalseek.net/cgi-bin/journalseek/journalsearch.cgi?field=issn&query=0034-3579>?
Kostanjsek N, Üstün TB, 2004 Operationalizing ICF for measurement: calibration, qualifiers, instruments. Paper delivered at the 2004 WHO-FIC Network Meeting, Reykjavik. WHO9 http://www.nordclass.uu.se/WHOFIC/ papers/reykjavik59.pdf9 http://www.nordclass.uu.se/WHOFIC/ papers/reykjavik59.pdf ? Kriegsman, D. Deeg, DJH, 1999U Implications of alternative definitions of disability beyond health care expenditures 388-391 Disability and Rehabilitation 21 89 http://www.informaworld.com/smpp/title~content=t713723807 9+ 3? 1 Roderick McClure, Mark Stevenson, Suzanne McEvoy, 20056 The Scientific Basis of Injury Prevention and Control , 424 pages. Includes Index and Bibliography.
Melbourne / http://www.ipcommunications.com.au/iphealf.html Paperback. ISBN: 0-9578617-9-6.% Published, October, 200 c14-9. Arthritis Rheum Feb 15;51 18 http://www3.interscience.wiley.com/journal/76509746/home ? U Küçükdeveci Ayse A, Hülya Sahin, Sebnem Ataman, Bridget Griffiths,
Alan, Tennant 2004 Issues in cross-cultural validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire 14-19 Arthritis Care & Research 51 1< HAQ • Rasch • Cross-cultural • Adaptation • Validity Guidelines have been established for cross-cultural adaptation of outcome measures. However, invariance across cultures must also be demonstrated through analysis of Differential Item Functioning (DIF). This is tested in the context of a Turkish adaptation of the Health Assessment Questionnaire (HAQ).Internal construct validity of the adapted HAQ is assessed by Rasch analysis; reliability, by internal consistency and the intraclass correlation coefficient; external construct validity, by association with impairments and American College of Rheumatology functional stages. Cross-cultural validity is tested through DIF by comparison with data from the UK version of the HAQ.The adapted version of the HAQ demonstrated good internal construct validity through fit of the data to the Rasch model (mean item fit 0.205; SD 0.998). Reliability was excellent (alpha = 0.97) and external construct validity was confirmed by expected associations. DIF for culture was found in only 1 item.Cross-cultural validity was found to be sufficient for use in international studies between the UK and Turkey. Future adaptation of instruments should include analysis of DIF at the field testing stage in the adaptation process.$ http://dx.doi.org/10.1002/art.20091 10.1002/art.20091 1529-0131 Ankara University, Ankara, Turkey; The Freeman Hospital, Newcastle Upon Tyne, United Kingdom; University of Leeds, Leeds, United Kingdom Y? H Kuijer, W, Brouwer S, Preuper H. R, Groothoff J, Geertzen J, Dijkstra P, 2006w Work status and chronic low back pain: exploring the international classification of functioning, disability and health 379-388 Disability and Rehabilitation 288 Chronic low back pain; work disability; sick leave; ICF Research Purpose . Exploring which variables are related to work status in patients with chronic low back pain (CLBP), classified according to the International Classification of Functioning, Disability and Health (ICF). Method . Ninety-two patients with CLBP filled out questionnaires inquiring after health status, impairments in body functions/structures, limitations in activities of daily living (ADL), participation in work, environmental and personal factors. Additionally, patients performed tests to measure physical fitness and performance of work-related activities. Univariate analyses were performed to investigate whether differences exist between working and non-working patients. Logistic linear regression analysis was performed to explain work status from the variables of functioning. Results . Non-working patients had a lower self-reported physical and mental health, lower physical fitness, more self-reported limitations in ADL, lower education, more depressive symptoms and higher psycho neuroticism than working patients. Self-reported physical and mental health and educational level correctly classified 84.5% of the patients as working or non-working. Performance of work-related activities was not significantly related with work-status. Conclusions . The relation between work status and CLBP is multidimensional, as was illustrated by using the bio-psychosocial model of the ICF. Patients with a low educational level, a low self-reported physical or mental health were more likely to be non-working. Self-reported limitations and physical and mental health are more important in explaining work status than objective measurements of performance. { http://www.ingentaconnect.com/content/apl/tids/2006/00000028/00000006/art00006
http://dx.doi.org/10.1080/09638280500287635 5 [1]
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doi:10.1080/09638280500287635 1: Department of Oral and Maxillofacial Surgery, University Medical Centre Groningen, The Netherlands 2: Northern Centre for Healthcare Research, University of Groningen DOI: 10.1080/09638280500287635 ,? ; Kronk, Rebecca, Ogonowski Julie, Rice Carryn, Feldman Heidi 2005z Reliability in assigning ICF codes to children with special health care needs using a developmentally structured interview 977-983 Disability and Rehabilitation 27 Developmental d isabilities; observer variation; International Classification of Functioning, Disab; children with special care needs; activities of daily living Purpose . The purpose of this study was to determine if two teams of raters could reliably assign codes and performance qualifiers from the Activities and Participation component of the International Classification of Functioning, Disability, and Health (ICF) to children with special health care needs based on the results of a developmentally structured interview. Method . Children ( N = 40), ages 11 months to 12 years 10 months, with a range of health conditions, were evaluated using a structured interview consisting of open-ended questions and scored using developmental guidelines. For each child, two raters made a binary decision indicating whether codes represented an area of need or no need for that child. Raters assigned a performance qualifier, based on the ICF guidelines, to each code designated as an area of need. Cohen's statistic was used as the measure of inter-rater reliability. Results . Team I reached good to excellent agreement on 39/39 codes and Team II on 38/39 codes. Team I reached good to excellent agreement on 5/5 qualifiers and Team II on 10/14 qualifiers. Conclusions . A developmentally structured interview was an effective clinical tool for assigning ICF codes to children with special health care needs. The interview resulted in higher rates of agreement than did results from standardized functional assessments. Guidelines for assigning performance qualifiers must be modified for use with children. { http://www.ingentaconnect.com/content/apl/tids/2005/00000027/00000017/art00002
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doi:10.1080/09638280500052849 4, 245 x 170mm }? Kiupers P, 2003L Incorporation of environmental factors into outcomes research. Future Drugs 122-129' Expert Rev. Pharmacoeconomics Outcomes 3 2 http://www.expert-reviews.com/action/doSearch?type=advanced&target=advanced&field1=authors&text1=&logicalOpe1=AND&field2=articletitle&text2=Incorporation+of+environmental+factors+into+outcomes+research.+Future+Drugs+&logicalOpe2=AND&field3=all&text3=&history=&articleType=research-article&categoryId=1008&filter=multiple&restrict=between&AfterMonth=01&AfterYear=2003&BeforeMonth=12&BeforeYear=2003&sortBy=relevancy&displaySummary=true&nh=20&search.x=54&search.y=8 ? y Kullmann Lajos, Alarcos Cieza, Gerold Stucki, Martin Weigl, Thomas Stoll, Leonard Kamen,
Nenad Kostanjsek Nicolas Walsh, 2004) ICF Core Sets for Chronic Widespread Pain 63–68 Rehabil Med
Suppl. 44:7 http://jrm.medicaljournals.se/files/pdf/36/44/63-68.pdf 7 Kullmann L, 2002S International classification of daily living function, disability and health status 1403-10 Orv Hetil Jun 9;143 23+ http://www.ncbi.nlm.nih.gov/pubmed/12132326
Hungarian D ? Lau K, 1998h Activities of the United Nations Statistical Institute for Asia and the Pacific in Disability Services. 31-33$ Asia & Pacific Journal on Disability 1 3@ Economic and Social Commission for Asia and the Pacific (ESCAP),@ http://www.dinf.ne.jp/doc/english/asia/resource/z00ap/z00ap.html t hic variables 156-162, Scandinavian Journal of Occupational Therapy 11G childhood disability; participation; physical function; ICF; diagnosis Research The primary goal of occupational therapy intervention for children with disabilities is enabling participation in the daily activities of childhood. The World Health Organization conceptualizes chronic health conditions and disability as two distinct aspects of health, with the primary concern on the level of health condition being with diagnosis rather than function. Participation, within the International Classification of Functioning, Disability and Health (ICF), is characterized by the interactions between a child, its family, and other personal and environmental factors. Few studies have examined the relationships between diagnosis, function, and participation in children with disabilities. Using the results of a study of the participation of 427 children with physical disabilities in activities outside mandated school, the authors examined the relative influence of diagnostic category on participation. When adjusted for age, sex, and physical function, diagnostic category does not significantly affect the intensity and diversity of participation. The results of this study confirm and highlight the limitations in using diagnostic information in children's rehabilitation in the absence of other information. Participation is a complex phenomenon so it is important to understand more clearly how personal, environmental, and family factors influence the child's involvement in everyday activities. There is a need to move beyond diagnosis to focus on other personal and environmental factors as major predictors of participation. { http://www.ingentaconnect.com/content/apl/socc/2004/00000011/00000004/art00002
http://dx.doi.org/10.1080/11038120410020755 doi:10.1080/11038120410020755 DOI: 10.1080/11038120410020755VK H@? Leahy, Margaret M, 2005s Changing Perspectives for Practice in Stuttering: Echoes From a Celtic Past, When Wordlessness Was Entitled to Time 274-283 Am J Speech Lang Pathol 14 4 November 1, 2005 Changing perspectives for practice in stuttering therapy are informed by the changes in knowledge, social values, and belief systems of a society. The International Classification of Functioning, Disability and Health (ICF; World Health Organization, 2001) has a sociological emphasis with a focus on the ability and functioning of the person, and it is currently fostering changes in perspectives for working with those who stutter. These perspectives are reflected in Irish social mores in the 7th and 8th centuries, when social and legal codes enshrined the rights of people with speech disabilities in law and recognized the dignity and integrity of people with such disabilities. The society of the time showed awareness and acceptance of people with disabilities, and it provided the supports to enable their participation in society. To a large extent, these principles contrast with the predominantly impairment-based focus that has been the heritage of the speech-language pathology profession in the 20th century. In order to review changing emphases in stuttering therapy and to consider applications of a sociological approach to stuttering, an outline of historical perspectives of the profession of speech-language pathology is presented. The evolution of the ICF is also outlined, moving from an impairment-based focus to a more sociological perspective. Both perspectives provide a historical context for consideration of approaches to working with stuttering, reflecting the ICF and echoing principles that were practiced in an ancient Celtic society.4 http://ajslp.asha.org/cgi/content/abstract/14/4/274 10.1044/1058-036 0(2005/027) ? Lehman, Cheryl Al 2003 omjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjjj/W Idiopathic intracranial hypertension within the ICF model: a review of the literature. 263- Neuro scci. Physiothrapy 35 5 . http://www.highbeam.com/doc/1G1-110024682.html ? Lenker JA, Paquet VL 2004V A review of conceptual models for assistive technology outcomes research and practice 1-10. Assist Technol Summer;16 1+ http://www.ncbi.nlm.nih.gov/pubmed/15357144 K? > Leonardi M, Bickenbach J, Ustun TB, Kostanjsek N, Chatterji S, 2006, 07 October1 The definition of disability: what is in a name? 1219-1221
The Lancet - 368 9543 http://www.th elancet.com ? ; Leonardi M., Ajovalasit D., Cattoni G., Pisoni C., Raggi A.9 Mental retardation, competitive sports activities and ICF6 http://www.headnetgroup.it/pdf/Mental_retardation.pdf . / Ol? - Leonardi M, Steiner TJ, Scher AT, Lipton RB. 2005 The global burden of migraine: measuring disability in headache disorders with WHO's Classification of Functioning, Disability and Health (ICF) 429-40 Journal of Headache Pain 6 6Z http://www.springerlink.com/content/l0100676k P(? & Leonardi Matilde, T. Bedirhan Ustun, 2002 The Global Burden of Epilepsy 21-25 Epilepsia 43 s6' We briefly describe the Global Burden of Diseases (GBD) study, its goals, and some of its outcomes as related to neurologic and psychiatric disorders. The summary measure of population health DALYs (Disability Adjusted Life Years) are desc s7nu25/?p=736631c9d37f49a093a988a1bac9d465&pi=24A http://www.springerlink.com/content/74p308nx43547677/fulltext.pdf >g methodology. http://www.springer.com/medicine/journal/10194 ribed, as well as the implications for neuropsychiatric disorders of changing health indicators and the move from mortality toward disability indicators. The pressing need for new measures for health is answered by the new WHO Classification of Functioning Disability and Health, ICF, and a brief summary of its basic principles is provided. Although a better understanding of the physical, social, and economic burden of epilepsy has moved this disorder higher on the world's agenda, epilepsy still has problems to be recognized as a public health priority. The implications of a shift toward considering the disability of epilepsy, as outlined in the the WHO World Health Report 2001, are important. The burden of epilepsy is high and, for the year 2000, accounts for 223C0.5% of the whole burden of diseases in the world.2 http://dx.doi.org/10.1046/j.1528-1157.43.s.6.11.x 10.1046/j.1528-1157.43.s.6.11.x 1528-1167- World Health Organization, Geneva,Switzerland 2? D Lettinga, Ant T, van Twillert Sacha, Poels Bas J. J, Postema Klaas, 2006t Distinguishing theories of dysfunction, treatment and care. Reflections on 'Describing rehabilitation interventions' 369-374 Clinical Rehabilitation 20 5 May 1, 2006 Background: An editorial by Wade (Clinical Rehabilitation 2005; 19: 811-18. suggested a method for describing rehabilitation interventions. Objective: To review the editorial critically, and to suggest a more complete theory. Editorial: The editorial develops a model identifying factors that should be considered when analysing a complex rehabilitation problem, and provides a high-level description of the rehabilitation process. It explicitly does not address theories of behaviour change. New ideas: Three additional theoretical models are needed. The first considers the mechanisms that link the factors identified in Wade's model. For example how does self-esteem (in personal context) actually influence activity performance? This is a theory of dysfunction. The second needs to discuss how treatments alter their target. For example how does cognitive behavioural therapy alter pain perception and/or alter activity performance? This is a theory of treatment. It may be related to the theory of dysfunction. The third, which is less certain, needs to consider the process of giving support (maintaining the status quo). For example, how should one offer continuing opportunities for meaningful social role performance to someone with major cognitive losses? This is a theory of care. Conclusion: The two models that Wade integrated in his conceptual framework (the World Health Organization's International Classification of Functioning (WHO ICF) and the rehabilitation process) should primarily be considered as descriptive in character. Theories are still needed to understand how activity limitation arises and how treatments alter activity limitation, and possibly how a patient is supported to maintain a certain level of activity.5 http://cre.sagepub.com/cgi/content/abstract/20/5/369 10.1191/0269215506cr963xx 3 ]? R Lewin, Terry J, Slade, Tim, Andrews, Gavin, Carr, Vaughan J, Hornabrook, Charles W 2005B Assessing personality disorders in a national mental health survey 87-98. Social Psychiatry and Psychiatric Ep X idemiology 40 2 Background The lack of established brief Personality Disorder (PD) screening instruments may account for the absence of PD data from previous national mental health surveys. This paper documents the measurement of PD in a large Australian survey, with a particular focus on the characteristics of the screening instrument and the consequences of its mode of administration and scoring. Methods PD was assessed in the 1997 Australian National Survey of Mental Health and Wellbeing (N=10,641 adults) using the 59-item version of the International Personality Disorder Examination Questionnaire (IPDEQ), which was administered in a computerised format by trained non-clinical interviewers. Results Normative profiles are reported for three IPDEQ scoring schemes (simple categorical, IPDEQ S; ICD-10 criterion based categorical, IPDEQ C; and dimensional scoring, IPDEQ D), together with an examination of the IPDEQ’s psychometric properties and associations with Axis I comorbidity, disability, and selected psychosocial characteristics. The overall rate of ICD-10 PD in Australia was estimated to be 6.5%, although the categorical assessment of dissocial PD clearly provided an underestimate. PD was associated with younger age, poorer functioning, and a sevenfold increase in the number of comorbid Axis I disorders during the preceding 12 months. Conclusions While the methods used to assess PD in the national survey were constrained by project demands, the overall performance of the IPDEQ was considered satisfactory, based on data from a range of sources. In particular, although IPDEQ item and subscale revisions are recommended, evidence is presented suggesting that aggregate IPDEQ dimensional scores should provide useful self-report indices of the overall likelihood of PD., http://dx.doi.org/10.1007/s00127-005-0878-1 10.1007/s00127-005-0878-1A}? U Lin, C. Christine, Moseley, Anne, Refshauge, Kathryn, Haas, Marion, Herbert, Robert, 2006 Effectiveness of joint mobilisation after cast immobilisation for ankle fracture: a protocol for a randomised controlled trial [ACTRN012605000143628] 46 BMC Musculoskeletal Disorders 7 1 BACKGROUND:Passive joint mobilisation is a technique frequently used by physiotherapists to reduce pain, improve joint movement and facilitate a return to activities after injury, but its use after ankle fracture is currently based on limited evidence. The primary aim of this trial is to determine if adding joint mobilisation to a standard exercise programme is effective and cost-effective after cast immobilisation for ankle fracture in adults.METHODS/DESIGN:Ninety participants will be recruited from the physiotherapy departments of three teaching hospitals and randomly allocated to treatment or control groups using a concealed procedure. All participants will perform an exercise programme. Participants in the treatment group will also receive joint mobilisation twice a week for four weeks. Blinded follow-up assessments will be conducted four, 12 and 24 weeks after randomisation. The primary outcome measures will be the Lower Extremity Functional Scale and the Assessment of Quality of Life. Secondary outcomes will include measures of impairments, activity limitation and participation. Data on the use of physiotherapy services and participants' out-of-pocket costs will be collected for the cost-effective and cost-utility analyses. To test the effects of treatment, between-group differences will be examined with analysis of covariance using a regression approach. The primary conclusions will be based on the four-week follow-up data.DISCUSSION:This trial incorporates features known to minimise bias. It uses a pragmatic design to reflect clinical practice and maximise generalisability. Results from this trial will contribute to an evidence-based approach for rehabilitation after ankle fracture., http://www.biomedcentral.com/1471-2474/7/46 1471-2474 doi:10.1186/1471-2474-7-46a7 Linden M, Baron S. 2005 The "Mini-ICF-Rating for Mental Disorders (Mini-ICF-P)". A short instrument for the assessment of disabilities in mental Disorders 144-51 Rehabilitation (Stuttg). Jun;44 3s http://www.ncbi.nlm.nih.gov/sites/entrez?term=loftextThieme%5Bfilter%5D+AND+0034-3536%5Bta%5D+AND+2001:2009%5Bdp%5D (German).? ; Linder Annika, Winkvist Lisa, Nilsson Lena, Sernert Ninni, 2006r Evaluation of the Swedish version of the Modified Elderly Mobility Scale (Swe M-EMS) in patients with acute stroke 584-597 Clinical Rehabilitation 20 7 July 1, 2006M Objective: To investigate the inter-rater reliability and validity of the Swedish version of the Modified Elderly Mobility Scale (Swe M-EMS). Design: A correlation study. Setting: A stroke unit which provides acute care and rehabilitation for all stroke admissions in Northern Alvsborg County Hospital, Sweden. Subjects: Thirty consecutive patients with an acute first-time stroke. Seventeen were women and 13 were men, with a median age of 79 years (41-92) and with a median hospital stay of 21 days (8-35). Intervention: The patients were assessed twice with the Swe M-EMS on admission and at discharge, before and after midday, by two independent physiotherapists. They were assessed by an independent physiotherapist using the three evaluation instruments on admission, once a week during their hospital stay and at discharge. Main outcome measures: The primary evaluation instrument was the Swe M-EMS. The two other evaluation instruments were the Modified Motor Assessment Scale of Uppsala Akademiska Sjukhus-95 (M-MAS UAS-95) and the Berg Balance Scale (BBS). Results: The Swe M-EMS was a reliable instrument (ICC 0.98-0.99). It correlated well with both the M-MAS UAS-95 (rs=0.69-0.88) and the BBS (rs=0.86-0.94). The Swe M-EMS was sensitive to change over time, but the patients obtained the maximum score quickly. Conclusion: The instrument shows a high inter-rater reliability. The Swe M-EMS correlates well with both the M-MAS UAS-95 and the BBS and is sensitive to change. However, it is not sensitive enough to use as a single instrument in evaluating the improvement of a patient with acute stroke.5 http://cre.sagepub.com/cgi/content/abstract/20/7/584 10.1191/0269215506cr972oa v? & Lollar, Donald J, Simeonsson, Rune J, 2005= Diagnosis to Function: Classification for Children and Youths 323-3300 Journal of Developmental & Behavioral Pediatrics 26 4 Function, Class E settings9 http://journals.lww.com/intjrehabilres/pages/default.aspx {ification, Children, Youths, International Classification of Functioning, Disability, and Health
00004703-200508000-00012 This article provides an overview of a newly approved World Health Organization framework and classification system for human functioning. The International Classification of Functioning, Disability, and Health (ICF) identifies dimensions of human functioning and describes a common language for clinical practice, research, and policy development across disciplines and service systems. This presentation highlights the development of a version of the ICF for children and youths (ICF-CY) and its potential utility in developmental and behavioral pediatrics. Clinical, research, and policy dimensions are described. Limitations related to scope and clarity of the framework are also outlined. The article proposes that serious consideration be given the ICF-CY as an integrated system to clarify constructs, improve communication, and encourage coordination of health services for children and youths. (C) 2005 Lippincott Williams & Wilkins, Inc.o http://journals.lww.com/jrnldbp/Fulltext/2005/08000/Diagnosis_to_Function__Classification_for_Children.12.aspx
0196-206X ds; people with disabilities are a group whose health needs should be targeted.A http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1497417 Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Atlanta, GA 30341, USA. dc15@cdc.govJ http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1497417&blobtype=pdf English ? 4 Lomax Claire L, Richard G. Brown, Robert J. Howard, 2004g Measuring disability in patients with neurodegenerative disease using the lsquoYesterday Interviewrsquo 1058-1064- International Journal of Geriatric Psychiatry 19 11 To illustrate the use of time-budget methodology as a means of measuring disability within the framework of the World Health Organisation (WHO) International Classification of Functioning, Disability and Health (ICF) in a mixed group of patients with neurodegenerative disease.A semi-structured interview method (the lsquoYesterday Interviewrsquo) was used to reconstruct the preceding 24-hour period in terms of activity, social and environmental context, and subjective enjoyment. Data were collected on 40 elderly control subjects and a sample of 99 community based patients diagnosed with either Parkinson's disease without or with dementia, Alzheimer's disease, Dementia with Lewy bodies, Progressive Supranuclear Palsy or Multiple System Atrophy. All participants were seen in their own home. The results were translated hierarchically into the ICF framework of disability domains, and further into a higher level formulation based on the constructs of discretionary/obligatory activity.Disability profiles were obtained for the patient group as a whole and for the individual disorders. Restricted patterns of time-use were noted across a range of domains encompassing both obligatory and discretionary activity, and accompanied by a significant increase in passive activity such as day-time sleeping or sitting in front of the television. The data also illustrated the restrictions in both the social and environmental contexts of the patient's lives, and the diminished levels of subjective enjoyment associated with their pattern of daily time-use. With the exception of time spent on discretionary activities, these various indices were significantly associated with standard clinical measures disability.With further studies to assess reliability and validity, time-use and contextual data obtained from structured interviews may provide a useful means of measuring disability within the ICF framework in patients with degenerative neurological disease. Copyright © 2004 John Wiley & Sons, Ltd.# http://dx.doi.org/10.1002/gps.1210 10.1002/gps.1210 1099-1166 Department of Psychology, Institute of Psychiatry, London, UK; Section of Old Age Psychiatry, Institute of Psychiatry, London, UK !? e Lue, Yi-Jing, Su Chwen-Yng, Yang Rei-Cheng, Su Wei-Lieh, Lu Yen-Mou, Lin Rong-Fong, Chen Shun-Sheng, 2006S Development and validation of a muscular dystrophy-specific functional rating scale 804-817 Clinical Rehabilitation 20 9 September 1, 2006 Objective: To develop a reliable and valid new rating scale for measuring the functional impact of muscular dystrophy. Design: Prospective and longitudinal investigation. Setting: Three academic medical centres in Taiwan and the Muscular Dystrophy Association of Taiwan. Measures: The Brooke Scale, the Vignos Scale, the Barthel Index, muscular strength, contracture severity, and predicted forced vital capacity (FVC%). Methods: Scale development was in three stages. In stage I, a preliminary pool of 53 items was generated from patient interviews (n-/25), literature review, existing functional rating scales and expert opinion. In stage II, these items were administered to 85 patients with muscular dystrophy. The resulting data were analysed to construct a rating scale (the Muscular Dystrophy Functional Rating Scale, MDFRS) that encompassed four unidimensional constructs: mobility, basic activities of daily living, arm function and impairment. In stage III, the measurement properties of this rating scale were assessed in 121 muscular dystrophy patients different from those examined with the preliminary instrument. Results: Internal consistency reliability was excellent for all domains of the final 33-item scale, with values of Cronbach's alpha ranging from 0.84 to 0.97. Intraclass correlation coefficients for test-retest and inter-rater reliability were 0.99 for all domains of the MDFRS. The MDFRS showed moderate to high correlations with a range of functional rating scales measuring similar aspects and impairment parameters (Spearman's rho=0.65-0.91; P<0.001, each). Confirmatory factor analysis supported a unitary construct of the four-dimensional MDFRS. The MDFRS had small floor and ceiling effects in the study samples. Sensitivity to change was confirmed by large standardized response means for the MDFRS total score. Conclusions: The MDFRS is a reliable and valid disease-specific measure of functional status for patients with muscular dystrophy.5 http://cre.sagepub.com/cgi/content/abstract/20/9/804 10.1177/0269215506070809 ? Lukasson 1992* Dimension IV: Environmental Considerations 93-99 AAMR Manual 9 (Chapter 8)- http://www.aamr.org/content_577.cfm?navID=154 ? Mabbett D, 2005l Some are more equal than others: definitions of disability in social policy and discrimination law in Europe 215-33 Journal of Social Policy 34 2U http://journals.cambridge.org/action/displaySupplement?jid=JSP&volumeId=-2&issueId=34 Oilitation Education 19 2&3. http://www.rehabeducators.org/publications.htm ?
MacEntee MI, 2004 Z An existential model of oral health from evolving views on health, function and disability 5-14 Community Dental Health 23 1> http://www.cdhjournal.org/view.php?article_id=85&journal_id=10 ? 0 Mackenzie Ann E, Diana T. F. Lee, Fiona, M. Ross 2004o The context, measures and outcomes of psychosocial care interventions in long-term health care for older people 39-44) International Journal of Nursing Practice 10 1I elders • interventions • outcomes • psychosocial • rehabilitation This paper examines the psychosocial dimensions of long-term care with reference to the new International Classification of Functioning, Disability and Handicap (ICIDH 2) and to research conducted in Hong Kong. It also draws on selected international literature about older people. It discusses the different ways in which information can be gained about the personal, social and emotional processes of rehabilitation that influence outcomes and raises methodological questions about the study of interventions. Outcomes that are sensitive to psychosocial interventions and that take account of the elderly person's own perspective are identified as important challenges for nurses and other professionals in the multidisciplinary team, in order to respond to an individualized approach to long-term care. It is concluded that gaining a better understanding of the psychosocial dimensions of long-term care will enhance professional practice and benefit older people and their carers.3 http://dx.doi.org/10.1111/j.1440-172X.2003.00456.x 10.1111/j.1440-172X.2003.00456.x 1440-172X? Professor of Gerontological Nursing, St George's Hospital Medical School, London, United Kingdom; Professor, The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong; Professor of Gerontological Nursing in Primary Care, and Director, Nursing Research Unit, King's College, London, United Kingdom ?
G Madans JH, Altman BM, Rasch EK, Mbogoni M, Synneborn M, Banda J et al. 2004M Proposed Purpose of an Internationally Comparable General Disability Measure.! Washington Group Position Paper: E http://www.cdc.gov/nchs/about/otheract/citygroup/WG_purpose_paper.doc , D? - Madden R, Madden R, Choi C, Tallis K, Wen X, 20055 Use of ICF in health information systems and surveys.s Presented at the 11th Annual NACC conference on ICF: Mapping the Clinical World to ICF, Minnesota, 21-24 June 2005.7 http://www.nacc.org.uk/content/services/infosheets.asp.rD? , Madden R, Madden R, Choi C, Tallis K, Wen X, 2004E The ICF: its relevance to improvements in disability and health data. Presented at the 36th Asia-Pacific Academic Consortium for Public Health (APACPH) conference on Public Health Network and Alliances: Building Capacity in the Asia-Pacific Region Brisbane $ http://www.apacph.org/site/index.php ?3 D? Madden R, 2004 International Classification of Functioning, Disability and Health (ICF): its relevance to improving disability and health data. k Presented to workshop on Health Information in the Asia and Pacific regions. NCCH Brisbane 30 November 2004( http://nis-web.fhs.usyd.edu. au/ncch_new/ D? ) Madden R, Sykes C, Fortune N & Bullock S 2004' ICF Educational progress and directionsf Presented at World Health Organization (WHO) Family of International Classifications Network Meeting, Reykjavik, Iceland, & http://www.who.int/classifications/en/ :D? " Madden R, Wen X, Anderson P& Li Z 2004H Disability and its relationship to health conditions and other factors. f Presented at World Health Organization (WHO) Family of International Classifications Network Meeting, ! Reykjavik, Iceland 24-30 October,& http://www.who.int/classifications/en/ h ? Madden R, Choi, C, Sykes C, 2003c The ICF as a framework for national data: the introduction of ICF into Australian data dictionaries 676-682 Disability and Rehabilitation 25} http://www.ingentaconnect.com/content/apl/tids/2003/00000025/F0020011/art00015
http://dx.doi.org/10.1080/0963828031000137171 doi:10.1080/0963828031000137171 |D? Madden R, Sykes C, 1999% ICIDH: what it is and what it’s for_ Paper presented at the AIHW conference on Australian work on health and related classifications
Canberra, Ma y http://www.aihw.gov.au/
f? M Maeda S, F. Kita, T. Miyawaki, K. Takeuchi, R. Ishida, M. Egusa, M. Shimada, 2005 Assessment of patients with intellectual disability using the International Classification of Functioning, Disability and Health to evaluate dental treatment tolerability 253-259+ Journal of Intellectual Disability Research 49 4@ Background Patients with serious intellectual disability (ID) are occasionally unable to tolerate dental treatment when intravenous sedation or general anaesthesia (IVS/GA) is involved. In order to make a decision regarding the application of IVS/GA, the International Classification of Functioning, Disability and Health (ICF) is useful. Therefore, in this study, a set of codes involved in dental problems were chosen from the ICF, and patients with ID who could tolerate dental treatments were compared with those who could not.Methods From preliminary interviews of six patients with ID, 16 codes were chosen, and an objective five-rank scale was then constructed for use with all chosen codes. Forty-nine ID patients who visited the Okayama University Hospital for dental treatment between January and April 2003 were evaluated. Facility workers were interviewed according to the code set chosen. The participants were then divided into two subgroups depending on their tolerability of dental treatment. The results of these groups for all 16 codes were then compared.Results Of the 49 patients interviewed, 23 were able to tolerate the dental treatment. In the 'Activities & Participation' section of the ICF, the tolerable group showed lower disability levels with regard to d110 Watching, d540 Dressing and d550 Eating. In other sections, there were no significant differences between the groups. The code set chosen in this study and the five-rank scales in each code were useful as they enabled easy interviewing.Conclusions The ICF was raised as a possibility for considering the application of IVS/GA for dental treatment on patients with ID. For clinical use of the ICF, it is recommended that significant codes should be selected and that the five-rank scale is used so that more objective results are obtained from interviews.3 http://dx.doi.org/10.1111/j.1365-2788.2005.00644.x 10.1111/j.1365-2788.2005.00644.x 1365-2788k Department of Dental Anesthesiology, Okayama University Hospital, Okayama, Japan; The Nursing Department, Okayama University Hospital, Okayama, Japan; The Special Care Unit for Patients with Disabilities, Okayama University Hospital, Okayama, Japan; Department of Dental Anesthesiology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan w? 1 Mackenzie Ann, E, Lee Diana, T. F, Ross Fiona, M, 2004o The context, measures and outcomes of psychosocial care interventions in long-term health care for older people 39-44) International Journal of Nursing Practice 10 1 This paper examines the psychosocial dimensions of long-term care with reference to the new International Classification of Functioning, Disability and Handicap (ICIDH 2) and to research conducted in Hong Kong. It also draws on selected international literature about older people. It discusses the different ways in which information can be gained about the personal, social and emotional processes of rehabilitation that influence outcomes and raises methodological questions about the study of interventions. Outcomes that are sensitive to psychosocial interventions and that take account of the elderly person's own perspective are identified as important challenges for nurses and other professionals in the multidisciplinary team, in order to respond to an individualized approach to long-term care. It is concluded that gaining a better understanding of the psychosocial dimensions of long-term care will enhance professional practice and benefit older people and their carers.3 http://dx.doi.org/10.1111/j.1440-172X.2003.00456.x 10.1111/j.1440-172X.2003.00456.x 1440-172X? Professor of Gerontological Nursing, St George's Hospital Medical School, London, United Kingdom; Professor, The Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong; Professor of Gerontological Nursing in Primary Care, and Director, Nursing Research Unit, King's College, London, United Kingdom ? Maier P, 2004 International Classification of Functioning, Disability and Health (ICF): Validation of the ICF Comprehensive Set for Patients with Low Back Pain & Basic Information for a Generic Comprehensive Set 0 http://edoc.ub.uni-muenchen.de/archiv e/00002556/ ? Marks D, 1997 "Who needs models?" 492-495. Disability and Rehabilitation 19 119 http://www.informaworld.com/smpp/title~content=t713723807 ? e Martín-Arribas M.C, Izquierdo Martínez M, de Andrés Copa P, Ferrari Arroyo M.J, Posadade la Paz M, 2003 Characteristics of disability and handicap among toxic oil syndrome (TOS) cohort patients: a cross-sectional study, 17 years after the original food intoxication 1158-1167 Disability and Rehabilitation 25 20} http://www.ingentaconnect.com/content/apl/tids/2003/00000025/00000020/art00003
http://dx.doi.org/10.1080/0963828031000152066 doi:10.1080/0963828031000152066 t ? & Mandich D, Polatajkob H. J, Rodger S, November 2003, c Rites of passage: Understanding participation of children with developmental coordination disorder 583-595 Human Movement Science 22 4-5, F Developmental coordination disorder; Intervention; Qualitative methodsK Children with developmental coordination disorder (DCD) experience difficulty participating in the typical activities of childhood and are known to have a more sedentary pattern of activities than their peers. Little research has been done to investigate the impact of these deficits on the lives of children with DCD and the importance of their participation in the typical activities of childhood. This qualitative study explored the impact of the disorder and the importance of participation for children with DCD from the perspective of the parent. Twelve in-depth interviews were conducted with parents of children with DCD who attended a university clinic specializing in using the Cognitive Orientation to daily Occupational Performance (CO-OP) approach, a cognitive-based intervention. Findings revealed that incompetence in everyday activities had serious negative effects for the children. Conversely, intervention that was focused on enablement at the activity and participation level had a significant positive impact on the children’s quality of life. Emerging themes highlighted the notion that performance competency played an important role in being accepted by peers and being able “to be part of the group”. As well, parents reported that successful participation built confidence in their children and allowed them to try other new activities. The World Health Organization’s International Classification of Functioning, Disability, and Health provides a unique framework for analyzing and understanding the impact of the physical disability on the lives of families with children with DCD. Results illustrate how intervention that focuses on enabling children to choose their own functional goals in the area of physical activity has important implications for enabling participation and building the social networks of children with DCD.
] http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6V8T-4B0MGH4-3&_user=10&_coverDate=11%2F30%2F2003&_rdoc=13&_fmt=high&_orig=browse&_srch=doc-info(%23toc%235879%232003%23999779995%23470331%23FLA%23display%23Volume)&_cdi=5879&_sort=d&_docanchor=&_ct=13&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=3f52d4d2c9cb3b54465d1c4912268664L Developmental Coordination Disorder: Mechanisms, measurement and management ' Faculty of Health Sciences, School of Occupational Therapy, The University of Western Ontario, London, Ont., Canada N6G 1H1
Department of Occupational Therapy, University of Toronto, Toronto, Ont., Canada
Department of Occupational Therapy, The University of Queensland, Brisbane, Qld, Australia# doi:10.1016/j.humov.2003.09.011 7 S Mau W, Gulich M, Gutenbrunner C, Lampe B, Morfeld M, Schwarzkopf SR, Smolenski UC. 2004E Educational objectives in the new interdisciplinary subject "Rehabilitation, Physical Medicine, Naturopathic Techniques" under the 9th Revision of the Licensing Regulations for Doctors--consensus recommendations of the German Society for Rehabilitative Sciences and the German Society for Physical Medicine and Rehabilitation 337-47 Rehabilitation (Stuttg) Dec;43. 6 In October 2003 the 9 (th) revision of the Federal Medical Training Regulations (Approbationsordnung) came into effect. The new compulsory interdisciplinary subject "Rehabilitation, Physical Medicine, Naturopathic Treatment" offers the opportunity to teach all students in comprehensive concepts of Rehabilitation such as the International Classification of Functioning, Disability and Health (ICF) of the WHO and the new book 9 of the German Social Code (SGB 9), as well as Physical Medicine and Naturopathic Treatment. Since the content of this new subject has not been defined up to date a joint task force of the German Society of Rehabilitation Science and the German Society of Physical Medicine and Rehabilitation was founded in order to recommend teaching standards. As part of these teaching standards educational objectives are introduced in this article. They should guide the persons in charge of teaching the subject in the medical faculties. In some areas the students should acquire profound abilities and skills in addition to knowledge. The medical faculties may focus on different educational targets according to their individual teaching profile. http://www.ncbi.nlm.nih.gov/pubmed/15565535?ordinalpos=244&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSumt Institut für Rehabilitationsmedizin, Martin-Luther-Universität Halle-Wittenberg. wilfried.mau@medizin.uni-halle.de German
? Y Mayo, Nancy E, Nadeau Lyne, Levesque Linda, Miller Sydney, Poissant Lise, Tamblyn Robyn, 2005 Does the Addition of Functional Status Indicators to Case-Mix Adjustment Indices Improve Prediction of Hospitalization, Institutionalization, and Death in the Elderly? 1194-1202 Medical Care 43 12 health status indicators
disability evaluation
comorbidity
databases
aged
hospitalization
institutionalization
mortality
00005650-200512000-00006( Background: Case-mix adjustment is widely used in health services research to ensure that groups being compared are equivalent on variables predicting outcome. There has been considerable development and testing of comorbidity indices derived from diagnostic codes recorded in administrative databases, but increasingly, the benefit of clinical information and patient reported ratings of health and functional status is being recognized. One type of information that is highly valued but has so far not been captured by administrative health databases is functional status indicators (FSI). Objective: The purpose of this study was to estimate the extent to which prediction of health outcomes can be improved on by including information on functional status indicators (FSI). Research Design: The data for the current study was obtained from a clustered randomized trial evaluating computerized decision support for managing drug therapy in the elderly, conducted from 1997 to 1998. A total of 107 primary care physicians participated in this trial and 6465 of their patients (51%) completed a generic health status measure-the SF-12-before the intervention. C statistics and R2 were used to compare the predictive value of sociodemographic factors, 2 comorbidity indices, and 11 FSI predictor variables derived from the SF-12 and coded (possible for 8) using the International Classification of Functioning (ICF). Results: Using stepwise logistic regression, FSI, particularly limitation in stair climbing or doing moderate activities like housework, were found to be strong and independent predictors of all outcomes, even after controlling for sociodemographics and comorbidity. Conclusion: This study indicates that FSI provided as robust a prediction of health events as did complex comorbidity indices. Additionally, the ICF coding system provides a mechanism whereby information on FSI could be incorporated into administrative databases through the use of electronic health records that include a health or functional status measure. (C) 2005 Lippincott Williams & Wilkins, Inc.u http://journals.lww.com/lww-medicalcare/Fulltext/2005/12000/Does_the_Addition_of_Functional_Status_Indicators.6.aspx 0025-7079? v Mayo Nancy E, Poissant, Lise, Ahmed Sara, Finch Lois, Higgins Johanne, Salbach Nancy M, Soicher Judith, Jaglal Susan, 2004 Incorporating the International Classification of Functioning, Disability, and Health (ICF) into an Electronic Health Record to Create Indicators of Function: Proof of Concept Using the SF-12 514-522 J Am Med Inform Assoc 11 6 November 1, 2004 Objective: The purpose of this proof-of-concept study was to assess the feasibility of using a generic health measure to create coded functional status indicators and compare the characterization of a stroke population using coded functional indicators and using health-related quality-of-life summary measures alone. Design: Multiple raters assigned International Classification of Functioning, Disability, and Health (ICF) codes to the items of the 12-Item Short Form Health Survey (SF-12). Data for comparing the information from the SF-12 and from ICF codes were derived from the Montreal Stroke Cohort Study that was set up to examine the long-term impact of stroke. Available for analysis were data from 604 persons with stroke, average age 69 years, and 488 controls, average age 62 years. Measurement: The SF-12 provides two summary scores, one for physical health and one for mental health. Domains of the ICF are coded to three digits, before the decimal; specific categorizations of impairments, activity limitations, and participation restrictions are coded to four digits before the decimal. Results: Persons with stroke scored, on average, approximately 10 points lower than controls on physical and mental health. The ICF coding indicated that this was attributed, not surprisingly, to greater difficulty in doing moderate activities including housework, climbing stairs, and working and was not attributed to differences in pain. Differences in mental health were attributed most strongly to greater fatigue (impairment in energy), but all areas of mental health were affected to some degree. Conclusion: The ICF coding provided enhanced functional status information in a format compatible with the structure of administrative health databases.3 http://www.jamia.org/cgi/content/abstract/11/6/514 10.1197/jamia.M1462 = Mbogoni, M. 2003 On the application of the ICIDH and ICF in developing countries: evidence from the United Nations Disability Statistics Database (DISTAT) 644-658 Disability and Rehabilitation 25 11-12 Research The paper reviews the application of the ICIDH and the ICF in developing countries using data and information available in the United Nations Disability Statistics Database at the United Nations Statistics Division. The focus of the paper is limited to studies carried out in the 1990s and also censuses conducted in the 2000 round of censuses. There are substantial variations between studies in the questions used to identify the population with disabilities, and for most countries, these questions are not based on either the ICIDH or the ICF. Disability status is ascertained mainly through use of impairment screens that include a list of a few severe impairments. Recent studies show use of the ICIDH and also the ICF in the development of questions on disability. This may be attributed mainly to guidelines in the United Nations census recommendations regarding use of the ICIDH framework and terminology to develop the question(s) on disability. Work of the United Nations Statistics Division aimed at improving the international comparability of methods and use of international standards could increase use of the ICF in disability measurement. This includes regional training workshops and also the work of the newly created Washington City Group on Disability Measurement. } http://www.ingentaconnect.com/content/apl/tids/2003/00000025/F0020011/art00012
http://dx.doi.org/10.1080/0963828031000137144 doi:10.1080/0963828031000137144 DOI: 10.1080/0963828031000137144 Informa Healthcare ? 9 McConachie H, Colver A, Forsyth R, Jarvis S, Parkinson K, 2006P Participation of disabled children: how should it be characterised and measured? 1157-1164 Disability and Rehabilitation 28 187 Child disability; development; participation; activity Research Purpose . The aim of the paper is to explore the issues involved in measuring children's participation. Method . The concept of participation as encapsulated in the International Classification of Functioning, Disability and Health (ICF) is discussed as it applies to children. The essential components of any measure of children's participation are outlined, including participation essential for normal development and survival, leisure activities, and educational participation. Some existing instruments are briefly reviewed in terms of their coverage of the essential components and the adequacy of their approach to measurement. Results . Key issues regarding the content of an adequate measure of participation include the need to consider the child's dependency on the family, and their changing abilities and autonomy as they grow older. Instruments may be most appropriate where they ask the child directly, implying use of visual as well as verbal presentation. Their focus should be on `performance' such as whether and how often an activity is taken part in, and not incorporate degree of assistance within the measurement scaling. Conclusions . Currently available measures of children's participation all have some limitations in terms of their applicability across impairment groupings, whether the child can directly respond, and in the ICF components covered. The feasibility of developing measurement instruments of children's participation at different ages is discussed. { http://www.ingentaconnect.com/content/apl/tids/2006/00000028/00000018/art00008
http://dx.doi.org/10.1080/09638280500534507 1 [1]
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doi:10.1080/09638280500534507 = / Mcdonald Rachael, Robert Surtees, Sheila Wirz, 2004 The International Classification of Functioning, Disability and Health provides a Model for Adaptive Seating Interventions for Children with Cerebral Palsy 293-302+ The British Journal of Occupational Therapy 67 Research r Children with severe types of cerebral palsy use adaptive seating systems to encourage function and assist in delaying the development of deformity. These systems are often assessed for and provided by occupational therapists. However, there has been no unifying policy or theoretical basis on which these systems are provided and research evidence is lacking, with studies tending to be small and non-controlled. The International Classification of Functioning, Disability and Health (World Health Organisation 2001a, b) aims to establish a common language for clinical practice as well as research, while bringing together the opposing social and medical models of health care delivery. This paper suggests that the ICF model is an ideal theoretical basis for adaptive seating system assessment and provision, given that these systems often conflict between the medical model of reducing or delaying impairment of body functions and structures and the social model of children and families accessing life and environmental situations through mobility and seating equipment. The paper considers all the domains of the ICF with regard to the current literature. It concludes that using the model in the context of providing adaptive seating gives occupational therapists both a powerful tool for communicating with children and families as well as managers and a basis for evaluating practice. O http://www.ingentaconnect.com/content/cot/bjot/2004/00000067/00000007/art00003 # College of Occupational TherapistsF? = McCooey-O'Halloran, Robyn ; Worrall, Linda ; Hickson, Louise 2004 Evaluating the role of speech-language pathology with patients with communication disability in the acute care hospital setting using the ICF.0 Journal of Medical Speech - Language Pathology. 12 2_ http://www.accessmylibrary.com/coms2/summary_0286-21822747_ITM?email=eclaray@yahoo.com&library=? 7 McKibbin Christine, Patterson Thomas L, Jeste Dilip V, 2004U Assessing Disability in Older Patients With Schizophrenia: Results From the WHODAS-II 405-413) The Journal of Nervous and Mental Disease 192 6S WHODAS-II
disability
schizophrenia
functioning
assessment
00005053-200406000-00002E The World Health Organization has recently published an instrument to evaluate disability, entitled the World Health Organization Disability Assessment Schedule-Second Version (WHODAS-II). We sought to evaluate its reliability and validity in older patients with schizophrenia. We studied 54 outpatients with schizophrenia and 22 normal comparison subjects. Besides WHODAS-II, we used standardized rating scales to assess positive and negative symptoms, depressive symptoms, cognitive functioning, everyday functioning, and quality of well-being. There was high internal consistency in WHODAS-II item scores and significant test-retest reliability. Patients reported greater disability than normal comparison subjects. Among the patients, disability scores were significantly associated with severity of depressive symptoms and quality of well-being, but not with cognitive performance and everyday functioning. The findings offer strong evidence for reliability and some evidence for validity of the WHODAS-II in older patients with schizophrenia. (C) 2004 Lippincott Williams & Wilkins, Inc.e http://journals.lww.com/jonmd/Fulltext/2004/06000/Assessing_Disability_in_Older_Patients_With.2.aspx 0022-3018 ^? McLeod, Sharynne 2006X An holistic view of a child with unintelligible speech: Insights from the ICF and ICF-CY 293-315% Advances in Speech Language Pathology 8 3A ICF-CY; speech; articulation; phonology; activity; participation Research This paper provides an holistic and systematic view of a 7 year old boy, Jarrod, as a unique individual with unintelligible speech. Jarrod was considered using the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY) beta draft. Consideration was made of Body Function, Body Structure, Activity and Participation, Environmental Factors and Personal Factors that impacted on his life and were affected by his speech impairment. Intervention was recommended to be directed in two ways. The first towards amelioration of Jarrod's speech impairment using an evidence-based approach and monitored by a data-based decision making model. The second approach was directed towards others in Jarrod's immediate environment such as his peers and teachers as well as towards policy makers and others in society who have an effect on the provision of a facilitative environment and appropriate services for children with speech impairment. This paper is a preliminary attempt to determine salient dimensions and codes of the ICF-CY (beta draft) for use by speech-language pathologists working with children with unintelligible speech. } http://www.ingentaconnect.com/content/tandf/tasl/2006/00000008/00000003/art00013
http://dx.doi.org/10.1080/14417040600824944 ! [1]
doi:10.1080/14417040600824944 DOI: 10.1080/14417040600824944 .and related environmental factors as they are laid out in the ICD-10 and ICF, respectively, in national surveys of school-aged children conducted in Canada since 1980. Recommendations are made for future survey use and construction.
Methods: Two reviewers independently examined each of the surveys. Coverage of chronic health conditions, the domains of disability, and environmental factors in survey questions was identified by mapping question content onto ICD-10 and ICF codes. The reviewers then compared their findings and came to a final consensus.
Results: Surveys vary in the range and depth of coverage of the ICD-10 and ICF chapters. Disability surveys and health surveys for persons aged 12 and over contain the most comprehensive lists of chronic conditions. Coverage of impairments is limited. Coverage of activity limitations and participation restrictions is most limited in the domains of personal care and domestic life. Environmental factors not covered include natural environmental changes, attitudes, and policies.
Conclusions: Development of a comprehensive standard list of chronic health conditions based on the ICD-10 and development of standard survey measures of the domains of disability and environmental factors based on the ICF for use in surveys of school-aged children would facilitate an understanding of children's health and disability in the context of the current international health framework provided by the World Health Organization. N http://www.ingentaconnect.com/content/apl/tids/2003/00000025/00000016/art00006 Informa Healthcare Cronment9 http://www.informaworld.com/smpp/title~content=t713723807 ` ? McLeod Sharynne, Bleile Ken, 2004J The ICF: a framework for setting goals for children with speech impairment 199-219# Child Language Teaching and Therapy 20 3 October 1, 2004? The International Classification of Functioning, Disability and Health (ICF) (World Health Organization, 2001) is proposed as a framework for integrative goal setting for children with speech impairment. The ICF incorporates both impairment and social factors to consider when selecting appropriate goals to bring about change in the lives of children with speech impairment. Speech-language therapists and teachers can work together not only to provide direct intervention with the child, but also to work in partnership with the child's family, friends, school and society.5 http://clt.sagepub.com/cgi/content/abstract/20/3/199 10.1191/0265659004ct272oa ?
McPherson KM, 2006W What are the boundaries of health and functioning – and who should say what they are? 1473-1474 Disabil Rehabil 23. http://www.ingentaconnect.com/content/apl/tids ? " McPherson KM, Levack W, Kersten P, 20058 A new classification for outcomes in illness and injury. 210-4 Hospital Medicine 66 4C http://www.bjhm.co.uk/cgi-bin/go.pl/library/abstract.html?uid=18437?
? Mehlman, M. J, Neuhauser D, 1999S Alternative definitions of disability: changes in a dichotomous v continuous system 385-387 Disability and Rehabilitation 21 disability definitionO http://www.ingentaconnect.com/content/apl/tids/1999/00000021/00000008/art00007 US definitions of disability ] I. S. J, Schmitz P. I. M, van der Meche F. G. A, Samijn J. P. A, van Doorn P. A, 2003S Co 0? Z Merkies, nal Classification of Impairments, Disabilities, and Handicaps (ICIDH), it is suggested that various levels of outcome are associated with one another. However, the ICIDH has been criticised on the grounds that it only represents a general, non-specific relation between its entities. Objective: To examine the significance of the ICIDH in immune mediated polyneuropathies. Methods: Four impairment measures (fatigue severity scale, MRC sum score, "INCAT" sensory sum score, grip strength with the Vigorimeter), five disability scales (nine hole peg test, 10 metres walking test, an overall disability sum score (ODSS), Hughes functional grading scale, Rankin scale), and a handicap scale (Rotterdam nine items handicap scale (RIHS9)) were assessed in 113 clinically stable patients (83 with Guillain-Barre syndrome, 22 with chronic inflammatory demyelinating polyneuropathy, eight with a gammopathy related polyneuropathy). Regression analyses with backward and forward stepwise strategies were undertaken to determine the correlation between the various levels of outcome (impairment on disability, impairment on handicap, disability leading to handicap, and impairment plus disability on handicap). Results: Impairment measures explained a substantial part of disability (R2 = 0.64) and about half of the variance in handicap (R2 = 0.52). Disability measures showed a stronger association with handicap (R2 = 0.76). Combining impairment and disability scales accounted for 77% of the variance in handicap (RIHS9) scores. Conclusions: In contrast to some suggestions, support for the ICIDH model is found in the current study because significant associations were shown between its various levels in patients with immune mediated polyneuropathies. Further studies are required to examine other possible contributors to deficits in daily life and social functioning in these conditions.6 http://jnnp.bmj.com/cgi/content/abstract/jnnp;74/1/99 10.1136/jnnp.74.1.99 ? p Michel Beat, A, Gerold Stucki, Diana Frey, Florent De Vathaire, Eric Vignon, Pius Bruehlmann, Daniel Uebelhart, 2005Z Chondroitins 4 and 6 sulfate in osteoarthritis of the knee: A randomized, controlled trial 779-786 Arthritis & Rheumatism 52 3 To determine whether chondroitin sulfate (CS) is effective in inhibiting cartilage loss in knee osteoarthritis (OA).In this randomized, double-blind, placebo-controlled trial, 300 patients with knee OA were recruited from an outpatient clinic, from private practices, and through advertisements. Study patients were randomly assigned to receive either 800 mg CS or placebo once daily for 2 years. The primary outcome was joint space loss over 2 years as assessed by a posteroanterior radiograph of the knee in flexion; secondary outcomes included pain and function.Of 341 patients screened, 300 entered the study and were included in the intent-to-treat analysis. The 150 patients receiving placebo had progressive joint space narrowing, with a mean ± SD joint space loss of 0.14 ± 0.61 mm after 2 years (P = 0.001 compared with baseline). In contrast, there was no change in mean joint space width for the 150 patients receiving CS (0.00 ± 0.53 mm; P not significant compared with baseline). Similar results were found for minimum joint space narrowing. The differences in loss of joint space between the two groups were significant for mean joint space width (0.14 ± 0.57 mm; P = 0.04) and for minimum joint space width (0.12 ± 0.52 mm; P = 0.05). CS was well tolerated, with no significant differences in rates of adverse events between the two groups.While there was no significant symptomatic effect in this study, long-term treatment with CS may retard radiographic progression in patients with OA of the knee. However, the clinical relevance of the observed structural results has to be further evaluated, and further studies are needed to confirm the structural effects of CS.$ http://dx.doi.org/10.1002/art.20867 10.1002/art.20867 1529-0131 University Hospital Zurich, Zurich, Switzerland; University of Munich, Munich, Germany; Institut Gustave-Roussy, Villejuif, France; Centre Hospitalier Lyon Sud, Pierre-Bénite, France {? / Mihai B, van der Linden S, de Bie R, Stucki G, 2005 Experts' beliefs on physiotherapy for patients with ankylosing spondylitis and assessment of their knowledge on published evidence in the field. Results of a questionnaire among international ASAS members. 149-53 Eura Medicophys. 41 2 AIM: The aim of this study was to assess both the opinion of an international group of experts about the place and importance of physiotherapy in the management of ankylosing spondylitis (AS) as well as the awareness of the responders about scientific evidence on efficacy and cost-effectiveness of physiotherapy in AS. METHODS: An e-mail questionnaire ''Experts' Beliefs on Physiotherapy for Patients with Ankylosing Spondylitis'' has been sent to all 71 international ASsessment of Ankylosing Spondylitis (ASAS) members. Completion of the twenty-eight-item questionnaire was done through the ASAS website (www.ASAS-group.org). RESULTS: The number of responders was 53 (response rate 73%). Altogether 94% of the responders regard themselves as experts in the field of clinical care for AS patients. There is almost unanimous (86-92%) consensus on the efficacy of physiotherapy (widely defined, i.e. as physical therapy-including exercises, application of physical modalities and spa-therapy) for patients with axial and peripheral joint manifestations of AS. Physiotherapy is considered to be indicated for both early AS (less than 2 years after diagnosis) (88%) and AS of longer duration (2 to 10 years) (94%), implying that this non-pharmaceutical intervention should be made available for or should be prescribed to AS patients. Also daily exercises at home are considered indicated for both early (less than 2 years after diagnosis) AS (90%) and AS of longer duration of disease (90%). High-level evidence (Cochrane reviews or publications of one or more randomized controlled clinical trials) favoring efficacy of physiotherapy was considered available by 33% of the participants, whereas 43% replied ''no'' and 24% did not know. Finally, excluding the costs of the intervention, 39% of the participants reported that Spa-therapy might reduce health care costs as usage of NSAIDs, physician visits and ability to work or sick leave, whereas 26% said ''no'' and 35% did not know. CONCLUSIONS: The international ASAS experts hold a favorable opinion on the efficacy of physiotherapy in AS, including group exercises and spa therapy, almost irrespective of disease duration and type of articular involvement (axial/peripheral). Awareness of published evidence on physiotherapy in AS is unsatisfactory. http://www.ncbi.nlm.nih.gov/pubmed/16200031?ordinalpos=124&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum&log$=freejr Department of Internal Medicine and Rheumatology Ion Cantacuzino Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania. ? " Missiuna C, Rivard L, Bartlett D, 2006p Exploring Assessment Tools and the Target of Intervention for Children with Developmental Coordination Disorder. 71-89- Physical & Occupational Therapy in Pediatrics 26 1/2 PURPOSE: We reviewed current practice for children with Developmental Coordination Disorder (DCD) using research evidence and the International Classification of Functioning, Disability and Health (ICF). Characteristics of children with DCD can be described at the levels of body function (impairments), whole body movements (activities) and involvement in life situations (participation). SUMMARY OF KEY POINTS: Descriptive instruments measuring the extent of motor impairments or activity limitations can be used to: (1) identify children who might benefit from intervention; and (2) determine the optimal type of intervention and model of service delivery. Evaluative tools that measure activities or participation, but not primary impairments, should be used to determine change over time. Commonly used measures for describing children with DCD and evaluating outcomes are reviewed and discussed in the context of the ICF framework. Intervention approaches are then outlined for children with DCD that are targeted to the levels of activity, participation, and prevention of secondary impairments.
CONCLUSIONS: Outcomes of children with DCD will be optimized with the use of current research evidence and the appropriate ICF level guiding both assessment and intervention. http://www.unboundmedicine.com/medline/ebm/record/16938826/full_citation/Exploring_assessment_tools_and_the_target_of_intervention_for_children_with_Developmental_Coordination_Disorder_W School of Rehabilitation Science, McMaster University, ON, Canada. missiuna@mcmaster.cak ? Mitchell R, 19972 Models of disability: an example from opthalmology 490-491 Disability and Rehabilitation 19 11' Impairment, disability, handicap, ICIDH9 http://wU? Möller, Anders, Nyman Erling, 2005E Why, what and how? - Questions for psychological research in medicine 649-654 Disability and Rehabilitation 27< Knowledge spectrum; research questions; disability research Research > Purpose . The purpose with this paper is to make an analysis of some different ways of putting questions in the field of medical psychology. Method . Four questions are raised regarding the scientific development of knowledge related to human beings, with special emphasis on the fields of psychology and medical psychology. Such questions concerning the world differ from one another and are consequently investigated and answered in different ways. Conclusions . Psychology includes aspects of how and why human beings feel, think, act and appraise as they do, and the extent to which they do so. Two complementary pairs of concepts are introduced to aid in understanding this scientific development of knowledge: nomothetic versus ideographic knowledge and synchronic versus diachronic knowledge. These dimensions of special interest are combined in a figure which can be used as a tool for analysis. Psychology concerns not only finding explanations for psychological phenomena or psychological explanations for physiological, social or cultural phenomena. It also concerns describing, characterising and understanding the content of these phenomena and the meaning they have for the individual. Through these kinds of questions we learn more about the general, specific and unique aspects of persons, as well as of scientific knowledge. { http://www.ingentaconnect.com/content/apl/tids/2005/00000027/00000011/art00007
http://dx.doi.org/10.1080/09638280400018551 % [1]
[2]
doi:10.1080/09638280400018551v 1: Nordic School of Public Health, Göteborg, Sweden 2: Department of Child Psychiatry, Örebro County Council, Sweden ?
Möller K, 2003E Deafblindness: a challenge for assessment--is the ICF a useful tool? S140-2. International J Audiol Jul;42 Suppl 1O http://www.informaworld.com/smpp/title~db=all~content=t713721994~tab=issueslist ? & Morita E, Weigl M, Schuh A, Stucki G, 2006 Identification of relevant ICF categories for indication, intervention planning and evaluation of health resort programs: a Delphi exercise 183-191' International Journal of Biometeorology 50 3J Health resorts - Balneology - Delphi technique - Outcome assessment - ICF 5 Abstract Health resort programs have a long tradition, mainly in European countries and Japan. They rely on local resources and the physical environment, physical medicine interventions and traditional medicine to optimise functioning and health. Arguably because of the long tradition, there is only a limited number of high-quality studies that examine the effectiveness of health resort programs. Specific challenges to the evaluation of health resort programs are to randomise the holistic approach with a varying number of specific interventions but also the reliance on the effect of the physical environment. Reference standards for the planning and reporting of health resort studies would be highly beneficial. With the International Classification of Functioning Disability and Health (ICF), we now have such a standard that allows us to describe body functions and structures, activities and participation and interaction with environmental factors. A major challenge when applying the ICF in practice is its length. Therefore, the objective of this project was to identify the ICF categories most relevant for health resort programs. We conducted a consensus-building, three-round, e-mail survey using the Delphi technique. Based on the consensus of the experts, it was possible to come up with an ICF Core Set that can serve as reference standards for the indication, intervention planning and evaluation of health resort programs. This preliminary ICF Core Set should be tested in different regions and in subsets of health resort visitors with varying conditions., http://dx.doi.org/10.1007/s00484-005-0008-5 10.1007/s00484-005-0008-5 (1) Department of Health Promotion and Human Behaviour, Kyoto University Graduate School of Medicine, Kyoto, Japan
(2) Department of Physical Medicine and Rehabilitation, Ludwig-Maximilians-University, Munich, Germany
(3) ICF Research Branch WHO FIC Collaborating Center Germany IMBK, Ludwig-Maximilians-University, Munich, Germany
(4) Institute of Medical Balneology and Climatology, Ludwig-Maximilians-University, Munich, Germany
(5) Department of Physical Medicine and Rehabilitation, University of Munich, 81377 Munich, Germany g valid and reliable self-assessed measures corresponding to the WHO ICF dimensions of activities and participation.3 http://dx.doi.org/10.1111/j.1365-2214.2005.00519.x 10.1111/j.1365-2214.2005.00519.x 1365-2214 Correspondence to Christopher Morris, National Perinatal Epidemiology Unit, Department of Public Health, Old Road Campus, University of Oxford, Oxford OX3 7lF, UK
E-mail: christopher.morris@npeu.ox.ac.uk n7 F Morris M, A Perry, C Unsworth, J Skeat, N Taylor, K Dodd, D Duncombe, 2005^ Reliability of the Australian Therapy Outcome Measures for quantifying disability and health 340-3464 International Journal of Therapy and Rehabilitation, 12 8[ http://www.ijtr.co.uk/cgi-bin/go.pl/library/article.cgi?uid=19536;article=IJTR_12_8_340_346 eNGLISH \ ? Msall ME, 2005_ Measuring functional skills in preschool children at risk for neurodevelopmental disabilities. 263-73 Ment Retard Dev Disabil Res Rev: 11 3 http://www.unboundmedicine.com/medline/ebm/record/16161097/abstract/Measuring_functional_skills_in_preschool_children_at_risk_for_neurodevelopmental_disabilities_
Td~? Mudge Suzie, Stott N. Susan, 2007b Outcome measures to assess walking ability following stroke: a systematic review of the literature 189-200
Physiotherapy 93 3) Chartered Society of Physiotherapy LondonP Walking
Cerebrovascular accident
Outcome assessment (health care)
Rehabilitation| The recovery of independent walking is an important goal in stroke rehabilitation. The objective of this systematic review was to identify all outcome measures used in the stroke research literature that included an evaluation of walking ability and evaluate the concepts contained in these measures with reference to the International Classification of Functioning, Disability and Health (ICF) framework. Searches were conducted of MEDLINE, CINAHL, EMBASE and PsycINFO databases for the time period January 1990–December 2005 using appropriate keywords. Studies were selected for further analysis if they used one or more standardized outcome measure incorporating an aspect of walking defined by the ICF. The outcome measure had to have published psychometric properties and specifically measure walking rather than mobility. The content of each outcome measure was classified with reference to the ICF subcategories for walking. The number of times each outcome measure was used was calculated. Three hundred and fifty-seven studies met the selection criteria. Sixty-one different outcome measures were used a total of 848 times to measure walking ability. Six of the outcome measures reflected impairment and 52 reflected limitations of activity and participation. The other three outcome measures showed overlap between domains, reflecting aspects of both impairment and limitations in activity and participation. The three most frequently used measures (self-paced gait speed measured over a short distance, spatiotemporal parameters and fast gait speed) were used 350 times but only assessed one ICF subcategory. The Rivermead Mobility Index and the Adapted Patient Evaluation Conference System assessed the greatest number of ICF subcategories but were used only 19 times and once respectively. The most frequently used outcome measures reflect only one aspect of walking ability: walking short distances. Mobility tasks related to function in the community, like walking long distances, around obstacles and over uneven ground, and moving around outside or in buildings other then the home are not well represented by outcome measures used in most studies.> http://linkinghub.elsevier.com/retrieve/pii/S0031940607000326 0031-9406 S0031-9406 (07)00032-6 ~? G Müller-Staub Maria, Lavin Mary Ann, Ian, Needham, Theo van, Achterberg 2007g Meeting the criteria of a nursing diagnosis classification: Evaluation of ICNP®, ICF, NANDA and ZEFP 702-713( International journal of nursing studies 44 5 Pergamon Press
Classification evaluation criteria
International classification of nursing practice
International Classification of Functioning, Disability and Health
NANDA International
Nursing Diagnostic System of the Centre for Nursing Development and Research
Classification use Few studies described nursing diagnosis classification criteria and how classifications meet these criteria. The purpose was to identify criteria for nursing diagnosis classifications and to assess how these criteria are met by different classifications. First, a literature review was conducted (N=50) to identify criteria for nursing diagnoses classifications and to evaluate how these criteria are met by the International Classification of Nursing Practice (ICNP®), the International Classification of Functioning, Disability and Health (ICF), the International Nursing Diagnoses Classification (NANDA), and the Nursing Diagnostic System of the Centre for Nursing Development and Research (ZEFP). Using literature review based general and specific criteria, the principal investigator evaluated each classification, applying a matrix. Second, a convenience sample of 20 nursing experts from different Swiss care institutions answered standardized interview forms, querying current national and international classification state and use. The first general criterion is that a diagnosis classification should describe the knowledge base and subject matter for which the nursing profession is responsible. ICNP® and NANDA meet this goal. The second general criterion is that each class fits within a central concept. The ICF and NANDA are the only two classifications built on conceptually driven classes. The third general classification criterion is that each diagnosis possesses a description, diagnostic criteria, and related etiologies. Although ICF and ICNP® describe diagnostic terms, only NANDA fulfils this criterion. The analysis indicated that NANDA fulfilled most of the specific classification criteria in the matrix. The nursing experts considered NANDA to be the best-researched and most widely implemented classification in Switzerland and internationally. The international literature and the opinion of Swiss expert nurses indicate that—from the perspective of classifying comprehensive nursing diagnoses—NANDA should be recommended for nursing practice and electronic nursing documentation. Study limitations and future research needs are discussed.> http://linkinghub.elsevier.com/retrieve/pii/S0020748906000629 0020-7489 S0020-7489(06)00062-9 b< c Muo Rossella, Schindler Antonio, Vernero Irene, Schindler Oskar, Ferrario Ermanno, Frisoni Giovanni 2005: Alzheimer's disease-associated disability: An ICF approach 1405-1413 Disability and Rehabilitation 27 Number 23. ICF; Alzheimer's disease; dementia; disabling Research Purpose . The aim of the study is to provide a description of dementia-associated disability in Alzheimer's disease (AD) patients through the International Classification of Functioning, Disability and Health (ICF). Method . Twenty-six AD patients at different stages of disease participated in the study. Mini Mental State Examination (MMSE) and Global Deterioration Scale (GDS) were used to stage the degree of cognitive impairment and the stage of disease, respectively. All subjects were classified using the ICF categories in the more detailed four-level version. Correlation between compromised ICF items and both MMSE and GDS scores were calculated through Spearman Rho test. Results . Mental functions were impaired in all the subjects examined. Data on activity and participation showed that not only domestic life, self care, and mobility but also communication and interaction and social relationships are compromised in AD patients. Three main areas appeared as the most relevant facilitators: products and technology, support and relationship and services, systems and policies. ICF codes were generally correlated with both MMSE and GDS: subjects who appeared more compromised on MMSE and GDS showed higher impairment of functions, activity limitation, and participation restriction. Conclusion . ICF is a useful tool to describe health status in AD patients in that it underlines important aspects of daily living generally not considered by activity of daily living scales such as communication, social relationships, and recreation and leisure. { http://www.ingentaconnect.com/content/apl/tids/2005/00000027/00000023/art00002
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doi:10.1080/09638280500052542 Associazione Fatebenefratelli per la Ricerca (AFaR), Italy 2: IV Department of Otorhinolaryngology, University of Milan 3: Department of Audiology – Phoniatrics, University of Turin 4: Laboratory of Epidemiology & Neuroimaging, IRCCS San Giovanni di Dio FBF, Brescia, Italy DOI: 10.1080/09638280500052542 Informa Healthcare Ingenta Connect / $ Murchland Sonya, Wake-Dyster Wendy, 2006/ Resource allocation for community-based therapy 1425 - 1432 Disability & Rehabilitation 28 22 Purpose. Adequate and equitable resourcing of services for children with disabilities and their families is a challenge that is faced by agencies as the growth in client numbers outstrips any increase in available funding. While funding models have been developed within the acute health care and education sectors, there have been few attempts to develop funding models for therapy (occupational therapy, physiotherapy, psychology, and speech pathology) provided within community-based, paediatric disability services. This paper outlines a model for allocating staff resources to provide therapy services for children with physical disabilities based on a project conducted by Novita Children's Services (formerly the Crippled Children's Association of South Australia, Inc.).
Method. Services were mapped using a framework based on the International Classification of Function developed by the World Health Organization and adopted by the Australian Institute of Health and Welfare. An action research methodology was employed that included focus groups held with staff to identify potential resource drivers; collection of travel time data, client caseload numbers; and developing profiles of services and client groups. A model for allocating staff time was developed to reflect the differing service demands, travel time, leave allowances and time for activities to develop the social environment for individuals with disabilities.
Results and conclusions. Analysis indicated that the drivers of staff resources were the type of service delivery (early intervention versus school aged services), model specific (e.g., time required to provide community-based services and work within multi-disciplinary teams), and specific client (need for complex technology or equipment; school/preschool transition times; high health care needs due to dysphagia, deteriorating conditions with changing needs, or post surgery/medication rehabilitation) and family well-being issues. While further data collection and refinement of the model is needed, it provides the organization with more objective and equitable resource allocation and enables improved advocacy for client needs.6 http://www.informaworld.com/10.1080/09638280600638281 0963-8288
July 16, 2009 , individual activities, and societal perspectives presented in the World Health Organization's International Classification of Functioning, Disability and Health. Issues of sexual development, gynecological care and contraception, sexual functioning, societal barriers, sexual victimization, and sexuality education are presented. Overall, adolescents with disabilities seem to be participating in sexual relationships without adequate knowledge and skills to keep them healthy, safe, and satisfied. Although their sexual development may be hindered both by functional limitations and by intentional or unintentional societal barriers, the formal and informal opportunities for teenagers with disabilities to develop into sexually expressive and fulfilled persons do exist. Health care providers are urged to increase their awareness of this unmet need and to implement strategies that promote the physical, emotional, social, and psychosexual independence of children, teenagers, and young adults with disabilities.5 http://dx.doi.org/10.1111/j.1469-8749.2005.tb01220.x " 10.1111/j.1469-8749.2005.tb01220.x 1469-8749H Department of Pediatrics, University of Utah, Salt Lake City, Utah, USA.F http://www3.interscience.wiley.com/cgi-bin/fulltext/118684546/PDFSTART a/ B Naarden Braun Kim Van, Yeargin-Allsopp, Marshalyn, Lollar Donald, 2006 A multi-dimensional approach to the transition of children with developmental disabilities into young adulthood: The acquisition of adult social roles 915 - 928 Disability & Rehabilitation 28 15 ICF; developmental disabilities; transition; population-based study; mental retardation; cerebral palsy; hearing loss; vision impairment; epilepsy O Purpose. To test the hypothesis that the difficulties young adults with developmental disabilities have in obtaining adult social roles are not inevitable consequences of their childhood impairment. We used the conceptual framework of the International Classification of Functioning, Disability, and Health to test this hypothesis.
Method. We used a structured questionnaire to obtain information on the consequences of childhood impairment in young adulthood and to examine the relationship between impairment and acquisition of adult social roles. The sample (n = 635) came from the Metropolitan Atlanta Developmental Disabilities Follow-up Study of Young Adults, a population-based cohort of young adults aged 21 - 25 years identified at age 10 with childhood impairment.
Results. The results suggest that: (i) attaining adult social roles varies by impairment type and severity, (ii) experiencing activity limitations partially mediate the relationship between impairment and adult social roles, and (iii) attending postsecondary education increases the likelihood of attaining markers of adulthood.
Conclusions. Intervention to reduce activity limitations and to develop strategies to increase attendance in postsecondary education may increase the likelihood for the acquisition of adult social roles among young adults with childhood impairment. 6 http://www.informaworld.com/10.1080/09638280500304919 0963-8288
July 16, 2009 " ,~? Z Ness Kirsten K, Melanie, M. Wall, J. Michael Oakes, Leslie, L. Robison, James, G. Gurney, 2006p Physical Performance Limitations and Participation Restrictions Among Cancer Survivors: A Population-Based Study 197-205 Annals of epidemiology 16 3L Elsevier Science Publishing Company For The American College Of Epidemiologyo Cancer
Disability
Epidemiology
Survivorship
NHANES
CI
confidence interval
ICF
International Classification of Functioning, Disability and Health
NHANES
National Health and Nutrition Examination Survey
NHIS
National Health Interview Survey
N_w
estimated population count, weighted for complex sampling design
OR
prevalence odds ratio
SE
standard error
US
United States Medical late effects among cancer survivors may result in impairments that limit physical performance and activities necessary for normal participation in daily life. The aim of this analysis was to estimate the prevalence of physical performance limitations and participation restrictions among recent (< 5 years since diagnosis), and long-term (≥ 5 years) cancer survivors. Data from the 1999–2002 National Health and Nutrition Examination Survey were analyzed to compare the proportions of physical performance limitations and participation restrictions among 279 recent and 434 long-term cancer survivors, and among 9370 persons with no reported cancer history. Multivariable logistic regression was used to calculate adjusted prevalence odds ratios. Physical performance limitations were 1.5–1.8 times (53% versus 21%) and participation restrictions 1.4–1.6 times (31% versus 13%) more prevalent in cancer survivors than in those with no cancer history. Recent cancer history was associated with increased prevalence of physical performance limitation and participation restriction, particularly in survivors aged 40–49 years. Over half of the cancer survivors reported physical performance limitations; one third reported participation restrictions. Deficits were present many years following cancer diagnosis, even among survivors who were not elderly. Cancer survivors may benefit from evaluation for rehabilitation services long after treatment for their original disease.> http://linkinghub.elsevier.com/retrieve/pii/S104727970500089X 1047-2797 S1047-2797 (05)00089-X / Newman Stanton, 2004D Commentary on Supplement 44: G. ICF Core Sets for chronic conditions 186 - 188" Journal of Rehabilitation Medicine 36 46 http://www.informaworld.com/10.1080/16501970410017413 1650-1977
July 16, 2009 ? s Nevesa Maria C, Cristina Seabraa, António Figueiredoa, Cláudia Gonçalvesa, L. Metzner Serraa, Castanheira Dinis, 2005, September' Integrated care in congenital glaucoma 216-220 International Congress Series 1282 E Congenital glaucoma; Functional vision; ICIDH-2; ICF, Rehabilitation, The purpose of this study was to determine, in children with congenital glaucoma, the surgical results, the quality of visual perception, the performance in vision-related activities, the level of participation and the child and parental level of stress. The study was designed according to the ICIDH-2/ICF (WHO) and functional vision was evaluated using Colenbrander's visual ability scales. The functional results of the surgical treatment were measured and the assessment of functional vision pointed to the areas of abilities in need for rehabilitation. After the rehabilitative intervention the impact on the vision-related skills and abilities showed optimisation of visual capacities and greater autonomy. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B7581-4H8DPNP-1Y&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_searchStrId=959166670&_rerunOrigin=scholar.google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=d3d55dc7319255abdc590313bfe21d5e Department of Ophthalmology, Hospital Santa Maria, Portugal
Research Centre for Visual Sciences, Lisbon Faculty of Medicine, Portugal7 & Niederauer HH, Schmid-Ott G, Buhles N, 2005 The international classification of functioning, disability and health (ICF) in dermatological rehabilitation: conception, application, perspective 631-6 Hautarzt. 56 7t Medical rehabilitation represents the interdisciplinary management of a person's functional health. This term implies concepts of functioning, disability and health and represents the core notion of the international classification of functioning, disability and health (ICF). Four components -- anatomic structure, body functions, activities and participation, environmental factors and personal factors -- make the ICF applicable from a biological, individual and social perspective. At present the ICF is used as a system of classification, a research tool and as a theoretical basis in rehabilitation medicine. Its clinical application will depend on the improvement of its practicability and compatibility with currently used tools in dermatologic rehabilitation. ICF offers the opportunity to define, weight and classify diseases of the skin and their psychosocial consequences.+ http://www.ncbi.nlm.nih.gov/pubmed/15912398a Klinikbereich Dermatologie und Allergologie, Fachklinik Bad Bentheim. h.niederauer@fk-bentheim.de German
? 7 Nienhuis WA, van Brakel WH, Butlin CR, van der Werf TS, 2004 Sepf Measuring impairment caused by leprosy: inter-tester reliability of the WHO disability grading system. 221-32 Lepr Rev 75 3 Evaluation Studies This paper reports the results of a study on the inter-tester reliability of the WHO disability grading system. The WHO disability grading system is the most frequently used method of grading impairment in leprosy patients. With this method, a grade of 0-2 is assigned to each of six individual body sites (both eyes, hands and feet). The maximum grade of any of these sites is used as an overall indicator of the person's impairment status. To date, the WHO disability grading scale has not been subjected to reliability testing. The reliability of the grading system depends on the operational definitions of the grades, the way the tester interprets these definitions and the skill of the tester. It is therefore important that the definitions are unambiguous and leave as little room as possible for multiple interpretations. Three testers with varying degrees of experience did paired assessments on a total of 150 leprosy patients in the Leprosy Mission Hospital Purulia, India, using recently published operational definitions of the WHO disability grades. For every patient, they determined the maximum grade (minimum 0, maximum 2), and calculated the impairment sum-score (EHF score), adding up the six grades for eyes, hands and feet (minimum 0, maximum 12). The weighted Kappa statistic (Kw) was used as the coefficient of inter-tester reliability. A kappa of 0 represents agreement no better than chance, and 1.0 complete (chance-corrected) agreement. Kw values of > or = 0.80 are considered very good and adequate for monitoring and research. Weighted Kappa analysis yielded a reliability coefficient of 0.89 (95%CI 0.84-0.94) for the maximum grade and a Kw of 0.97 (95%CI 0.96-0.98) for the EHF score. We concluded that, when using standard operational definitions, the WHO disability grading system can be used reliably in the hands of both experienced and inexperienced testers, provided adequate training has been given. Reliability should be evaluated further in a field setting, when used by primary health care workers. It is recommended that the 'WHO disability grading' be renamed 'WHO impairment grading', using the terminology as defined by the International Classification of Functioning, Disability and Health (ICF). http://www.unboundmedicine.com/medline/ebm/record/15508899/full_citation/Measuring_impairment_caused_by_leprosy:_inter_tester_reliability_of_the_WHO_disability_grading_system_T Purulia Leprosy Mission Home & Hospital, West Bengal, India. WA_Nienhuis@hotmail.com UV? b Nieto-Moreno M, Gimeno P, Adán J, Leonardi M, Somnath Chatterji, S y José Luis Ayuso-Mateos JL, The utility of the ICF-checklist in describing the functioning and disability of patients with unipolar depression: A pilot study. 2 MHADIE: Measuring Health and Disability in Europe ' http://www.mhadie.com/publications.aspx ?
Nordenfelt L, 2006 J On health, ability and activity: comments on some basic notions in the ICF 1461-5$ Disabil Rehabil. 2006 Dec 15;28(23): 28; Dec. 15 23v PURPOSE: The purpose of this article is to highlight and at the same time criticize the holistic view of health expressed in the "International Classification of Functioning, Disability and Health (ICF)". Particular attention will be paid to the idea suggested in the ICF that not only the ability to perform a specified action but also its actual performance is included in the person's health. My argument intends to show that this is an untenable position. METHOD: The theoretical platform of this paper is philosophical action theory. My argument makes particular use of the distinctions between ability, opportunity, activity and will. My analysis also uses some insights from the contemporary philosophical discussion of health concepts. CONCLUSIONS: Ability (or capacity) and its opposite disability (or incapacity) are essential ingredients in the implicit philosophy of health of the ICF. However, the ICF also puts an emphasis on the actual performance of actions. This is entailed by the performance qualifier that is included in the ICF. I give some arguments for questioning the relevance of this qualifier if it is intended to have a place in the concept of health or have a general function for decisions in health care or rehabilitation. Instead I suggest the introduction of an opportunity qualifier, which could fulfill some of the purposes intended for the performance qualifier.+ http://www.ncbi.nlm.nih.gov/pubmed/17166809K Department of Health and Society, Linköping University, Linköping, Sweden / Nieuwenhuijsen, E. R, 1995= The ICIDH in the USA: applications and relevance to ADA goals 154 - 158 Disability & Rehabilitation 17 3 The measurements of disability and environmental barriers have received growing nationwide attention and dissemination in the United States, particularly since the 1990 passage of the Americans with Disabilities Act (ADA). This article presents a brief overview of selected ICIDH uses and applications in the USA. Potential contributions of the ICIDH for ADA implementation are discussed, and parallel definitions of disability in the ICIDH and the ADA are cited.6 http://www.informaworld.com/10.3109/09638289509166710 0963-8288
July 16, 2009 H ? G Nijs Jo, Vaes, Peter, McGregor Neil, Van Hoof Elke, Meirleir Kenny De, 2003r Psychometric Properties of the Dutch Chronic Fatigue Syndrome-Activities and Participation Questionnaire (CFS-APQ) 444-454 PHYS THER 83 5 May 1, 2003
Background and Purpose. The Chronic Fatigue Syndrome-Activities and Participation Questionnaire (CFS-APQ) is a recently developed disease-specific assessment tool for monitoring activity limitations and participation restrictions in patients with chronic fatigue syndrome (CFS). In this study, the convergent validity, content validity, and test-retest reliability of data obtained with the Dutch-language version of the questionnaire were examined. Subjects and Methods. One hundred eleven consecutive patients with CFS were enrolled, of whom 47 fulfilled all inclusion criteria. The subjects were first asked to rate their pain, fatigue, and ability to concentrate using 3 visual analog scales, to list at least 5 activities that had become difficult to perform due to their complaints, and to complete the CFS-APQ. Furthermore, subjects were asked to complete a modified version of the CFS-APQ at home and return it to the investigators. The content of the questionnaire was reviewed using the World Health Organization's International Classification of Impairments, Disability and Health (ICIDH) beta II draft. Spearman rank correlation coefficients (R) were used for the convergent validity analysis, and intraclass correlation coefficients were computed for the assessment of the test-retest data. Results. Overall scores on the CFS-APQ correlated with the scores from the visual analog scales for pain (R=.51, P<.001) and fatigue (R=.50, P<.001). The majority of the responses (157 out of 183 answers [85.8%]) to the request to "list difficult activities" matched the content of the CFS-APQ. Using the ICIDH beta II draft, 21 out of 26 questions were found to address activities, and the remaining 5 questions measured the participation level. The Cronbach alpha coefficient was .94, and intraclass correlation coefficients for test-retest reliability of the overall scores were [≥].95 (P<.001). Discussion and Conclusion. The results substantiate the convergent validity, content validity, and reliability of the CFS-APQ scores for patients with CFS.7 http://www.ptjournal.org/cgi/content/abstract/83/5/444 4 / Nordenfelt Lennart, 2006 Reply to the commentaries 1487 - 1489 Disability & Rehabilitation 28 236 http://www.informaworld.com/10.1080/09638280600926231 0963-8288A Dept of Health and Society, Linkping University, Linkping, Sweden DOI: 10.1080/09638280600926231
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/ Nieuwenhuijsen,Els R, 2006U On health, ability and activity: Comments on some basic notions in the ICF commentary 1477 - 1479 Disability & Rehabilitation 28 236 http://www.informaworld.com/10.1080/09638280600925977 0963-8288
July 16, 2009 alysis of the conceptual platform of the recently introduced International Classification of Functioning, Disability and Health (ICF). Special attention is paid to the suggested definitions of the concepts of activity and participation. My argument intends to show that these definitions are not coherent.
Method: The theoretical platform of this paper is philosophical action theory. My argument makes particular use of the distinction between capacity and opportunity and shows that both concepts are applicable to all actions. Capacity and opportunity are distinguished from the actual performance of actions. The latter presupposes the existence of a will. On this conceptual basis follows an analysis of the distinction between activity and participation as conceived by the WHO in ICF.
Conclusions: The main conclusion of my reasoning is that the notions of activity and participation in ICF partly rest on confusion between capacity for action and the actual performance of an action. If my conclusion is sound this has far-reaching consequences for the application of the ICF in the practice of rehabilitation. My diagnosis therefore is that the conceptual framework of ICF is in great need of a strict action - theoretic reconstruction. } http://www.ingentaconnect.com/content/apl/tids/2003/00000025/00000018/art00008
http://dx.doi.org/10.1080/0963828031000137748 doi:10.1080/0963828031000137748 IngentaConnect Informa Healthcare ? Nordenfelt Lennart, 19973 The Importance of a Disability/Handicap Distinction 607-622 J Med Philos 22 6 December 1, 1997 This paper continues a discussion concerning the distinction between disability and handicap initiated in this volume by Steven D. Edwards. Edwards argues that the reasons advanced by the WHO for this distinction in its International Classification of Impairments, Disabilities and Handicaps (ICIDH) are not valid. Edwards also criticizes my own quite different grounds for distinguishing between the two concepts. His general conclusion is that the distinction is superfluous. In this paper I claim that Edwards's reasoning is invalid. I present five arguments for my case, viz., the arguments from: a) practical necessity, b) cost-effectiveness, c) clinical practice, d) the subject's vital goals, and e) the universal presence of some basic action. My own conclusion thus is that there is a need within health care for a distinction between disabilities and handicaps. I also indicate that there may be a need for further distinctions along the dimension of action-generation which is presented in the paper.< http://jmp.oxfordjournals.org/cgi/content/abstract/22/6/607 10.1093/jmp/22.6.607*< o Noreau Luc, Johanne, Desrosiers, , Line Robichaud, Patrick Fougeyrollas, Annie Rochettem, Chantal Viscogliosi, 2004[ Measuring social participation: reliability of the LIFE-H in older adults with disabilities 346-352 Disability and Rehabilitation 26 Number 6 Research Purpose: Much more attention should be paid to instruments documenting social participation as this area is increasingly considered a pivotal outcome of a successful rehabilitation. The purpose of this study was to document the reliability of a participation measure, the Assessment of Life Habits (LIFE-H), in older adults with functional limitations.
Methods: Eighty-four individuals with physical disabilities living in three different environments were assessed twice with the LIFE-H, an instrument that documents the quality of social participation by assessing a person's performance in daily activities and social roles (life habits).
Results: The intraclass correlation coefficients (ICC) computed for intrarater reliability exceeded 0.75 for seven out of the 10 life habits categories. For interrater reliability, the total score and daily activities subscore are highly reliable (ICC 0.89), and the social roles subscore is moderately reliable (ICC = 0.64). 'Personal care' is the category with the highest ICC, and for five other categories ICCs are moderate to high (< 0.60).
Conclusion: LIFE-H is a valuable addition to instruments that mostly emphasize the concepts of function or functional independence. It is particularly meaningful to evaluate the participation of older adults in significant social role domains such as recreation and community life. It may be considered among the instruments having the best fit with the ICF definition of participation (the person's involvement in a life situation) and a majority of its related domains. ~ http://www.ingentaconnect.com/content/apl/tids/2004/00000026/00000006/art00004
http://dx.doi.org/10.1080/09638280410001658649 8 [1]
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doi:10.1080/09638280410001658649 Informa Healthcare IngentaConnect ? Ödman P, Öberg, B, 2006 Effectiveness and expectations of intensive training: A comparison between child and youth rehabilitation and conductive education 561-570 Disability and Rehabilitation 28 Number 9R Evaluation studies; exercise therapy; cerebral palsy, treatment outcome and goals Researchm Objective: To compare the effectiveness of two intensive training-programmes from a professional and parent perspective. To describe and compare the type of expectations of the two intensive training programmes with the self-reported individualized goals. Design .Quasi-experimental with two groups. Setting and intervention .Traditional health care and conductive education. Patients and their parents .Fifty-four children with cerebral palsy, 3–16 years old. Methods .Data included a self-reported individualized goal measure (SRIGM), before and after the ITP. Individualized goals were classified according to the International Classification of Functioning (ICF). Clinical measures (CM) included repeated measures with Gross Motor Function Measure (GMFM) and Pediatric Evaluation of Disability Inventory—Functional Skills (PEDI-FS). Results .Twenty-eight parents out of 54 perceived a clinically significant improvement on the SRIGM with no significant difference between the training programmes. Most individualized goals were formulated in the domain of Mobility (115 out of 248) and Neuromusculoskeletal and movement-related functions (64 out of 248 goals) of ICF in both training programmes. There was no difference in the proportion of improvement measured with SRIGM compared to the CM, if an improvement in any dimension in GMFM or domain in PEDI FS was counted. Conclusion .There were no major differences in outcome and expectations between the training programmes. Parents' expectations were mainly directed towards improvement in prerequisites of motor function and mobility skills. The SRIGM confirmed the outcome on the CM. { http://www.ingentaconnect.com/content/apl/tids/2006/00000028/00000009/art00003
http://dx.doi.org/10.1080/00222930500218821 % [1]
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doi:10.1080/00222930500218821w Department of Health and Society, Physiotherapy, Faculty of Health Sciences, Linköping University, Linköping, Sweden DOI: 10.1080/00222930500218821 / _ 'l? Sykes C, 2004] Keeping Classification in the Family: WHO Framework Assigns Sys ? < Ogonowski Julie, Kronk Rebecca, Carryn Rice, Heidi Feldman, 2004L Inter-rater reliability in assigning ICF codes to children with disabilities 353-361 Disability and Rehabilitation 26 Research V Purpose: The purpose of this study was to determine if independent raters would arrive at similar decisions about which codes from the Activities and Participation component of the International Classification of Functioning, Disability, and Health (ICF) to assign to children with disabilities based on the results of standard paediatric functional assessment measures.
Method: Children (N = 60), 9 months to 17.75 years old, with a range of disabilities were assessed using either the Vineland Adaptive Behavior Scales (n = 20), the Pediatric Evaluation of Disability Inventory (PEDI) (n = 20), or the School Function Assessment (SFA) (n = 20). Two raters independently determined which of 40 codes from the Activities and Participation component of the ICF applied to each child based on items and standard scores from the assessment measure. The Cohen's kappa statistic was used as the measure of inter-rater reliability.
Results: The kappa statistic was 0.70, the criterion for good agreement in this study, for 23/40 codes using the Vineland, 17/40 codes using the PEDI, and 17/40 codes using the SFA. The mean kappa statistic reached 0.70 for the Self care domain, using all three tools. The mean kappa statistic also reached 0.70 for Learning and Applying Knowledge and Mobility using the Vineland.
Conclusions: Independent raters reached high rates of agreement when assessment test items were structured developmentally and corresponded to a single ICF code. For domains other than Self care, alternative assessment strategies may be necessary to improve assigning ICF codes to children with disabilities. ~ http://www.ingentaconnect.com/content/apl/tids/2004/00000026/00000006/art00005
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O’Donovan M-A, Doyle A, 2006 November P Measuring Activity and Participation of people with disabilities – an overview Health Research Board * http://www.hrb.ie/publications/disability/= http://www.hrb.ie/uploads/tx_hrbpublications/MAP_bulletin.pdf
G}? / Okochi Jiro, Utsunomiya Sakiko, Takahashi Tai, 2005m Health measurement using the ICF: Test-retest reliability study of ICF codes and qualifiers in geriatric care 46# Health and Quality of Life Outcomes 3 1 BACKGROUND:The International Classification of Functioning, Disability and Health (ICF) was published by the World Health Organization (WHO) to standardize descriptions of health and disability. Little is known about the reliability and clinical relevance of measurements using the ICF and its qualifiers. This study examines the test-retest reliability of ICF codes, and the rate of immeasurability in long-term care settings of the elderly to evaluate the clinical applicability of the ICF and its qualifiers, and the ICF checklist.METHODS:Reliability of 85 body function (BF) items and 152 activity and participation (AP) items of the ICF was studied using a test-retest procedure with a sample of 742 elderly persons from 59 institutional and at home care service centers. Test-retest reliability was estimated using the weighted kappa statistic. The clinical relevance of the ICF was estimated by calculating immeasurability rate. The effect of the measurement settings and evaluators' experience was analyzed by stratification of these variables. The properties of each item were evaluated using both the kappa statistic and immeasurability rate to assess the clinical applicability of WHO's ICF checklist in the elderly care setting.RESULTS:The median of the weighted kappa statistics of 85 BF and 152 AP items were 0.46 and 0.55 respectively. The reproducibility statistics improved when the measurements were performed by experienced evaluators. Some chapters such as genitourinary and reproductive functions in the BF domain and major life area in the AP domain contained more items with lower test-retest reliability measures and rated as immeasurable than in the other chapters. Some items in the ICF checklist were rated as unreliable and immeasurable.CONCLUSION:The reliability of the ICF codes when measured with the current ICF qualifiers is relatively low. The result in increase in reliability according to evaluators' experience suggests proper education will have positive effects to raise the reliability. The ICF checklist contains some items that are difficult to be applied in the geriatric care settings. The improvements should be achieved by selecting the most relevant items for each measurement and by developing appropriate qualifiers for each code according to the interest of the users.# http://www.hqlo.com/content/3/1/46 1477-7525 doi:10.1186/1477-7525-3-46 ? Olusanya B, 2004 Nov-DecG Self-reported outcomes of aural rehabilitation in a developing country. 563-71
Int J Audiol. 43 10 The aim of this study was to evaluate self-reported outcomes among hearing aid users (age 16-89 years; mean 45.8 years) to determine the effectiveness of aural rehabilitation in Nigeria based on the International Outcome Inventory for Hearing Aids (IOI-HA). The responses were evaluated with descriptive statistics, factor analysis of the principal components and multiple regressions. Most respondents reported favorable outcomes in all domains of the inventory, comprising: daily use (mean 4.1; SD 1.2), benefits (mean 3.5; SD 1.1), residual activity limitation (mean 3.4; SD 1.2), satisfaction (mean 3.7; SD 1.2), residual participation restriction (mean 3.5; SD 1.3), impact on others (mean 3.4; SD 1.3) and changes in quality of life (mean 3.8; SD 1.0). The mean score distribution compared favorably with those reported in the developed world. There were significant intercorrelations among all items, and two factors (eigenvalue>1) accounted for 68% of the underlying variance. Impact on others was the only domain associated with demographic/audiologic variables. The study showed that aural rehabilitation is feasible and effective in enhancing activity and participation for the hearing impaired in a developing country.+ http://www.ncbi.nlm.nih.gov/pubmed/15724520: Phonics Hearing Centre, Lagos, Nigeria. boolusanya@aol.com ? M Østensjø Sigrid, Bjorbækmo Wenche, Carlberg Eva Brogren, Vøllestad, Nina, 2006 Assessment of everyday functioning in young children with disabilities: An ICF-based analysis of concepts and content of the Pediatric Evaluation of Disability Inventory (PEDI) 489-504 Disability and Rehabilitation 28R ICF, functional assessment; everyday activities, developmental disabilities, PEDI Research Background . Assessment of everyday functioning in children may depend to a considerable extent on the framework used to conceptualise functioning and disability. The Pediatric Evaluation of Disability Inventory (PEDI) has incorporated the mediating role of the environment on disability, using different measurement scales. The construction of the Functional Skills scales, which measure capability, and the Caregiver Assistance scales, which measure performance, was based on the Nagi disablement scheme. The International Classification of Functioning, Disability and Health (ICF) represents a new framework of functioning and disability that could be used to compare the measurement constructs and the content of different outcome measurements. Purpose . To examine the conceptual basis and the content of the PEDI using the ICF. Method . Phrases that describe the conceptual basis of the PEDI scales and of the ICF classifications were systematically collected and compared. Two researchers classified the item content of the Functional Skills scales independently before consensus was reached. Results . The analyses indicate that the conceptual basis of the PEDI scales to a large extent match the ICF concepts of activity, participation and environmental factors. Both the PEDI and the ICF use the constructs of capacity and performance, but differ in how to operationalise these constructs. The classification of the Functional Skills scales shows that the PEDI primarily is a measure of activities and participation. The frequently use of environmental codes to classify the context of the requested functions demonstrates that the PEDI has incorporated the environment into the assessment. Conclusions . Our analyses indicate that the ICF could serve as a conceptual framework to clarify the measurement construct of the PEDI scales, and as taxonomy to describe and clarify the item content of the Functional Skills scales. Both as framework and taxonomy the ICF showed limitations in covering functioning in early childhood. { http://www.ingentaconnect.com/content/apl/tids/2006/00000028/00000008/art00003
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doi:10.1080/09638280500212013S Faculty of Health Sciences, Oslo University College, Norway 2: Østfold Hospital Trust – Habilitation Services and Institute of Nursing and Health Sciences, University of Oslo, Norway 3: Department of Woman and Child Health, Karolinska Institute, Stockholm, Sweden 4: Institute of Nursing and Health Sciences, University of Oslo, Norway < * Packer Tanya, McKercher Bob, Yau Matthew, 2007Z Understanding the complex interplay between tourism, disability and environmental contexts 281-292 Disability and Rehabilitation 29 Number 4: Accessible tourism, disability, ICF, qualitative research Purpose. To explore and describe the complex issues and factors related to participation in tourism as perceived by people with disabilities in Hong Kong. Method. Naturalistic inquiry using key informant interviews and focus groups with 86 people with disabilities. Interviews were transcribed, translated and coded to develop themes and relationships. Triangulation of three investigators from different backgrounds occurred. Results. The Process of Becoming Travel Active emerged as a six-stage process, intricately related to the personal/disability context and the environmental/travel context. Personal and environmental factors contribute to the six-stage model explaining the complex interplay between tourism, disability and environmental context. Conclusion. Understanding the complexity provides insight into ways to increase active participation in tourism. Health, tourism and disability sectors have a role to play in the development of accessible tourism. { http://www.ingentaconnect.com/content/apl/tids/2007/00000029/00000004/art00002
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[2]
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doi:10.1080/09638280600756331F Centre for Research into Disability and Society, School of Occupational Therapy, Curtin University of Technology, Perth, WA, Australia 2: School of Hotel and Tourism Management, The Hong Kong Polytechnic University, Hong Kong, SAR 3: Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong, SAR Ingenta Connect Informa HealthCare ? F Palermo Tonya M, Platt-Houston Candis, Kiska Raechel E, Berman Brian, 20053 Headache Symptoms in Pediatric Sickle Cell Patients 420-424( Journal of Pediatric Hematology/Oncology 27 8H sickle cell disease
headache
migraine
children
00043426-200508000-00003| Summary: The purposes of this study were to determine the characteristics of headaches in children with sickle cell disease (SCD) and to assess the relationship between headache symptoms and children's physical and emotional status. A detailed headache questionnaire using International Classification of Headache Disorders (ICHD-2) criteria was mailed to a cohort (n = 50) of children with SCD, ages 9 to 17 years. Respondents also completed measures of functional disability and psychological distress. Headaches had occurred over the previous 3-month period in 76.2% of the patients. Frequent headaches were common, occurring greater than once a week in 31.2% of children. Average pain severity was reported as moderate on a 0-to-10 scale (mean = 5.8). Duration of headaches ranged from 30 minutes to several days, with a mean of 5 hours. Based on ICHD-2 criteria, 43.8% of children had headache symptoms consistent with migraines, 6.2% with migraine with aura, and 50.0% with tension-type headaches. Children with symptoms of migraine had significantly greater functional disability compared with children with symptoms of tension-type headaches (P < 0.01). Further studies to determine the characteristics and determinants of headaches experienced in SCD patients will help maximize treatment of headaches and enhance daily functioning in these patients. (C) 2005 Lippincott Williams & Wilkins, Inc.j http://journals.lww.com/jpho-online/Fulltext/2005/08000/Headache_Symptoms_in_Pediatric_Sickle_Cell.3.aspx 1077-4114 ? Palisano Robert J, 2006~ A Collaborative Model of Service Delivery for Children With Movement Disorders: A Framework for Evidence-Based Decision Making 1295-1305 PHYS THER 86 9 September 1, 2006 Models of physical therapist service delivery provide a framework for integration of knowledge, research, and assumptions in a clinically relevant context that facilitates evidence-based decision making. In this perspective, a collaborative model of service delivery for children with movement disorders is presented. The focus is on services that address child and family priorities and preferences in settings where children live, learn, and play. The International Classification of Functioning, Disability and Health (ICF) is applied to identify relationships among the components of functioning, environmental, and personal factors that are important for the plan of care and achievement of outcomes. An assumption of the model is that physical therapists use multiple types of evidence to guide decision making. Application of the model and how child and family priorities change over time are illustrated through a longitudinal case report of a child with cerebral palsy.8 http://www.ptjournal.org/cgi/content/abstract/86/9/1295 10.2522/ptj.20050348 }? E Pallant Julie, Misajon RoseAnne, Bennett Elizabeth, Manderson Lenore, 2006 Measuring the impact and distress of health problems from the individual's perspective: development of the Perceived Impact of Problem Profile (PIPP) 36# Health and Quality of Life Outcomes 4 1+ BACKGROUND:The aim of this study was to develop and conduct preliminary validation of the Perceived Impact of Problem Profile (PIPP). Based on the biopsychosocial model of health and functioning, the PIPP was intended as a generic research and clinical measurement tool to assess the impact and distress of health conditions from the individuals' perspective. The ICF classification system was used to guide the structure of the PIPP with subscales included to assess impact on self-care, mobility, participation, relationships and psychological well-being. While the ICF focuses on the classification of objective health and health related status, the PIPP broadens this focus to address the individuals' subjective experience of their health condition.METHODS:An item pool of 23 items assessing both impact and distress on five key domains was generated. These were administered to 169 adults with mobility impairment. Rasch analysis using RUMM2020 was conducted to assess the psychometric properties of each set of items. Preliminary construct validation of the PIPP was performed using the EQ5D.RESULTS:For both the Impact and Distress scales of the PIPP, the five subscales (Self-care, Mobility, Participation, Relationships, and Psychological Well-being) showed adequate psychometric properties, demonstrating fit to the Rasch model. All subscales showed adequate person separation reliability and no evidence of differential item functioning for sex, age, educational level or rural vs urban residence. Preliminary validity testing using the EQ5D items provided support for the subscales.CONCLUSION:This preliminary study, using a sample of adults with mobility impairment, provides support for the psychometric properties of the PIPP as a potential clinical and research measurement tool. The PIPP provides a brief, but comprehensive means to assess the key ICF components, focusing on the individuals' perspective of the impact and distress caused by their health condition. Further validation of its use across different health conditions and varying cultural settings is required.# http://www.hqlo.com/content/4/1/36 1477-7525 doi:10.1186/1477-7525-4-36 ? M Paltamaa Jaana, Heidi West, Taneli Sarasoja, Juhani Wikström, Esko Mälkiä, 2005K Reliability of physical functioning measures in ambulatory subjects with MS 93-109$ Physiotherapy Research International 10 2 One of the primary reasons for measuring outcomes during rehabilitation is to determine the effect of physiotherapy. Repeated measurement situations are susceptible to several sources of error, including inconsistencies caused by the subject, the procedure, the instrument and the examiner. Therefore, the reliability of the measures needs to be examined.The present study used a repeated-measures design. Two studies were undertaken to examine the test-retest and inter-rater reliability for physical functioning measures. The interval between the measurements was one week. The sample consisted of 19 ambulatory subjects with mutliple sclerosis (MS) in the test-retest and nine subjects in the inter-rater reliability study. The measures were selected to assess different domains of the World Health Organization International Classification of Functioning, Disability and Health(WHO, 2001). Several parameters of the Box and Block Test (BBT), the Berg Balance Scale (BBS), the Kela Coordination test, the postural stability test, the timed 10-metre gait test, the six-minute walk test, the shoulder tug test, grip strength, maximal isometric force of the knee extensors, muscle endurance tests, the modified Ashworth Scale and passive straight leg raise test were examined in terms of reliability.The intra-class coefficient (ICC) values for test-retest reliability were >0.80 in 17 of 23 parameters, and correspondingly so in 20 out of 26 parameters for inter-rater reliability. Poor reliability (defined as ICC le0.60) was obtained only for the patient classification index (PCI) of the six-minute walk test in the test-retest reliability study. In general, the coefficient of variation was good. A moderate amount of variability was discovered for the Kela Coordination test, and for postural stability and muscle endurance tests. The data obtained from the modified Ashworth Scale and the shoulder tug test were highly skewed and the percentage of agreement ranged between 63.9% and 93.4%.The study revealed acceptable test-retest and inter-rater reliability of these measures in ambulatory subjects with MS, with the exception of the Modified Ashworth Scale and the shoulder tug test. Copyright © 2005 Whurr Publishers Ltd.! http://dx.doi.org/10.1002/pri.30 10.1002/pri.30 1471-2865 Department of Physical Medicine and Rehabilitation, Central Hospital, Jyväskylä, Finland; Department of Neurology, Central Hospital, Jyväskylä, Finland; Department of Neurology, University of Helsinki, Finland; Department of Health Sciences, University of Jyväskylä, Finland
? ! Parsons Janet A, Davis Aileen M, 2004X Rehabilitation and Quality-of-Life Issues in Patients with Extremity Soft Tissue Sarcoma 477-488& Current Treatment Options in Oncology 5} The current standard of care for soft tissue sarcoma (STS) is limb salvage surgery and adjuvant radiotherapy, with long-term survival rates of approximately 70%. However, the extensive surgical resection and subsequent reconstruction result in 50% of survivors living with chronic disability. Rehabilitation aims to optimize functional independence and quality of life, and is routinely offered to patients undergoing surgical treatment for STS. Unfortunately, there is a dearth of research related to rehabilitation in this area. We propose a model for assessing disability, for designing treatment interventions and for evaluating rehabilitative outcomes in STS. The World Health Organization's (WHO) international classification of functioning, disability, and health (ICF) is divided into three domains: 1) impairments (related to body structure and function), 2) activity limitations (related to usual self-care activities/activities of daily living), and 3) participation restrictions (related to social roles). A literature review of STS rehabilitation reveals that most studies have focused on disability assessment, with few papers describing or evaluating rehabilitation interventions commonly employed in STS. Clinicians are forced to extrapolate findings from other patient populations in order to evaluate the effectiveness of specific rehabilitation strategies (ie, those used for particular sequelae of STS, such as lymphedema or impaired exercise tolerance). There is strongest support for complex decongestive physiotherapy (targeting lymphedema) and aerobic exercise interventions (aimed at alleviating cancer-related fatigue and psychosocial sequelae). The most poorly researched topic is rehabilitation for genitourinary disability (both incontinence and sexual dysfunction). Most studies related to oncologic rehabilitation are restricted to the impairment level (eg, affecting range of motion, muscle strength) of the ICF, with only a small minority addressing activity limitations (eg, affecting activities of daily living) experienced by patients. A consideration of participation restrictions (eg, fulfillment of vocational roles) is almost wholly absent from the literature. Yet social role reintegration is of fundamental importance to patients. Further research is required in these two domains. The ICF provides a comprehensive framework for future research into rehabilitation interventions for STS.Q http://www.treatment-options.com/article_frame.cfm?PubID=ON05-6-1-04&Type=Opinion W? 2 Pathak Dev S, Deena J. Chisolm, Kathleen A. Weis, 2005 Functional Assessment in Migraine (FAIM) Questionnaire: Development of an Instrument Based Upon the WHO's International Classification of Functioning, Disability, and Health 591-600 Value in Health 8 5' Objective: The goal of this project was to develop a migraine functional measurement instrument, derived from the World Health Organization International Classification of Impairments, Disabilities, and Handicaps version 2 classification system, which focuses on functional outcomes, and is both reliable and valid.Methods: The Functional Assessment in Migraine (FAIM) questionnaire was developed using a multistep approach to ensure the brevity, relevance, reliability, and validity of items. A test set of 71 Mental Functioning and 50 Activity and Participation items was generated and administered to migraineurs in the United States and Germany. A subset of 22 Mental Functioning and 28 Activity and Participation items that rated highly on frequency-weighted importance and showed strong psychometric properties was piloted to determine a final item set and to test reliability and validity.Results: The final version of the FAIM included nine Mental Functioning items measuring the dimensions of Attention/Thought (5 items) and Perception (4 items), and a list of 28 Activity and Participation items from which respondents chose the five items most relevant to their lifestyle. Construct validity analysis of FAIM dimensions found significant positive correlations with self-reported symptom severity, moderately significant positive correlations with dimensions of the Migraine-Specific Quality of Life questionnaire and no significant correlation with Short Form Health Survey (SF-12) component scores.Conclusion: The FAIM offers physicians a brief and valid method of measuring the impact of migraine on mental functioning and activity and participation as defined by the WHO International Classification of Functioning, Disability, and Health. Additional testing is underway to assess its responsiveness to change.3 http://dx.doi.org/10.1111/j.1524-4733.2005.00047.x 10.1111/j.1524-4733.2005.00047.x 1524-4733 Florida International University, Miami, FL, USA; ; Columbus Children's Research Institute, The Ohio State University, Columbus, OH, USA; ; Pfizer Inc., New York, NY, USA ( ? } Payne-Sturges D, Gee GC, Crowder K, Hurley BJ, Lee C, Morello-Frosch R, Rosenbaum A, Schulz A, Wells C, Woodruff T, Zenick H, 2006s Workshop summary: connecting social and environmental factors to measure and track environmental health disparities 146-53 Environ Res: Oct;102 2
On May 24-25, 2005 in Ann Arbor, Michigan, the US Environmental Protection Agency, the National Institute of Environmental Health Sciences, and the University of Michigan sponsored a technical workshop on the topic of connecting social and environmental factors to measure and track environmental health disparities. The workshop was designed to develop a transdisciplinary scientific foundation for exploring the conceptual issues, data needs, and policy applications associated with social and environmental factors used to measure and track racial, ethnic, and class disparities in environmental health. Papers, presentations, and discussions focused on the use of multilevel analysis to study environmental health disparities, the development of an organizing framework for evaluating health disparities, the development of indicators, and the generation of community-based participatory approaches for indicator development and use. Group exercises were conducted to identify preliminary lists of priority health outcomes and potential indicators and to discuss policy implications and next steps. Three critical issues that stem from the workshop were: (a) stronger funding support is needed for community-based participatory research in environmental health disparities, (b) race/ethnicity and socioeconomic position need to be included in environmental health surveillance and research, and (c) models to elucidate the interrelations between social, physical, and built environments should continue to be developed and empirically tested.+ http://www.ncbi.nlm.nih.gov/pubmed/16438950 Office of Children's Health Protection, US Environmental Protection Agency, Ariel Rios Bldg., MC 1107A, 1200 Pennsylvania Ave., NW, Washington, DC 20460, USA. payne-sturges.devon@epa.gov < $ Perenboom, R. J. M, Chorus, A. M. J. 2003q Measuring participation according to the International Classification of Functioning, Disability and Health (ICF) 577-587 Disability and Rehabilitation 25
Numbers 11-12 Research Purpose: To report which existing survey instruments assess participation according to the International Classification of Functioning, Disability and Health (ICF).
Method: A literature search for relevant survey instruments was conducted. Subsequently, survey instruments were evaluated of which the complete questionnaire, published in the English language, was obtained. Items on participation were evaluated according to the ICF, defined as involvement in life situations, including being autonomous to some extent or being able to control your own life.
Results and Conclusions: Eleven survey instruments were identified, of which nine were evaluated on participation. All of the nine instruments measure participation to some extent. The two instruments closest to solely involve items on participation level are the Perceived Handicap Questionnaire (PHQ) and the London Handicap Scale (LHS). The PHQ is measuring the perception of participation. In the LHS, the items are formulated in terms of participation, while the response categories include all components of the ICF, from problems in body function to participation. Much more discussion is needed to be able to get an unambiguous picture to distinguish between activity and participation. } http://www.ingentaconnect.com/content/apl/tids/2003/00000025/F0020011/art00004
http://dx.doi.org/10.1080/0963828031000137081 doi:10.1080/0963828031000137081 IngentaConnect Informa Healthcare? > Perruccio, Anthony, V, J. Denise Power, Elizabeth, M. Badley, 2005w Arthritis onset and worsening self-rated health: A longitudinal evaluation of the role of pain and activity limitations 571-577 Arthritis Care & Research 53 4 To longitudinally explore the hypothesized role of worsening pain and development of activity limitations as mediators in the relationship between arthritis onset and worsening self-rated health (SRH).Data was obtained from the 1998/1999 and 2000/2001 cycles of the population-based Canadian longitudinal National Population Health Survey (n = 10,859; ages ge18; response rate: time 1 = 81.6%, time 2 = 89.2%). Respondents were asked about chronic conditions, pain, activity limitations, and self-perceived health; change over time was assessed. Change in effect of arthritis onset on worsening SRH upon considering potential mediators was assessed through multivariate logistic regression, controlling for sociodemographic characteristics and onset of other conditions.Worsening pain fully explained the effect of arthritis onset on worsening SRH; a portion of the effect of worsening pain was mediated by the development of activity limitation. Residual direct effect of arthritis onset was statistically insignificant. Worsening pain and development of activity limitations also mediated a portion of the effects of onset of other chronic conditions but to a lesser extent than arthritis onset.This is the first study to examine these relationships longitudinally. Identifying the role of mediators is necessary if target areas of prevention and/or management are sought, either at the individual or population level. Our results indicate that the development of arthritis has a significant impact on worsening SRH. Pain and development of activity limitations fully account for the relationship between arthritis onset and worsening SRH. High priority should be placed on prevention and management strategies for pain among people with arthritis.$ http://dx.doi.org/10.1002/art.21317 10.1002/art.21317 1529-0131r University of Toronto, and Toronto Western Research Institute, University Health Network, Toronto, Ontario, Canada? t Perry Alison, Morris Meg, Unsworth Carolyn, Duckett Stephen, Skeat Jemma, Dodd Karen, Taylor Nicholas, Reilly Karen, 2004R Therapy outcome measures for allied health practitioners in Australia: the AusTOMs 285-291 Int J Qual Health Care 16 4 August 1, 2004 Objective. The aim of this study was to develop a valid and reliable measure of therapy outcome for three allied health professions in Australia: speech pathology, occupational therapy, and physiotherapy. The Australian Therapy Outcome Measures (AusTOMs) enable measurement of the differences in client profiles and patterns of services provision across health care settings. In this paper we describe phase 1 of the study: the development and preliminary validation of the AusTOMs. Method. The UK TOMs, developed by Enderby, were scrutinized by the research team. A pilot core scale was developed, based on the structure of the TOM. Focus groups of expert clinicians for each profession, across the state of Victoria in Australia, analysed and refined the scales further. A mail-out survey was then sent to therapists across Australia to assess both face and content validity of the AusTOMs. Main results. A new tool, the AusTOM, was developed and tailored to the needs of each profession, with input from specialist clinicians and allied health researchers. The face and content validity of the new scales were assessed, and good consensus was obtained for the wording and content validity of the scales. The discriminative validity, concurrent validity, and reliability of the tool are now being evaluated. Conclusion. We have produced an outcome measure in the Australian context for speech pathology, physiotherapy, and occupational therapy. There are six speech pathology scales, nine physiotherapy scales, and 11 occupational therapy scales in the AusTOMs. A clinician chooses the relevant scale(s) for the client (based on the goals of therapy) and makes a rating across all domains for each scale. Further papers will report on the reliability, validity, and clinical usefulness of the AusTOMs.? http://intqhc.oxfordjournals.org/cgi/content/abstract/16/4/285 10.1093/intqhc/mzh059 F Q? ? Peterson D. B, Kosciulek J. F, 2005 Introduction to the Special Issue of Rehabilitation Education: The International Classification of Functioning, Disability and Health (ICF) 75-80 REHABILITATION EDUCATION 19
Number 2/3M http://direct.bl.uk/bld/PlaceOrder.do?UIN=176083321&ETOC=RN&from=searchengine H ? Peterson D. B, Rosenthal D. A, 2005s The International Classification of Functioning, Disability and Health (ICF): A Primer for Rehabilitation Educators 81-943 REHABILITATION EDUCATION -NEW YORK- PERGAMON PRESS- 19 NUMB 2/3M http://direct.bl.uk/bld/PlaceOrder.do?UIN=176083334&ETOC=RN&from=searchenginer? Peterson D. B, Rosenthal D. A, 2005 The International Classification of Functioning, Disability and Health (ICF) as an Historical Allegory for History and Systems in Rehabilitation Education 95-104 3 REHABILITATION EDUCATION -NEW YORK- PERGAMON PRESS- 19
Number 2/3M http://direct.bl.uk/bld/PlaceOrder.do?UIN=176083346&ETOC=RN&from=searchengine e? Peterson D. B, .Threats T. M, 2005 Ethical and Clinical Implications of the International Classification of Functioning, Disability and Health (ICF) in Rehabilitation Education 129-138 3 REHABILITATION EDUCATION -NEW YORK- PERGAMON PRESS- 19
NUMBER 2/3M http://direct.bl.uk/bld/PlaceOrder.do?UIN=176083371&ETOC=RN&from=searchengine$ ? ) Pettersson I, Törnquist K, Ahlström G, 2006^ The effect of an outdoor powered wheelchair on activity and participation in users with stroke 235-243.3 Disability and Rehabilitation: assistive technology 1 49 http://www.informaworld.com/smpp/title~content=t741771157 ? Petersson, Ingemar F, 20056 Evolution of team care and evaluation of effectiveness 160-163 Current Opinion in Rheumatology 17 2d evaluation
multidisciplinary
outcome measures
rheumatic diseases
team care
00002281-200503000-00010F Purpose of review: This paper describes the evolution and modern development of rheumatologic team care, reviews and defines methods of evaluation and assessment of rheumatologic team care, summarizes recent research, and discusses possible future directions for the refinement of and research in rheumatologic team care. Recent findings: The modern concept of multiprofessional team care for patients with rheumatic diseases has been evolving over more than 50 years. Research interest in rheumatologic team care is increasing, as is evidenced in international congresses and research networks addressing team care. Over the past decade, several studies of the effects and effectiveness of multiprofessional team care have been published. Few recent publication, however, have focused on team care because of a lack of optimal methods for studying team care and a lower priority for research in this area. Summary: Team care in the care, treatment, and rehabilitation of patients with rheumatologic diseases has a long and strong tradition in many countries. The role of team care is clinically relevant, and interest in the evidence-based evaluation and development of team care is growing. The International Classification of Functioning, Disability, and Health is a useful framework for examining the effects and effectiveness of team care. There is also a need for research and development with other outcome measures to analyze the different factors acting within team care. Furthermore, more specific studies of the effectiveness of team care are needed. (C) 2005 Lippincott Williams & Wilkins, Inc.m http://journals.lww.com/co-rheumatology/Fulltext/2005/03000/Evolution_of_team_care_and_evaluation_of.10.aspx 1040-87115? Pfeiffer, D, 1999+ The problem of disability definition: again 392-395 Disability and Rehabilitation 21 8 ICIDH, definitionO http://www.ingentaconnect.com/content/apl/tids/1999/00000021/00000008/art00009 J Discussion of census questions and the limitations in defining disability, aps (ICIDH) published and used by the World Health Organization is currently undergoing a revision. Its conceptual basis is the medical model which leads to the medicalization of disability. From this point it is a short step to eugenics and a class-based evaluation of people with disabilities using the concept of 'normal'. People with disabilities are found to be lacking and a burden. The language and the logic of the ICIDH are faulty. It is replete with biased, handicapist language. In its present form and even in its proposed revised form (ICIDH-2) it is a threat to the disability community world wide. T http://www.ingentaconnect.com/content/routledg/cdso/1998/00000013/00000004/art00002 F? : Picciolini O, M L Giannì, C Vegni, M Fumagalli, F Mosca,
2006 Marchz Usefulness of an early neurofunctional assessment in predicting neurodevelopmental outcome in very low birthweight infants! Arch Dis Child Fetal Neonatal Ed. 91 2A http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=2672665 O Picciolini,C Vegni,M Fumagalli,F Mosca, NICU, Department of Neonatology, L Mangiagalli Clinic, Fondazione IRCCS Policlinico, Mangiagallie Regina Elena, Milan, Italy
M L Giannì, University of Milan, Institute of Pediatrics and Neonatology, Milan
Correspondence to: Dr Picciolini,
NICU, Fondazione IRCCS Policlinico, Mangiagalli e Regina Elena, University of Milan,Via Commenda 12, 20122 Milano, Italy; o.picciolini@icp.mi.it+ F111–F117.
doi: 10.1136/adc.2005.073262. s? & Pierce, Christopher A, Hanks, Robin A. 2006d Life Satisfaction After Traumatic Brain Injury and the World Health Organization Model of Disability* 889-898 10.1097/01.phm.0000242615.43129.ae6 American Journal of Physical Medicine & Rehabilitation 85 11Y Brain Injuries
Quality of Life
Health
World Health Organization
00002060-200611000-00005 Pierce CA, Hanks RA: Life satisfaction after traumatic brain injury and the World Health Organization model of disability. Am J Phys Med Rehabil 2006;85:889-898. Objective: To determine which components of the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) are most predictive of global life satisfaction after traumatic brain injury (TBI). Design: Prospective evaluation of 180 individuals enrolled in a TBI model system project site. Results: Multiple regression analysis indicated that the combination of ICF components (body function and structure, activities, and participation) and demographic factors significantly predicted life satisfaction and accounted for 17% of the variance. Participation was the strongest predictor; activities were a significant, but weaker predictor; and body function and structure did not add to the prediction of life satisfaction. Of all the individual variables evaluated, only social integration and productivity were found to be significant, unique predictors. Conclusions: When considering the effects of various aspects of disabling conditions on the life satisfaction of individuals who have suffered a TBI, restriction of participation in life activities was found to have the greatest impact. Although the model accounted for a significant percentage in the variation of life satisfaction, a large proportion of the predictive picture (>82%) remains unclear. Doubtless, other variables impinge on life satisfaction that would further clarify the complex relationship between disabling conditions and life satisfaction in TBI. (C) 2006 Lippincott Williams & Wilkins, Inc.l http://journals.lww.com/ajpmr/Fulltext/2006/11000/Life_Satisfaction_After_Traumatic_Brain_Injury_and.5.aspx 0894-9115 ? + Pollard Beth, Johnston Marie, Dieppe Paul, 2006y What do osteoarthritis health outcome instruments measure? Impairment, activity limitation, or participation restriction? 757-763 The Journal of Rheumatology 33 4
April 2006 OBJECTIVE: To explore whether commonly used osteoarthritis (OA) health outcome instruments (and items) are measuring single or multiple health outcomes using the International Classification of Functioning, Disability and Health (ICF) definitions. METHODS: Ten expert judges allocated 342 items from 13 instruments to one or more ICF construct, i.e., Impairment (I), Activity Limitation (A), and Participation Restriction (P). One-sample t tests were used to classify each item as measuring uniquely I, A, or P or some combination (i.e., IA, IP, AP, or IAP). RESULTS: Overall, 12 of the 13 instruments had items that measured a combination of outcome domains (i.e., IA, IP, AP, or IAP). Only the American Knee Society Score (AKS) had all items uniquely measuring either I or A. The instrument with the best representation of items for Impairment was the AKS, for Activity Limitation the WOMAC and Lequesne knee index, and for Participation Restriction the Disease Repercussion Profile. CONCLUSION: All the existing OA outcome instruments, except one, had some items that were assessing more than one health outcome. Use of these instruments may either mask true treatment effects or make an effect difficult to attribute if the content is unclear. We determined which instruments were the best for measuring each health outcome. To improve the assessment of health outcomes in OA, new instruments that uniquely measure the 3 ICF constructs should be developed and all 3 should be included in relevant studies.0 http://www.jrheum.org/content/33/4/757.abstract ~? Porritt Jonathon, 2005_ Healthy environment—healthy people: The links between sustainable development and health 952-953
Public health 119 11 Elsevier> http://linkinghub.elsevier.com/retrieve/pii/S0033350605001794 0033-3506 S0033-3506(05)00179-4
O? B Post R. B, Keizer H. J. E, Leferink V. J. M, van der Sluis, C. K, 2006T Functional outcome 5 years after non-operative treatment of type A spinal fractures 472-478 European Spine Journal 15 4' Abstract This study was conducted to study the functional outcome after non-operative treatment of type A thoracolumbar spinal fractures without neurological deficit. Functional outcome was determined following the International Classification of Functioning, Disability and Health, measuring restrictions in body function and structure, restrictions in activities, and restrictions in participation/quality of life. All patients were treated non-operatively for a type A thoracolumbar (Th11-L4) spinal fracture at the University Hospital Groningen, The Netherlands. Thirty-three of the eighty-one selected patients agreed to participate in the study (response-rate 41%). Respondents were older than non-respondents (mean 50.5 years vs. 39.2 years), but did not differ from each other concerning injury-related variables. Patients with a neurological deficit were excluded. Treatment consisted either of mobilisation without brace, or of bedrest followed by wearing a brace. Restrictions in body function and structure were measured by physical tests (dynamic lifting test and bicycle ergometry test); restrictions in activities were measured by means of questionnaires, the Roland Morris Disability Questionnaire (RMDQ) and Visual Analogue Scale Spine Score (VAS). Restrictions in participation/quality of life were assessed with the Short Form 36 (SF-36) and by means of return to work status. Thirty-seven per cent of the patients were not able to perform the dynamic lifting test within normal range. In the ergometry test, 40.9% of the patients performed below the lowest normal value, 36.4% of the patients achieved a high VO2-max. Mean RMDQ-score was 5.2, the mean VAS-score was 79. No significant differences between patients and healthy subjects were found in SF-36 scores, neither were differences found between braced and unbraced patients in any of the outcome measures. Concerning the return to work status, 10% of the subjects had stopped working and received social security benefits, 24% had arranged changes in their work and 14% had changed their job. We conclude that patients do reasonably well 5 years after non-operative treatment of a thoracolumbar fracture, although outcome is diverse in the different categories and physical functioning seems restricted in a considerable number of patients., http://dx.doi.org/10.1007/s00586-005-0887-5 10.1007/s00586-005-0887-5 ? < Power J. Denise, Anthony V. Perruccio, Elizabeth M. Badley, 2005N Pain as a mediator of sleep problems in arthritis and other chronic conditions 911-919 Arthritis Care & Research 53 6 To examine the associations between arthritis and insomnia symptoms and unrefreshing sleep, as well as the role of pain as a mediator of these relationships.Analyses were conducted on the cross-sectional, nationally representative, weighted sample of adults ge18 years of age (n = 118,336) in the 2000/2001 Canadian Community Health Survey. Four logistic regression models were estimated for each sleep problem (model 1: arthritis only; model 2: model 1 + sociodemographic characteristics, lifestyle factors, and other chronic conditions; model 3: model 2 + mental health [stress, depression]; and model 4: model 3 + pain). Mediation by pain was quantified by the percentage change in the effect of arthritis on a particular sleep problem by comparing models 3 and 4.The prevalence of insomnia symptoms and unrefreshing sleep in persons with arthritis was 24.8% and 11.9%, respectively. These estimates are twice as high as those for persons without arthritis. In multivariate regression analyses, the addition of pain decreased the effect of arthritis by 53% (insomnia symptoms) and 64% (unrefreshing sleep). The effect of arthritis was still statistically significant in these models, suggesting that pain is a partial mediator of these relationships.Insomnia symptoms and unrefreshing sleep affect a considerable proportion of individuals with arthritis. Pain mediates a substantial amount of the relationship between arthritis and sleep problems. Better pain management could significantly improve sleep in individuals with arthritis.$ http://dx.doi.org/10.1002/art.21584 10.1002/art.21584 1529-0131r University of Toronto, and Toronto Western Research Institute, University Health Network, Toronto, Onta rio, Canada M? . Pryor Julie, Ralph Forbes, Laynie Hall-Pullin, 2004 Is there evidence of the International Classification of Functioning, Disability and Health in undergraduate nursing students' patient assessments? 134-141) International Journal of Nursing Practice 10 3 This paper reports on a secondary analysis of undergraduate nursing students' patient assessments while on clinical placement in a rehabilitation setting in search of evidence of the International Classification of Functioning, Disability and Health (ICF). It describes the evolution of the original World Health Organization's International Classification of Impairment, Disability and Handicap into the ICF. Data was analysed using the ICF categories of function, activity, participation, environmental factors and personal factors. Some evidence of ICF was revealed. Nurses are encouraged to further explore the relevance of ICF for nursing.3 http://dx.doi.org/10.1111/j.1440-172X.2004.00467.x 10.1111/j.1440-172X.2004.00467.x 1440-172XF Associate Director, Rehabilitation Nursing Research and Development Unit, University of Western Sydney and Royal Rehabilitation Centre Sydney, Sydney, NSW, Australia; Clinical Nurse ConsultantDisability, Royal Rehabilitation Centre Sydney, Sydney, NSW, Australia; Lecturer, University of Western Sydney, Sydney, NSW, Australia? Puolakka, K.
Kautiainen, H.
Pekurinen, M.
Mottonen, T.
Hannonen, P.
Korpela, M.
Hakala, M.
Arkela-Kautiainen, M.
Luukkainen, R.
Leirisalo-Repo, M.
for the, F. I. N. RACo Trial Group 2006 Monetary value of lost productivity over a five year follow up in early rheumatoid arthritis estimated on the basis of official register data on patients' sickness absence and gross income: experience from the FIN-RACo trial 899-904
Ann Rheum Dis 65 7 July 1, 2006o Objective: To explore the monetary value of rheumatoid arthritis related loss of productivity in patients with early active disease. Methods: In a prospective cohort substudy of the FIN-RACo Trial, 162 patients with recent onset rheumatoid arthritis, aged 18 to 65 years and available to the workforce, were followed up for five years. Loss of work productivity in euros 2002 was estimated by data on absence for sickness and on income (human capital approach) from official databases. Treatment responses were evaluated by area under the curve (AUC) of the ACR-N measure and by increase in number of erosions in radiographs of hands and feet. The health assessment questionnaire (HAQ) at six months was linked to the International Classification of Functioning, Disability and Health (ICF). Results: In all, 120 (75%) patients, women more often (82%) than men (61%) (p = 0.002), lost work days. The mean lost productivity per patient-year was {euro}7217 (95% confidence interval (CI), 5561 to 9148): for women, {euro}6477 (4858 to 8536) and for men, {euro}8443 (5389 to 12 898). There was an inverse correlation with improvement: {euro}1101 (323 to 2156) and {euro}14 952 (10 662 to 19 852) for the highest and lowest quartiles of AUC of ARC-N, respectively. Lost productivity was associated with increase in the number of erosions and with disability in "changing and maintaining body position" subcategory of the ICF. Conclusions: Despite remission targeted treatment with disease modifying antirheumatic drugs, early rheumatoid arthritis results in substantial loss of productivity. A good improvement in the disease reduces the loss markedly.1 http://ard.bmj.com/cgi/content/abstract/65/7/899 10.1136/ard.2005.045807 z/ . Raina, Ketki D.
Rogers, Joan C.
Holm, Margo B. 2007V Influence of the environment on activity performance in older women with heart failure 545 - 557 Disability & Rehabilitation 29 7S Purpose. To examine the influence of the environment on activity performance in older women with heart failure living in the community.
Method. The cross-sectional study included 55 older women with heart failure. Differences in activity performance collected through performance observation in the clinic and home were analysed with repeated measures ANOVAs and paired samples t-tests.
Results. Overall, the influence of the environment in the clinic was neutral for activity independence, and disabling for activity safety and activity adequacy at the global level. At the domain level, functional mobility and personal care were more independent but equally safe and adequate in the clinic compared to the home, cognitively-oriented instrumental activities were less independent, safe and adequate in the clinic compared to the home, and physically-oriented instrumental activities were equally independent, but less safe and adequate in the clinic compared to the home. At the activity level, 6 activities were positively influenced by the environment in the clinic and 13 activities were negatively influenced.
Conclusions. Findings suggest that the influence of the environment can be neutral, enabling, or disabling depending on the global scores or level of analysis being considered.6 http://www.informaworld.com/10.1080/09638280600845514 0963-8288
July 17, 2009 ?
Raspe, H.
Hüppe, A.
Matthis, C. 2003r Theorien und Modelle der Chronifizierung: Auf dem Weg zu einer erweiterten Definition chronischer Rückenschmerzen 359-366 Der Schmerz 17 5 Zusammenfassung Chronische Rückenschmerzen sind eine der häufigsten und aufwändigsten Gesundheitsstörungen. Eine Studienübersicht zeigt, dass Chronizität sehr unterschiedlich definiert wird, mit einem Überwiegen rein zeitlicher Bestimmungen. Rückenschmerzen werden als "chronisch" bezeichnet, wenn sie für länger als eine variabel definierte Zahl von Wochen oder Monaten bestehen. Der Versuch, solche Definitionen zu verfeinern, orientiert sich an 3 Vorarbeiten: Loesers multidimensionalem Schmerzmodell, dem onkologischen TNM-Modell und der Internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit der WHO (ICF). Wir unterstellen einen unidirektionalen Chronifizierungsprozess zeitlich und räumlich begrenzter Rückenschmerzen zu einem komplexen Schmerzsyndrom mit zahlreichen weiteren Schmerzen, körperlichen Beschwerden und kognitiven wie emotionalen Beeinträchtigungen, und schlagen ein Messmodell vor., http://dx.doi.org/10.1007/s00482-003-0233-y 10.1007/s00482-003-0233-y $ F7 Raspe, H, Huppe A, Matthis C., 2003Z Theories and models of chronicity: on the way to a broader definition of chronic back pain$ 2003, VOL 17; PART 5, pages 359-366 17; 359-366 M http://direct.bl.uk/bld/PlaceOrder.do?UIN=138113163&ETOC=RN&from=searchengine German v}? + Rastogi, Ravi
Chesworth, Bert
Davis, Aileen 2008 Change in patient concerns following total knee arthroplasty described with the International Classification of Functioning, Disability and Health: a repeated measures design 112# Health and Quality of Life Outcomes 6 1$ http://www.hqlo.com/content/6/1/112 1477-7525 doi:10.1186/1477-7525-6-112 F/
/ Reinhardt, J. D.
Cieza, A.
Stamm, T.
Stucki, G. 2006t Commentary on Nordenfelt's ‘On Health, ability and activity: Comments on some basic notions in the ICF’ 1483 - 1485 Disability & Rehabilitation 28 236 http://www.informaworld.com/10.1080/09638280600926165 0963-8288
July 17, 2009 k/ e Rentsch Hp, Bucher P., Dommen Nyffeler I, Wolf C, Hefti H, Fluri E, Wenger U, WÄlti, C, Boyer, I. 2003 The implementation of the 'International Classification of Functioning, Disability and Health' (ICF) in daily practice of neurorehabilitation: an interdisciplinary project at the Kantonsspital of Lucerne, Switzerland 411 - 421 Disability & Rehabilitation 25 8 Purpose : The current paper describes the implementation of ICF as a standard language and framework for description of human functioning and disability for common use in every day work by the multiprofessional team.
Method : An interdisciplinary project team involving all rehabilitation specialities was constituted. The extensive original document of ICF was broken down to a simplified raster for body functions and structures, activities and participation, as well as for contextual factors. These rasters had to cover the most important aspects concerning the patients treated on our unit. Checklists on the basis of these rasters were worked out for use by the different specialized teams. Using these checklists, rehabilitation conferences, form and language of interdisciplinary communication, goal setting and documentation were introduced newly in every day work for the interdisciplinary rehabilitation team, structured strictly based on the ICF-criteria.
Results : Since April 2002 the ICF-based processes are implemented in routine work for all members of the rehabilitation staff. First experiences show good acceptance by the team members, improvements in communication and documentation as well as substantial gains in content and handling of rehabilitation conferences. As a result of the implementation we observed, that participation, context and domiciliary interventions gained quite more influence in every day work at the unit.
Conclusion : Implementation improved considerably the quality of interdisciplinary work processes and contributed to a more systematic approach to rehabilitation tasks by the team members.8 http://www.informaworld.com/10.1080/0963828031000069717 0963-8288
July 17, 2009 ? Riddle, Daniel L. 1998f Classification and Low Back Pain: A Review of the Literature and Critical Analysis of Selected Systems 708-737 PHYS THER 78 7 July 1, 1998 Classification systems for patients with low back pain have become more abundant in the literature since the mid-1980s. Some classification systems are designed to determine the most appropriate treatment, some are designed to aid in prognosis, and others are designed to identify pathology. Still other classification systems categorize patients into homogeneous groups based on selected variables. The purpose of this review is to describe and critically evaluate low back pain classification systems. Several classification systems were summarized and examined. Four classification systems that were judged to be the most commonly cited and most relevant to physical therapists were critiqued using a more thorough systematic approach. The analysis suggests that future research should address the usefulness of existing classification systems as well as the development of new classification systems designed using commonly accepted measurement principles.7 http://www.ptjournal.org/cgi/content/abstract/78/7/708 4 / K Rigby, Alan S.
Rudolfer, Stephan M.
Badley, Elizabeth M.
Brayshaw, Nigel C. 1989 The relationship between impairment and disability in arthritis: an application of the theory of generalized linear models to the ICIDH 84 - 88 Disability & Rehabilitation 11 2 We investigated the relationship between impairment, as represented by limitation in range of movement and pain in the knee joint, and disability as measured by a series of activities of daily living in 123 patients with either rheumatoid arthritis or osteoarthrosis. A log-linear modelling technique found there was a positive association between functional limitation, as measured by reduction in angle of flexion, and disability. However, there was only a marginal relationship between pain in the knee joint and disability, and no association between pain and range of movement, which suggests that conventional beliefs that pain is a key factor in assessing health outcomes may need to be reassessed.6 http://www.informaworld.com/10.3109/03790798909166396 0963-8288
July 17, 2009/ Rimmer, James H. 2006 Use of the ICF in identifying factors that impact participation in physical activity/rehabilitation among people with disabilities 1087 - 1095 Disability & Rehabilitation 28 17f Many health professionals have expressed difficulty finding ways to keep people with disabilities engaged in community-based physical activity/rehabilitation programs. A major reason for this low adherence may be that the recommended intervention plan does not match well with the specific needs of the individual. Various personal and/or environmental factors along with the person's level of functioning can impede participation in healthful physical activity/rehabilitation. The International Classification of Functioning, Disability and Health (ICF) can be a useful tool for identifying key factors associated with participation in community-based physical activity/rehabilitation. The ICF allows health professionals to identify the level of functioning at the body, person and societal level, as well as understand the person-environment contextual factors that may impede or enhance participation. This paper describes how the ICF can assist health professionals in identifying a broader constellation of factors when prescribing physical activity/rehabilitation programs for persons with varying levels of disability.6 http://www.informaworld.com/10.1080/09638280500493860 0963-8288
July 17, 2009
Q? f Roaldsen, Kirsti Skavberg, Ola Rollman, Erik Torebjörk, Elisabeth Olsson, Johan Kvalvik Stanghelle, 2006S Functional ability in female leg ulcer patients - a challenge for physiotherapy 191-203$ Physiotherapy Research International 11 4 Background and Purpose. Venous leg ulceration represents a global health problem affecting predominantly elderly women. Traditionally, functional problems in this group of patients have attracted modest attention from wound care providers and physiotherapists. The aim of the present study was to describe and quantify disease consequences in female leg ulcer patients as a background for future physiotherapy interventions, using the nomenclature of the WHO International Classification of Functioning, Disability and Health (ICF). Method. A prospective study was conducted in 34 women aged 60-85 years with current or previous venous leg ulcer as compared to 27 age-matched non-ulcer subjects. The outcome variables were pain, ankle range of motion, walking speed, walking endurance, self-perceived exertion, mobility, activities of daily living (ADL), physical activity, general health, life satisfaction and use of walking aids and community services. Established instruments were utilized and categorized within ICF domains to provide a conceptual framework and basis for physiotherapeutic research. Results. Leg ulcer patients showed significantly reduced values of ankle range of motion, walking speed and endurance, self-perceived exertion, mobility, ADL and physical activity level as compared to control subjects. Patients suffering from active ulceration were more negatively affected, and more of them had pain than post-ulcer fellows. By contrast, general health and life satisfaction were similarly rated by the two study groups. Conclusions. Elderly females in our study with chronic leg ulcer of venous aetiology had significant mobility impairments, but the reasons and consequences of these impairments remain to be elucidated. The potential of preventive measures and physical rehabilitation to aid functioning and prospects of leg ulcer repair need to be investigated in future studies. Copyright © 2006 John Wiley & Sons, Ltd." http://dx.doi.org/10.1002/pri.337 10.1002/pri.337 1471-2865L Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institutet, Stockholm, Sweden; Sunnaas Rehabilitation Hospital HF, Oslo, Norway; Department of Medical Sciences, Section of Dermatology and Venereology, University Hospital, Uppsala, Sweden; Sunnaas Rehabilitation Hospital HF, Oslo, NorwayO $? 0 Rosen, Alan
Hadzi-Pavlovic, Dusan
Parker, Gordon 1989U The Life Skills Profile: A Measure Assessing Function and Disability in Schizophrenia 325-337 Schizophr Bull 15 2E Social impairment, service evaluation, survival, function, adaptation January 1, 1989 We review limitations of representative measures of function and disability associated with schizophrenia and specify requirements of a suitable measure for service evaluation: It should reliably and validly assess constructs relevant to survival, function, and adaptation in the community. Additionally, it should be brief, comprise specific and jargon-free items assessing distinct behaviors, and therefore be capable of completion by family members and community housing managers as well as by professional staff. The initial development of such a measure, the 39-item Life Skills Profile (LSP), with its five scales, is described. We report data to suggest that it is likely to be a measure of considerable utility both in research studies and in defining and assessing clinical services.N http://schizophreniabuj_ Ѭ~? Rosenbaum Peter, Debra, Stewart, 2004 The world health organization international classification of functioning, disability, and health: a model to guide clinical thinking, practice and research in the field of cerebral palsy 5-10 Seminars in pediatric neurology 11 1
W.B. Saunders The way we think about health and disease determines to a considerable extent what we do and say in our clinical encounters with patients. The recent publication and promotion of the World Health Organization’s International Classification of Function, Health, and Disability (known as the ICF) represents an exciting new way to consider health and disease. In the context of children and youth with cerebral palsy, this model offers many heretofore ignored “point of entry†for counselling and intervention with these conditions. This model also provides many possibilities to explore research questions with a fresh approach. This article outlines the ICF model and discusses these opportunities.> http://linkinghub.elsevier.com/retrieve/pii/S1071909104000038 1071-9091 S1071-9091 (04)00003-8 ? Royeen, Charlotte Brasic, 2002 Occupation reconsidered 111-120" Occupational Therapy International 9 2 The current article delineates the need for the profession of occupational therapy to maintain relevance and be responsive to current trends. As part of such responsivity, this article proposes a reconsideration of the concept of occupation as an lsquoadaptive responsersquo to the current societal need for clarification regarding occupational therapy. Reconsideration of what is meant by occupation for general use is discussed and illustrated by the ambiguous use of the term occupation as both a means and an end. Although occupational therapists are comfortable with such ambiguous use because of their apparent ease with complexity, use of the term in an ambiguous manner makes it harder for society to understand what is meant by occupation. Related to this, an annotation of literature on the definitions of occupation is presented in summary form. Furthermore, the political need to reconsider the term occupation is argued in light of the revision of International Classification of Functioning, Disability and Health (ICF), which includes the use of the word activity. Finally, this article proposes that occupation should be considered as the process of doing with meaning, and that activity should be the outcome. Such reconsideration renders us consistent with ICF and paves the way to reduce ambiguity in the use of the term occupation with the general public. Copyright © 2002 Whurr Publishers Ltd." http://dx.doi.org/10.1002/oti.159 10.1002/oti.159 1557-0703\ School of Pharmacy and Allied Health Professions, Creighton University, Omaha, NE 68178, USA >/ y Ruof, Jrg,
Cieza, Alarcos
Wolff, Birgit
Angst, Felix
Ergeletzis, Dimitrios
Omar, Zaliha
Kostanjsek, Nenad
Stucki, Gerold 2004# ICF Core Sets for diabetes mellitus 100 - 106" Journal of Rehabilitation Medicine 36 4 supp 44\ Core Sets, diabetes mellitus, function, disability, outcome assessment, qulaity of life, ICF Objective: To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of a Comprehensive ICF Core Set and a Brief ICF Core Set for diabetes mellitus.
Methods: A formal decision-making and consensus process integrating evidence gathered from preliminary studies was followed. Preliminary studies included a Delphi exercise, a systematic review, and an empirical data collection. After training in the ICF and based on these preliminary studies relevant ICF categories were identified in a formal consensus process by international experts from different backgrounds.
Results: The preliminary studies identified a set of 253 ICF categories at the second, third, and fourth ICF levels with 99 categories on body functions, 40 on body structures, 55 on activities and participation, and 59 on environmental factors. Fifteen experts attended the consensus conference on diabetes mellitus (8 physicians with various sub-specializations; 5 physical therapists, one epidemiologist and one social worker). Altogether 99 categories (85 second-level and 14 third-level categories) were included in the Comprehensive ICF Core Set with 36 categories from the component body functions, 16 from body structures, 18 from activities and participation, and 29 from environmental factors. The Brief ICF Core Set included a total of 33 second-level categories with 12 on body functions, 6 on body structures, 5 on activities and participation, and 10 on environmental factors.
Conclusion: A formal consensus process integrating evidence and expert opinion based on the ICF framework and classification led to the definition of ICF Core Sets for diabetes mellitus. Both the Comprehensive ICF Core Set and the Brief ICF Core Set were defined.6 http://www.informaworld.com/10.1080/16501960410016802 1650-1977
July 17, 2009 X sociations among persons living with HIV/AIDS in British Columbia 46# Health and Quality of Life Outcomes 2 1
BACKGROUND:To measure the prevalence of and associations among impairments, activity limitations and participation restrictions in persons living with HIV in British Columbia to inform support and care programs, policy and research.METHODS:A cross-sectional population-based sample of persons living with HIV in British Columbia was obtained through an anonymous survey sent to members of the British Columbia Persons With AIDS Society. The survey addressed the experience of physical and mental impairments, and the experience and level of activity limitations and participation restrictions. Associations were measured in three ways: 1) impact of types of impairment on social restriction; 2) impact of specific limitations on social restriction; and 3) independent association of overall impairments and limitations on restriction levels. Logistic regression was used to measure associations with social restriction, while ordinal logistic regression was used to measure associations with a three-category measure of restriction level.RESULTS:The survey was returned by 762 (50.5%) of the BCPWA participants. Over ninety percent of the population experienced one or more impairments, with one-third reporting over ten. Prevalence of activity limitations and participation restrictions was 80.4% and 93.2%, respectively. The presence of social restrictions was most closely associated with mental function impairments (OR: 7.0 for impairment vs. no impairment; 95% CI: 4.7 - 10.4). All limitations were associated with social restriction. Among those with [less than or equal to] 200 CD4 cells/mm3, odds of being at a higher restriction level were lower among those on antiretrovirals (OR: 0.3 for antiretrovirals vs. no antiretrovirals; 95% CI: 0.1-0.9), while odds of higher restriction were increased with higher limitation (OR: 3.6 for limitation score of 1-5 vs. no limitation, 95%CI: 0.9-14.2; OR: 24.7 for limitation score > 5 vs. no limitation, 95%CI: 4.9-125.0). Among those with > 200 CD4 cells/mm3, the odds of higher restriction were increased with higher limitation (OR: 2.7 for limitation score of 1-5 vs. no limitation, 95%CI: 1.4-5.1; OR: 8.6 for limitation score > 5 vs. no limitation, 95%CI: 3.9-18.8), as well as by additional number of impairments (OR:1.2 for every additional impairment; 95% CI:1.1-1.3).CONCLUSIONS:This population-based sample of people living with HIV has been experiencing extremely high rates of impairments, activity limitations and participation restrictions. Furthermore, the complex inter-relationships identified amongst the levels reveal lessons for programming, policy and research in terms of the factors that contribute most to a higher quality of life.# http://www.hqlo.com/content/2/1/46 1477-7525 doi:10.1186/1477-7525-2-46? . Rydwik, Elisabeth
Eliasson, Sara
Akner, Gunnar 2006b The effect of exercise of the affected foot in stroke patients-a randomized controlled pilot trial 645-655 Clinical Rehabilitation 20 8 August 1, 2006 Objective: To evaluate the effect of treatment with a portable device called Stimulo on range of motion, muscle strength and spasticity in the ankle joint and its effect on walking ability, balance, activities of daily living (ADL) and health-related quality of life in stroke patients. Design: A randomized controlled pilot study. Setting: A research centre. Subjects: Ambulatory or partly ambulatory chronic stroke patients with remaining spasticity and/or decreased range of motion in the hemiparetic leg/ankle. Interventions: Standardized and individualized programme including active and passive range of motion of the ankle with a portable device (Stimulo), performed three times a week for 30 min, over a six-week period. Main measures: Range of motion, muscle strength, spasticity, gait variables, balance, ADL and health-related quality of life. Results: Eighteen subjects were included in the study with a mean age of 75 years. The compliance rate was 94-99%. There were no significant differences between the groups. Conclusion: The study showed no significant effect of an ankle-exercise intervention programme with Stimulo. Further studies with a larger sample size are of importance before any further conclusions can be drawn.5 http://cre.sagepub.com/cgi/content/abstract/20/8/645 10.1191/0269215506cre986oa F? Sable J, Gravink J, 2005q The PATH to Community Health Care for People with Disabilities: A Community-Based Therapeutic Recreation Service Therapeutic Recreation Journal 39 12 http://www.encyclopedia.com/doc/1P3-942684601.html/ H Salter, K.
Jutai, J. W.
Teasell, R.
Foley, N. C.
Bitensky, J.
Bayley, M. 2005T Issues for selection of outcome measures in stroke rehabilitation: ICF Participation 507 - 528 Disability & Rehabilitation 27 9D Purpose. To evaluate the psychometric and administrative properties of outcome measures in the ICF Participation category, which are used in stroke rehabilitation research and reported in the published literature.
Method. Critical review and synthesis of measurement properties for six commonly reported instruments in the stroke rehabilitation literature. Each instrument was rated using the eight evaluation criteria proposed by the UK Health Technology Assessment (HTA) programme. The instruments were also assessed for the rigour with which their reliability, validity and responsiveness were reported in the published literature.
Results. Validity has been well reported for at least half of the measures reviewed. However, methods for reporting specific measurement qualities of outcome instruments were inconsistent. Responsiveness of measures has not been well documented. Of the three ICF categories, Participation seems to be most problematic with respect to: (a) lack of consensus on the range of domains required for measurement in stroke; (b) much greater emphasis on health-related quality of life, relative to subjective quality of life in general; (c) the inclusion of a mixture of measurements from all three ICF categories.
Conclusions. The reader is encouraged to examine carefully the nature and scope of outcome measurement used in reporting the strength of evidence for improved participation associated with stroke rehabilitation. There is no consensus regarding the most important indicators of successful involvement in a life situation and which ones best represent the societal perspective of functioning. In particular, quality of life outcomes lack adequate conceptual frameworks to guide the process of development and validation of measures.5 http://www.informaworld.com/10.1080/0963828040008552 0963-8288
July 17, 2009 / H Salter, K.
Jutai, J. W.
Teasell, R.
Foley, N. C.
Bitensky, J.
Bayley, M. 2005O Issues for selection of outcome measures in stroke rehabilitation: ICF activity 315 - 340 Disability & Rehabilitation 27 6 Purpose. To evaluate the psychometric and administrative properties of outcome measures in the WHO International Classification of Functioning, Disability and Health (ICF) Activity category used in stroke rehabilitation research and reported in the published literature.
Method. Critical review and synthesis of measurement properties for nine commonly reported instruments in the stroke rehabilitation literature. Each instrument was rated using the eight evaluation criteria proposed by the UK Health Technology Assessment (HTA) programme. The instruments were also assessed for the rigour with which their reliability, validity and responsiveness were reported in the published literature.
Results. The reporting of specific measurement qualities for outcome instruments was relatively consistent across measures located within the same general ICF category. There was evidence to suggest that the measures were responsive to change as well as being valid and reliable tools. The best available instruments were associated with the assessment of activities of daily living, balance (static and dynamic), functional independence, and functional mobility.
Conclusions. Given the diversity that exists among available measures, the reader is encouraged to examine carefully the nature and scope of outcome measurement used in reporting the strength of evidence for improved functional activity in stroke rehabilitation. However, there appears to be good consensus regarding the most important indicators of successful rehabilitation outcome, especially in the case of functional mobility.6 http://www.informaworld.com/10.1080/09638280400008545 0963-8288
July 17, 2009 / = Salter, K.
Jutai, J. W.
Teasell, R.
Foley, N. C.
Bitensky, J. 2005U Issues for selection of outcome measures in stroke rehabilitation: ICF Body Functions 191 - 207 Disability & Rehabilitation 27 4 Purpose: To evaluate the psychometric and administrative properties of outcome measures assigned to the ICF Body Functions category, and commonly used in stroke rehabilitation research.
Method: Critical review and synthesis of measurement properties for five commonly reported instruments in the stroke rehabilitation literature. Each instrument was rated using the eight evaluation criteria proposed by the UK Health Technology Assessment (HTA) programme. The instruments were also assessed for the rigour with which their reliability, validity and responsiveness were reported in the published literature.
Results: The reporting of specific measurement qualities for outcome instruments was relatively consistent across measures located within the same general ICF category. Far less information was available on the responsiveness of measures, compared with reliability and validity. The best available instruments were associated with the following body functions: cognitive impairment, depression and motor recovery.
Conclusions: The reader is encouraged to examine carefully the nature and scope of outcome measurement used in reporting the strength of evidence for improved body functions in stroke rehabilitation since there is significant diversity. However there appears to be good consensus about what are the most important indicators of successful rehabilitation outcome in each domain of body function.6 http://www.informaworld.com/10.1080/09638280400008537 0963-8288
July 17, 2009?
Saleeby P, 2003c ICF and social work: A mechanism for sustaining social work leadership in disability public health.3 ICF Sessions at APHA Annual Meeting, San Francisco.+ Social work, classifciations, public health http://www.apha.org/ ="238" start="48" />G Samėnienė, Jūratė, Aleksandras Kriščiūnas, Asta Šveikauskaitė, 2005K Value of activities and participation of patients with circulation diseases 109-116' Medicina (Kaunas) 2005; 41 (2): 109-116 41 2@ rehabilitation, activities, participation, circulation diseases.X The aim of our study was to evaluate the disturbances of activities and participation of inpatients after stroke and myocardium infarction. Activities and participation disorders were evaluated by international classification of functioning, disability and health. Our study material consisted of inpatients after stroke (I group) and inpatients after myocardium infarction (II group). The age average was 70.4±7.4 years in the first group and 65.7±11.7 years in the second group. Activities and participation were respected by the following scale: 0 – no difficulty, 1 – mild difficulty, 2 – moderate difficulty, 3 – severe difficulty, 4 – complete difficulty. We determined, that changing and maintaining body position, learning to write, moving around activities were the most confused (3–4); thinking and copying were confused moderately (2) in the first group. Changing and maintaining body position, focusing attention, calculating and handling stress activities were confused moderately (2) in the second group. International classification of functioning, disability and health allows evaluating activity limitations and participation restrictions in blood circulation disorders. We noticed, that basic learning, applying knowledge, general tasks and demands, communication, maintaining a body position, and self-care were more confused in patients after stroke. Moving around, focusing attention, and handling stress were more confused in patients after myocardium infarction. It is important to evaluate activity limitation and participation restrictions for determining the extent of rehabilitation.( http://medicina.kmu.lt/0502/0502-03e.htm Clinic of Rehabilitation, Kaunas University of Medicine, Lithuania
Correspondence to J. Samėnienė, Clinic of Rehabilitation, Kaunas University of Medicine, A. Mickevičiaus 9, 44307 Kaunas, Lithuania. E-mail: jurate.sameniene@mail.lt 5? ) Samuelsson, K. A. M,
Tropp, H.
Gerdle, B. 2004V Shoulder pain and its consequences in paraplegic spinal cord-injured, wheelchair users 41-46 Spinal Cord 42 1& shoulder pain, activity, participation Study design: Cross-sectional.
Objectives: To describe the consequences of shoulder pain on activity and participation in spinal cord-injured paraplegic wheelchair users. To describe the prevalence and type of shoulder pain.
Setting: Two spinal cord injury (SCI) centres in Sweden.
Methods: All subjects with paraplegia due to an SCI of more than 1 year living in the counties of Uppsala and Linköping, Sweden were contacted by mail and asked to fill in a questionnaire (89 subjects). Those of the responding 56 subjects with current shoulder pain were asked to participate in further examination and interviews. A physiotherapist examined 13 subjects with shoulder pain in order to describe type and site of impairment. To describe consequences of shoulder pain on activity and participation, the Constant Murley Scale (CMS), the Wheelchair Users Shoulder Pain Index (WUSPI) the Klein & Bell adl-index and the Canadian Occupational Performance Measure (COPM) were used.
Results: Out of all respondents, 21 had shoulder pain (37.5%). Data from 13 of those subjects were used in the description of type and consequences of shoulder pain. Findings of muscular atrophy, pain, impingement and tendinits were described. We found no difference in ADL-performance with, respectively without, shoulder pain (P=0.08) using the Klein & Bell adl-index. No correlation was found between the various descriptions of impairment, activity limitations and participation restriction (P>0.08). All together 52 problems with occupational performance due to shoulder pain were identified using the COPM. Of these, 54% were related to self-care activities.
Conclusion: The consequences of shoulder pain in paraplegic wheelchair users are mostly related to wheelchair activities. Since the wheelchair use itself presumably cause shoulder problems, this will become a vicious circle. More research is needed in order to reduce shoulder problems in wheelchair users.( http://dx.doi.org/10.1038/sj.sc.310149? E Sartorius, N.
Ustun, T. B.
Korten, A.
Cooper, J. E.
van Drimmelen, J. 1995 Progress toward achieving a common language in psychiatry, II: Results from the international field trials of the ICD-10 diagnostic criteria for research for mental and behavioral disorders 1427-1437 Am J Psychiatry 152 10 October 1, 1995A http://ajp.psychiatryonline.org/cgi/content/abstract/152/10/1427 _?! $ Saunders GH, Chisolm TH, Abrams HB. 20058 Measuring hearing aid outcomes-Not as easy as it seems. 157-1681 Journal of Rehabilitation Research & Development 42 4, Supplement 2+ http://www.ncbi.nlm.nih.gov/pubmed/16470471e http://www.ncrar.research.va.gov/AboutUs/Staff/Documents/Measturing_Hearing_Aid_Outcomes_Saunders.pdf jhe category most frequently covered in the instruments. Although instruments were selected on the basis of their focus on activities and participation, 27% of the constructs addressed categories of body functions. Approximately 10% of the constructs could not be linked.
Conclusions. The ICF is a useful tool to examine and compare contents of instruments in stroke rehabilitation. This content comparison should enable clinicians and researchers to choose the measure that best matches the area of their interest.6 http://www.informaworld.com/10.1080/09638280600756257 0963-8288
July 17, 2009 Y ,ehabilitation Counselor Education 177-190 3 REHABILITATION EDUCATION -NEW YORK- PERGAM/$ S Scherer, Marcia J.
Sax, Caren
Vanbiervliet, Alan
Cushman, Laura A.
Scherer, John V. 2005[ Predictors of assistive technology use: The importance of personal and psychosocial factors 1321 - 1331 Disability & Rehabilitation 27 21z Objective. To validate an assistive technology (AT) baseline and outcomes measure and to quantify the measure's value in determining the best match of consumer and AT considering consumer ratings of their subjective quality of life, mood, support from others, motivation for AT use, program/therapist reliance, and self-determination/self-esteem.
Design. Prospective multi-cohort study.
Setting. Vocational rehabilitation offices and community.
Participants. Over 150 vocational rehabilitation counselors in 25Â U.S. states with one consumer each receiving new AT.
Interventions. Counselor training in the Matching Person and Technology (MPT) Model and consumer completion of the MPT measure, Assistive Technology Device Predisposition Assessment (ATD PA).
Main outcome measures. Total and subscale scores on the ATD PA as well as counselor-completed questionnaires.
Results. ATD PA items differentiated consumer predispositions to AT use as well as AT and user match. There were no significant differences due to gender, physical locality, or age within this sample of working-age adult consumers. Vocational rehabilitation counselors exposed to training in the MPT Model achieved enhanced AT service delivery outcomes.
Conclusions. The ATD PA is a valid measure of predisposition to use an AT and the subsequent match of AT and user. Rehabilitation practitioners who use the ATD PA will achieve evidence-based practice and can expect to see enhanced AT service delivery outcomes.6 http://www.informaworld.com/10.1080/09638280500164800 0963-8288
July 17, 2009 zON PRESS 19;
NUMB 2/3, M http://direct.bl.uk/bld/PlaceOrder.do?UIN=176083406&ETOC=RN&from=searchengine 0889-7018 h /& Scherer, Marcia J. 2005p Assessing the benefits of using assistive technologies and other supports for thinking, remembering and learning 731 - 739 Disability & Rehabilitation 27 13B Purpose. Planning assistive technologies and other supports for individuals with cognitive disabilities requires a comprehensive and individualized assessment of current goals, past experiences with the use of technologies and other supports, and the person's predisposition to the use of alternative or additional supports. This paper discusses a foundation for the refinement of an existing assessment process to match technologies to individuals with cognitive disabilities.
Method. Prior research and a literature review identified the critical needs for an assessment process that would serve to identify key elements known to influence the success use of assistive technology and other supports by persons with cognitive disabilities.
Results. The components of successful, effective and satisfied support use result from a good match of device and support features, user goals and preferences, and environmental resources. The relationship to the World Health Organization's International Classification of Functioning, Disability and Health and the International Standardization Organization's international standard ISO DIS 9999 is discussed.
Conclusions. As the number of assistive technology options increase, individualized interventions for individuals with cognitive disabilities will be easier to accomplish. The key to successful and optimal use of these products will be an appropriate and comprehensive assessment of consumer needs and preferences and the identification of additional accommodations and supports.6 http://www.informaworld.com/10.1080/09638280400014816 0963-8288
July 17, 2009r/' { Scheuringer, Monika
Stucki, Gerold
Huber, Erika Omega
Brach, Mirjam
Schwarzkopf, Susanne R.
Kostanjsek, Nenad
Stoll, Thomas 2005g ICF Core Set for patients with musculoskeletal conditions in early post-acute rehabilitation facilities 405 - 410 Disability & Rehabilitation 27 7 Purpose: The aim of this consensus process was to decide on a first version of the ICF Core Set for patients with musculoskeletal conditions in early post-acute rehabilitation facilities.
Methods: The ICF Core Set development involved a formal decision-making and consensus process integrating evidence gathered from preliminary studies including focus groups of health professionals, a systematic review of the literature and empiric data collection from patients.
Results: Fifteen experts selected a total of 70 second-level categories. The largest number of categories was selected from the ICF component Body Functions (23 categories or 33%). Seven (10%) of the categories were selected from the component Body Structures, 22 (31%) from the component Activities and Participation, and 18 (26%) from the component Environmental Factors.
Conclusion: The Post-acute ICF Core Set for patients with musculoskeletal conditions is a clinical framework to comprehensively assess patients in early post-acute rehabilitation facilities, particularly in an interdisciplinary setting. This first ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally.6 http://www.informaworld.com/10.1080/09638280400014006 0963-8288
July 17, 2009 /( b Scheuringer, Monika
Grill, Eva
Boldt, Christine
Mittrach, René
Müllner, Petra
Stucki, Gerold 2005 Systematic review of measures and their concepts used in published studies focusing on rehabilitation in the acute hospital and in early post-acute rehabilitation facilities 419 - 429 Disability & Rehabilitation 27 7 Purpose: To identify outcome measures cited in published studies focusing on rehabilitation in the acute hospital and in early post-acute rehabilitation facilities, and to identify and quantify the concepts contained in these measures using the ICF as a reference.
Methods: Electronic searches of Medline, Embase, CINAHL, Pedro and the Cochrane Library from 1997 to March 2002 were carried out. In a first step, abstracts of the retrieved studies were checked and data on the outcome measures and certain characteristics of the included studies were extracted. In a second step, the items of the questionnaires and their underlying concepts were specified. These concepts were then linked to ICF categories using standardized linkage rules.
Results: From the 1,657 abstracts retrieved, 259 studies met the inclusion criteria. In a second step, 277 formal assessment instruments and 351 single clinical measures were retrieved. A total of 1,353 concepts were extracted from the clinical and technical measures. Ninety-six percent of these concepts could be linked to ICF categories. Fifty-six second-level ICF categories representing the concepts contained in the measures. Twenty-six (46%) of the 56 categories belong to the component Body Functions, five (9%) to the component Body Structures, and 25 (45%) to the component Activities and Participation.
Conclusions: The ICF provides a valuable reference to identify and quantify the concepts of outcome measures focusing on rehabilitation in the acute hospital and in early post-acute rehabilitation facilities. Our findings indicate a need to define and to agree on ‘what should be measured’ in rehabilitation care to allow for a comparison of patient populations.6 http://www.informaworld.com/10.1080/09638280400014089 0963-8288
July 17, 2009 ?) Schliehe F, 2006x [The ICF classification system--a problem oriented inventory on behalf of the German Society of Rehabilitation Sciences] 258-71 Rehabilitation (Stuttg) Oct;45 5S With the International Classification of Functioning, Disability and Health, ICF and its adoption by the World Health Organization in May 2001, the concept of "functional health" reached a new dimension. Prepared and developed further over many years, the concept of a comprehensive and internationally consented classification system completed the shifting of paradigm in our notion of disease and disablement, bringing along far-reaching consequences for theory and practice in particular in rehabilitation. Symbolizing this paradigmatic shift, destigmatization, resource orientation, context factors, and participation are among the central notions of the concept. The ICF is a foundation for seeking international agreement across the bounds of disciplines and is amidst an intensive transfer and implementation process, also in Germany. Due to the multitude of actors and activities involved, it has become almost impossible even for those taking a strong interest in the matter to keep up with developments and fields of applications, let alone to achieve consensus in these respects. The German Society of Rehabilitation Sciences therefore initiated a problem-oriented stocktaking of the present situation. This article seeks to point out a number of important developments and trends in order to provide initial orientation and overview. The stocktaking is intended to contribute to further disseminating the ICF, at the same time however to outline several crucial fields of application and development. To be continued and deepened, this preliminary stocktaking underlines several core developments along with a number of conceptual issues still unresolved for the time being. Notwithstanding a high degree of acceptance of the concepts underlying the ICF, continued and, as far as possible, coordinated efforts toward implementation will be required at all levels.+ http://www.ncbi.nlm.nih.gov/pubmed/17024610y Arbeitsgruppe ICF der Deutschen Gesellschaft für Rehabilitationswissenschaften (DGRW), Hamburg. fam.schliehe@t-online.de?* Schlosser, Ralf W.
May-June 2004j Goal attainment scaling as a clinical measurement technique in communication disorders: a critical review 217-239 " Journal of Communication Disorders 37 3= Goal attainment scaling; Client progress; Outcome measurement Evaluation of client progress is an important topic in communicative disorders research and clinical literature. Goal attainment scaling (GAS) is a technique for evaluating individual progress toward goals. Despite recognition of GAS as a clinical-outcome assessment technique in other clinical professions, the current debate on measuring client progress and outcome measurement in communication disorders has largely ignored GAS. The purpose of this paper is threefold: (a) to introduce GAS to the field of communication disorders, (b) to offer a critical review, and (c) to explore directions for harnessing the value of GAS for the field. In addition to the ability of GAS to evaluate individualized longitudinal change, it offers the following positive attributes: (a) grading of goal attainment, (b) comparability across goals and clients through aggregation, (c) adaptability to any International Classification of Functioning, Disability, and Health levels and domains, (d) versatility across populations and interventions, (e) linkage tied to expected outcomes, (f) facilitator of goal attainment, and (g) a focal point for team energies. The unique value of GAS could render this technique as a welcomed addition to the present set of options available to clinicians interested in assessing progress and evaluating change. Reliability and validity of GAS will be discussed. Finally, directions for harnessing the potential of GAS for communication disorders are offered for clinical practice and clinical-outcome research.
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T85-4B0NVGC-1&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_rerunOrigin=scholar.google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=8a43a3a3ad4a381918386dbc88a62137 Department of Speech-language Pathology and Audiology, Northeastern University, 151B Forsyth, 360 Huntington Ave., Boston, MS 02115, USA
b?- @ Schönrich S, Brockow T, Franke T, Dembski R, Resch KL, Cieza A, 2006 Analyzing the content of outcome measures in clinical trials on irritable bowel syndrome using the international classification of functioning, disability and health as a reference. 172-80 Rehabilitation (Stuttg) Jun;45 3 BACKGROUND: Patients with irritable bowel syndrome (IBS) report a significant impact of their symptoms on functional health. In outcome assessment of clinical studies on IBS, however, functional aspects other than gastrointestinal symptoms seem to be disregarded to a great extent. AIM: To analyze the content of outcome measures used in clinical IBS trials. METHODS: A systematic review was performed in terms of a quantitative content analysis using the International Classification of Functioning, Disability and Health (ICF) as a coding scheme. Outcome measures were selected from all randomized controlled trials on IBS published in PubMed from the beginning to April 2002. From the outcome measures pre-specified text passages, so-called coding units, were extracted and linked to the ICF. A coding unit had to describe a single health aspect or an internal or external factor with an impact on health. If the outcome measure was a test the goal of the test was semantically implicated. Only second-level ICF categories contained in the outcome assessment of at least 10 % of the studies were considered. All steps of the review were performed by three independent raters. RESULTS: 99 studies were included. Single items were used as outcome measures in 88, clinical and paraclinical tests in 42 and questionnaires in 24 studies. Ninety percent of the coding units (n = 2271) could be linked to the ICF. ICF categories describing gastrointestinal symptoms were considered i /, I Schneidert, Marguerite
Hurst, Rachel
Miller, Janice
Üstün, Bedirhan 2003g The role of Environment in the International Classification of Functioning, Disability and Health (ICF) 588 - 595 Disability & Rehabilitation 25 11 Purpose : This paper provides a framework for understanding the impact of environmental factors on functioning when a person has a health condition. This understanding provides the rationale for including environmental factors in WHO's International Classification of Functioning, Disability and Health (ICF).
Method and Results : This conceptual paper uses a review format to provide, firstly, an historical perspective on the integration of environmental factors into the understanding of disability and the ICF; secondly, a description of the overall ICF and, specifically, the environmental factors section; and thirdly, an overview of the interaction of a person with a health condition and the environment in which they live, and the outcome of disability.
Conclusions : The ICF is a classification that allows a comprehensive and detailed description of a person's experience of disability, including the environmental barriers and facilitators that have an impact on a person's functioning. The recognition of the central role played by environmental factors has changed the locus of the problem and, hence, focus of intervention, from the individual to the environment in which the individual lives. Disability is no longer understood as a feature of the individual, but rather as the outcome of an interaction of the person with a health condition and the environmental factors.8 http://www.informaworld.com/10.1080/0963828031000137090 0963-8288
July 17, 2009n the outcome assessment of 37 to 85 studies depending on the type of content compared to extra-gastrointestinal symptoms in 10 to 22 studies. Health information of ICF components other than "body functions" was scarcely included. Clear secular trends for individual ICF categories could not be found. Only a single IBS-specific questionnaire considered health information other than gastrointestinal symptoms. DISCUSSION AND CONCLUSION: Outcome assessment of clinical IBS studies is mainly based on gastrointestinal symptoms. The assessment of other health aspects like comorbid psychological symptoms or social consequences of the disease seems to be similarly important and should be considered in future trials. This would also facilitate the understanding of IBS as a biopsychosocial health condition, both in matters of aetiology and consequences.+ http://www.ncbi.nlm.nih.gov/pubmed/167554363 Spa Medicine Research Institute Bad Elster, Germany ?. Schuntermann, Michael F. 2005 The implementation of the International Classification of Functioning, Disability and Health in Germany: experiences and problems 93-1020 International Journal of Rehabilitation Research 28 2 International Classification of Functioning
Disability and Health (ICF)
activity
participation
disability
00004356-200506000-00001
The bio-psycho-social model of the International Classification of Functioning, Disability and Health (ICF) has already found wide acceptance in Germany. In particular, the introduction of contextual factors (environmental factors and personal factors) is welcomed. Several rehabilitation facilities have used the model and the chapters of the revision version (Beta-2) as guidelines for documenting their interviews with rehabilitation patients. Their experiences are encouraging. However, it has already been recognized that coding with the ICF will be difficult and time consuming. Thus, the practicability of the ICF should be improved. Training in the use of the ICF is absolutely essential. It is welcomed that the ICF provides a common vocabulary for both people with disability and for professionals in the fields of rehabilitation and disability. This is particularly important in Germany because we have a rather complicated social system. In contrast to the International Classification of Impairments, Disabilities and Handicaps (ICIDH), the ICF, in general, contains neutral terms only. Many of our physicians in rehabilitation complain about that. Obviously they also need to be able to express the signs and symptoms of restrictions of functioning in negative terms and in this respect they feel that the ICIDH was more helpful. While both the concept of activities and the concept of participation are clearly understood from the point of view of content some of us have severe problems with the operationalization of both concepts via qualifiers. From a theoretical perspective we regret that the concept of activity is not theory driven and that the concept of participation is not operationalized independently from the concept of activity. A proposal for solving these problems is given. In Germany, the ICIDH, or the ICF latterly, has been taken into account in the following areas. The new German Social Code Number IX (SGB IX) from 2001, Rehabilitation and participation of people with disabilities, is based on the ICF. All guidelines and general recommendations within the context of rehabilitation have been adjusted to the ICF. The ICF plays an important role in the training for the medical field of physical medicine and rehabilitation and is also included in the training curricula of the medical specializations of social medicine and rehabilitation. The German research programme 'Rehabilitation sciences' includes some projects dealing with the ICF. The model of consequences of diseases (ICIDH) has been part of the rehabilitation quality insurance programme of the German Pension Insurance since 1994. Since 1 April 2004, the institutes of the German Health Insurance have applied the ICF to their rehabilitation application form. (C) 2005 Lippincott Williams & Wilkins, Inc.j http://journals.lww.com/intjrehabilres/Fulltext/2005/06000/The_implementation_of_the_International.1.aspx 0342-5282 ?/ % Scott, David L, Smith C, Kingsley G. 2005K What are the consequences of early rheumatoid arthritis for the individual? 117-136 . Best Practice & Research Clinical Rheumatology 19 1P rheumatoid arthritis; pain; remission; X-ray damage; disability; work disability http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WBJ-4F00MYB-9&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_rerunOrigin=scholar.google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=9ad8ab8981f9cd8b280a788c0fd1ae9a Department of Rheumatology, Kings College Hospital, Denmark Hill, London SE5 9RS, UK
Department of Rheumatology, Lewisham Hospital NHS Trust, London, UK ?0
Seeger D, 2001 Dec8 [Physiotherapy in low back pain--indications and limits] 461-7 Schmerz. 15 6+ http://www.ncbi.nlm.nih.gov/pubmed/11793152Q Kliniken der Georg-August-Universität, Göttingen. dseeger@med.uni-goettingen.dek?1 * Segal R, Mandich A, Polatajko H, Cook JV,
2002 Jul-Aug; Stigma and its management: a pilot study of parental perceptions of the experiences of children with developmental coordination disorder. 422-8. Am J Occup Ther. 56 4 The findings of a small qualitative interview study with 8 parents of 6 children with developmental coordination disorder are reported. The parents discussed the social consequences of their children's motor difficulties. The new International Classification of Functioning, Disability and Health was used as a framework for the analysis of the interview transcripts. The analysis revealed that the parents believed that their children's impairments restrict their participation in society. The interactions between impairment and participation are interpreted in the context of stigma and its management. The significance of occupational therapy interventions in the area of physical activity play to children's social life is discussed.+ http://www.ncbi.nlm.nih.gov/pubmed/12125831[ Department of Occupational Therapy, New York University, New York 10012, USA. rs108@nyu.edu ?2 ; Seger W, Schian HM, Steinke B, Heipertz W, Schuntermann M, 2004 Jun; [Health, social, societal and organizational political effects of the implementation of the ICF on integrated rehabilitation--a vision of the conversion and its consequences] 393-9 Gesundheitswesen. 66 6 Fundamental joint principles on expert opinions according to the social law code no. IX (SGB IX) and their application to a virtual individual case history were published recently in this journal. They are based on the ICF (International Classification of Functioning, Disability and Health, WHO 2001). A visionary review of the chances and prospects for the further development of the rehabilitative system is outlined and the necessary steps for their implementation are demonstrated.+ http://www.ncbi.nlm.nih.gov/pubmed/15206043L Leitender Arzt und stv. Geschäftsführer, MDK Niedersachsen. wseger@mdkn.de ?3 Seger W, Cibis W, Hagen T, Harai G, Heipertz W, Hüller E, Korsukéwitz C, Krasney OE, Leistner K, Leupold M, Niedeggen A, Rohwetter M, Schian HM, Schuntermann MF, Steinke B, Stolz M; Medical Advisory Board, German Federal Rehabilitation Council, 2003c [Aspects of expertising which are jointly valid for German sociomedicine and statutory health care] 603-11 Gesundheitswesen. Nov;65 11 A project group of the Medical Advisory Board of the German Federal Rehabilitation Council (BAR) developed fundamental joint principles on experts' opinions according to the social law code no. IX (SGB IX). The principles aim at medical experts working in different social organisations and statutory health care insurances. It was intended to create a "sociomedical language" which should be used as jointly as possible by experts in rehabilitation and social medicine and which is based on the ICF (International Classification of Functioning, Disability and Health, WHO 2001). Its stringent application will increase the utility of medical expertise across different institutions. The authors recommend to evaluate whether this model could provide a tool in the communication and cooperation between different sectors of the health system. Part I describes the theoretical model, Part II its application to a virtual individual case history.+ http://www.ncbi.nlm.nih.gov/pubmed/14639517d Arztlichen Sachverständigenrates der BAR, Ltd. Arzt des MDK Niedersachsen, Hannover. wseger@mdkn.de?4 Seger W, Cibis W, Hagen T, Harai G, Heipertz W, Hüller E, Korsukéwitz C, Krasney OE, Leistner K, Leupold M, Niedeggen A, Rohwetter M, Schian HM, Schuntermann MF, Steinke B, Stolz M, 2004 a [Aspects of expertise which are jointly valid for German sociomedicine and statutory health care] 43-50 Gesundheitswesen. Jan;66 1 project group of the Medical Advisory Board of the German Federal Rehabilitation Council (BAR) developed fundamental joint principles on experts' opinions according to the social law code no. IX (SGB IX). The principles aim at medical experts working in different social organisations and statutory health care insurance. It was intended to create a "sociomedical language" which should be used as jointly as possible by experts in rehabilitation and social medicine and which is based on the ICF (International Classification of Functioning, Disability and Health, WHO 2001). Its stringent application will increase the utility of medical expertise across different institutions. The authors recommend to evaluate whether this model could provide a tool in the communication and cooperation between different sectors of the health system. Part I describes the theoretical model, Part II its application to a virtual individual case history.+ http://www.ncbi.nlm.nih.gov/pubmed/14767790j orsitzender des Arztlichen Sachverständigenrates der BAR, Ltd. Arzt des MDK Niedersachsen. wseger@mdkn.de f ?5
Seidel, M. 2005U Die Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit 79-92 Der Nervenarzt 76 12 Classification - Disability - Functioning - Health Zusammenfassung Der Beitrag stellt die Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) der Weltgesundheitsorganisation vor. Ihre Vorgeschichte, Ziele, Begriffe, Struktur sowie ihr komplementäres Verhältnis zur ICD-10 werden erläutert., http://dx.?6 - Seltser, R.
Dicowden, M. A.
Hendershot, G. E. 2003 Terrorism and the International Classification of Functioning, Disability and Health: a speculative case study based on the terrorist attacks on New York and Washington 635-643 Disability and Rehabilitation 25
Numbers 11-12 Research ' Purpose: To argue that there is a need for a standard classification of functional status to track the consequences of large scale human disasters, such as the terrorist attacks on New York and Washington on September 11, 2001; and that the World Health Organization's International Classification of Functioning, Disability, and Health (ICF) can meet that need.
Method: The need for tracking functional status following the September 11 attacks is assessed, and three hypothetical case studies of victims of terrorist attacks are presented and coded using a clinical short form of the ICF.
Results: It is demonstrated that typical clinical case histories can be coded to the ICF and that the resulting information is useful for tracking the functional consequences of large scale terrorist attacks on civilian populations.
Conclusions: ICF research, development, and training should proceed with the goal of implementing the classification in professions and settings concerned with the functional consequences of terrorist attacks and other human disasters. } http://www.ingentaconnect.com/content/apl/tids/2003/00000025/F0020011/art00011
http://dx.doi.org/10.1080/0963828021000075955 + [1]
[2]
[3]
doi:10.1080/0963828021000075955 University of Pittsburgh, Graduate School of Public Health, Pittsburgh, PA 15261, USA 2: Biscayne Institutes of Health and Living, Inc., Miami, FL, USA 3: Consultant on Disability and Health Statistics, 4437 Wells Parkway, University Park, MD 20782, USA sdoi.org/10.1007/s00115-004-1855-8 10.1007/s00115-004-1855-82 Classification - Disability - Functioning - Health :/7 Shaw, Lynn
MacKinnon, Joyce 2004! A Multidimensional View of Health 213 - 2225 Education for Health: change in Learning and Practice 17 2> Context: Emergence and burgeoning of specialized health care structures have contributed to the diversity in health services. Inadvertently, the separation and resultant independent functioning of health and rehabilitation organizations have impeded opportunities for health care workers to interact with one another. Consequently, providers may lack knowledge on available health services within communities in which they preside. Educational approaches that can assist health professionals improve awareness of services across organizational divides are needed.
Objectives: The new International Classification of Functioning Disability and Health (ICF), offers a multidimensional view of health, which can be used in education sessions to increase provider awareness of how health is mediated across health paradigms. This paper explores the conceptual basis of the ICF and its use in promoting a broader view of health essential for treating consumers with complex health problems and enhancing knowledge sharing amongst professionals.
Methods: A single case study design is used to demonstrate how the ICF's conceptual framework offers providers a means to promote mutual understanding of differences in health services and to assist them in sharing knowledge on the services provided with others.
Conclusion: Conceptually, the ICF can be used as a basis for structuring inter-organizational educational initiatives to increase knowledge sharing amongst organizations and health care workers. In addition, introducing health professionals to a multidimensional view of health can assist them to understand the breadth of health services in the community and to consider a more comprehensive set of health determinants and dimensions in caring for consumers.9 http://www.informaworld.com/10.1080/13576280410001711030 1357-6283
July 17, 2009 m / Q Schraner, Ingrid
de Jonge, Desleigh
Layton, Natasha
Bringolf, Jane
Molenda, Agata 2008t Using the ICF in economic analyses of Assistive Technology systems: Methodological implications of a user standpoint 916 - 926 Disability & Rehabilitation 30 12T Economics; ICF; cost-effectiveness analysis; Assistive Technology; universal design Purpose. This paper identifies key methodological issues for economic analyses of ?9 : Sibley A, Kersten P, Ward CD, White B, Mehta R, George S, 2006S Measuring autonomy in disabled people: Validation of a new scale in a UK population 793-803 Clin Rehabil. Sep;20 9 OBJECTIVE: To evaluate the validity and reliability of an English version of the Impact on Participation and Autonomy Questionnaire (IPA). The original Dutch IPA has been shown to load onto five factors. DESIGN: A validation study. SETTING: Outpatients clinics and people's homes. SUBJECTS: Two hundred and thirteen people with multiple sclerosis, rheumatoid arthritis, spinal cord injury, and general practice attendees, stratified by level of disability (median age 54, 42% male, 58% female). Inclusion criteria: English as first language, aged 18-75, Mental Status Questionnaire score >6. INTERVENTIONS: Self- and interviewer-administered outcome measures. MAIN MEASURES: IPA, including one new item (66 participants completed the IPA on a second occasion). OTHER MEASURES: Short Form-36 Health Survey (SF-36), London Handicap Scale, three domains of the Functional Limitations Profile (FLP): household management, social integration, emotion. RESULTS: Confirmatory factor analysis confirmed the construct validity of the IPA (Normal Fit Index = 0.98, Comparative Fit Index = 0.99), indicating a good fit to the model. Convergent and discriminant validity were confirmed by the predicted associations, or lack of, with the exception of a poor association between the 'social life/relationships' IPA subscale and FLP-emotion. Internal reliability of the IPA was confirmed (Cronbach alphas >0.8; item-total correlations for all subscales >0.5). Test-retest reliability was confirmed for all items (weighted kappas >0.6) and subscales (intraclass correlation coefficients >0.90). CONCLUSIONS: The English IPA is a valid, reliable and acceptable measure of participation and autonomy in people with a range of conditions and can make a unique and fundamental contribution to outcome assessment. Further research is required to examine the responsiveness of the IPA to change over time, its clinical utility and suitability for use with people from ethnic minorities and with older people+ http://www.ncbi.nlm.nih.gov/pubmed/17005503I School of Nursing & Midwifery, University of Southampton, Southampton, UK ?: e Shumway-Cook Anne, Aftab Patla, Anita, L. Stewart, Luigi Ferrucci, Marcia, A. Ciol, Guralnik Jack M, 2005h Assessing Environmentally Determined Mobility Disability: Self-Report Versus Observed Community Mobility 700-704* Journal of the American Geriatrics Society 53 4- Environmental factors, mobility, older people To examine the test-retest reliability and concurrent validity of a new self-report measure of mobility function by comparing it with observed mobility, self-reported activity of daily living (ADL) function, and performance-based measures of gait and balance. Cross-sectional study involving two groups of older adults. Community sites in Seattle, Washington, and Waterloo, Ontario, Canada. Fifty-four adults aged 70 and older, recruited. Subjects completed the Environmental Analysis of Mobility Questionnaire (EAMQ), reporting frequency of encounter and avoidance of 24 features of the physical environment, grouped into eight dimensions, on two occasions 1 week apart. Subjects were observed and videotaped during six trips into the community; frequency of encounters with environmental features within the eight dimensions was recorded. EAMQ encounter and avoidance scores were compared with observed environmental encounters, with disability in ADLs and instrumental ADLs (IADLs), and lower extremity functional measures including the Short Physical Performance Battery (SPPB) and the Berg Balance Test. EAMQ test-retest reliability was high for all eight dimensions (intraclass correlation coefficient range=0.8120131.0) and for summary encounter (0.98) and avoidance (0.96) scores. Observed mobility was significantly correlated (Spearman correlation = r) with EAMQ summary encounter (r=0.66) and avoidance (r=22120.58) scores. Moderate correlations were present between the EAMQ (encounter or avoidance) and observed mobility in the distance, temporal, terrain, posture, load, and density dimensions but not in the attention and ambient dimensions. EAMQ encounter/avoidance was significantly associated with ADL and IADL ability and performance on the SPPB and Berg Balance Test. Self-reported frequency of encounter and avoidance of specific environmental features appears to be a valid method for determining environmentally specific mobility disability but needs to be confirmed in a larger sample.3 http://dx.doi.org/10.1111/j.1532-5415.2005.53222.x 10.1111/j.1532-5415.2005.53222.x 1532-5415 Department of Rehabilitation Medicine, University of Washington, Seattle, Washington; Department of Kinesiology, University of Waterloo, Waterloo, Ontario, Canada; Institute for Health and Aging, University of California at San Francisco, San Francisco, California; Baltimore Longitudinal Study of Aging, National Institute on Aging, Baltimore, Maryland; Laboratory of Epidemiology, Demography, and Biometry, National Institute on Aging, National Institutes on Health, Bethesda, Maryland. isability and Health (ICF) 147-153 The Clinical Journal of Pain 22 2 health-related quality of life
health status measures
low back pain
International Classification of Functioning Disability and Health (ICF)
linkage
00002508-200602000-00005W Objectives: The objective of this study was to compare the content covered by the North American Spine Society Lumbar Spine Outcome Assessment Instrument, the Oswestry Low Back Disability Questionnaire, and the Roland-Morris Disability Questionnaire based on the International Classification of Functioning, Disability and Health (ICF). Methods: The linkage of items of the three measures to the ICF involved three steps, which were performed by two different health professionals and in which 10 different linking rules were applied. Results: In the 48 items of the three instruments, a total of 123 concepts were identified and linked to the ICF. The concepts contained in the items were linked to 10 ICF categories of the component "body functions," 27 of the component "activities and participation," and 4 of the component "environmental factors." The estimated kappa coefficients ranged from 0.67 to 1.00. Conclusion: Comparison based on the ICF provides insight into both the breadth of health dimensions measured as well as the thoroughness and depth of measurement. Therefore, it can be a useful tool when selecting specific measures for a study. Compared with other types of qualitative review, the most important advantage of the content comparison of measures based on the ICF is the use of an external and independent reference to which all the instruments can be linked and by which all the instruments can be compared. The three back-specific measures are comparable, with their common focus on physical aspects of body functions and activities and participation. (C) 2006 Lippincott Williams & Wilkins, Inc.m http://journals.lww.com/clinicalpain/Fulltext/2006/02000/Content_Comparison_of_Low_Back_Pain_Specific.5.aspx 0749-8047 A?< 0 Sigl, T.
Cieza, A.
van der Heijde, D.
Stucki, G. 2005t ICF based comparison of disease specific instruments measuring physical functional ability in ankylosing spondylitis 1576-1581
Ann Rheum Dis 64 11 November 1, 2005 Objectives: To link validated and widely used instruments measuring physical functional ability in ankylosing spondylitis to the International Classification of Functioning, Disability, and Health (ICF) and to compare their contents, based on the results of the linking process. Methods: The Bath Ankylosing Spondylitis Functional Index (BASFI), the Dougados Functional Index (DFI), the Health Assessment Questionnaire modified for the spondylarthropathies (HAQ-S), and the Revised Leeds Disability Questionnaire (RLDQ) were linked to the ICF separately by two trained health professionals according to 10 linkage rules. Results: All concepts contained in the items of the selected instruments could be successfully linked to the ICF except for "illness" included in the HAQ-S. Altogether 55 different ICF categories were linked. Seven belonged to "body functions", 43 to "activities and participation", and five to "environmental factors". The component "body structure" was not contained in any of the four instruments. Only two ICF categories were common to all selected questionnaires, but there was a high level of concordance on the concepts represented in them. However, especially in terms of "activities and participation", the emphasised aspects differed. Conclusions: The ICF provides an excellent common framework for the comparison of disease specific instruments for ankylosing spondylitis. For a future revision of the ICF, a specification of major limitations in patients with ankylosing spondylitis is suggested.3 http://ard.bmj.com/cgi/content/abstract/64/11/1576 10.1136/ard.2004.027185?= Sigl T, Ewert T, Stucki G, 2004 Dec[ Patient-centered assessment of functional health in systemic sclerosis -- where are we now? 463-9
Z Rheumatol. 63 6v Self-administered patient-centered questionnaires have been shown to be practical, reliable and valid in terms of evaluating functional limitations in rheumatic diseases. In systemic sclerosis a modified version of the HAQ and condition-specific questionnaires have been used. The Health Assessment Questionnaire (HAQ) does not comprehensively cover functional limitations in patients with systemic sclerosis. Visual Analogue Scales added to the modified HAQ reflect general and organ-specific symptoms only to some extent. The Self-administered Systemic Sclerosis Questionnaire (SySQ) includes general, organ-specific and musculoskeletal symptoms with a focus on functional limitations of the upper and lower extremities. The SySQ has not been examined longitudinally nor has it been validated cross-culturally. WHO's International Classification of Functioning, Disability and Health (ICF) could serve as a future reference framework and common language in terms of the design of new disease-specific, patient-centered, comprehensive questionnaires for systemic sclerosis as well as in the further improvement of established questionnaires.+ http://www.ncbi.nlm.nih.gov/pubmed/15605210 Klinik und Poliklinik für Physikalische Medizin und Rehabilitation der Universität München, Marchioninistr. 15, 81377 München, Germany. tanja.sigl@med.uni-muenchen.de ~?> @ Simeonsson, Rune, J.
Anita, A. Scarborough
Kathleen, M. Hebbeler 2006M ICF and ICD codes provide a standard language of disability in young children 365-373 Journal of clinical epidemiology 59 4 Elsevier Disability in children
ICD
ICF* The aim of this study was to examine the utility of a hierarchical algorithm incorporating codes from the International Classification of Functioning, Disability and Health—ICF (WHO, 2001) and the International Statistical Classification of Diseases-ICD (WHO, 1994) to classify reasons for eligibility of young children in early intervention. The database for this study was a nationally representative enrollment sample of more than 5500 children in a longitudinal study of early intervention. Reasons for eligibility were reviewed and matched to the closest ICF or ICD codes under one of four major categories (Body Functions/Structures, Activities/Participation, Health Conditions, and Environmental Factors). The average number of reasons for eligibility provided per child was 1.5, resulting in a population summary exceeding 100%. A total of 305 ICF and ICD codes were used with most (77%) of the children having codes in the category of Body Function/Structures. Forty-one percent of the sample had codes of Health Conditions, whereas the proportions with codes in the Activities/Partipication and Environmental Categories were 10 and 5%, respectively. The results demonstrate that ICD and ICF can be jointly used as a common language to document disability characteristics of children in early intervention.> http://linkinghub.elsevier.com/retrieve/pii/S0895435605003732 0895-4356 S0895-4356(05)00373-2$ D?? Simeonsson RJ, 2003U Documenting children and environments in early intervention: Contribution of the ICF.& ICF Sessions at APHA Annual Meeting,
San FranciscoA Characteristics, physical and social enviroments, data collection Abstract# 69961 http://www.apha.org/ t costs and effectiveness of Assistive Technology (AT) systems based on the International Classification of Functioning, Disability and Health (ICF). Following the biopsychosocial model of the ICF, the paper explores the consequences for cost-effectiveness analyses of AT systems when a user centred approach is taken. In so doing, the paper questions the fiction of neutrality in economic analyses and discusses the distinction between weak and strong objectivity.
Method. Costs are measured as all resources used when providing a particular level of environmental facilitators and reducing environmental barriers for an AT user, while effectiveness is measured in terms of the resulting increase in activities and participation of the AT user. The ICF's fourth qualifier for activities and participation, which denotes performance without assistance is used to identify the additional performance achieved due to the particular environmental factors in the current situation (first qualifier). A fifth qualifier for activities and participation is introduced to denote performance with optimal assistance, and the fourth qualifier is then again used to identify the increase in activities and participation due to the environmental factors in the situation with optimal assistance.
Results. The effectiveness that an AT user achieves in his or her current situation can be compared with the effectiveness he or she could achie, ?B ? Simeonsson, Rune, J.
Janey Sturtz, McMillen
Gail, S. Huntington 2002R Secondary conditions in children with disabilities: spina bifida as a case example 198-205B Mental Retardation and Developmental Disabilities Research Reviews 8 3k This paper examines the concept of secondary conditions and its application in studies of childhood disability focusing on children with spina bifida as a representative group. The ldquoInternational Classification of Functioning, Disability and Healthrdquo (World Health Organization, Geneva, 2001) provides a classification of body function/structure, activities, participation and the environment to document dimensions of human functioning in context. The ICF is of value in the study of secondary conditions in two ways: as a conceptual framework for defining impairments, activity limitations and participation restrictions, and the mediating role of the environment in their expression; and as a taxonomy for coding these dimensions of disability. The ICF can yield a profile of a child's difficulties, and documentation of environmental barriers experienced by that child. Research studies with children and adolescents with spina bifida reveal that physical and mental impairments and limitations in performing activities and participating in communal life are experienced as secondary conditions. The significance of secondary conditions is that they are preventable. Identifying the mechanisms associated with their manifestation is thus an important priority for the development of effective prevention programs. MRDD Research Reviews 2002;8:198-205. © 2002 Wiley-Liss, Inc.% http://dx.doi.org/10.1002/mrdd.10038 10.1002/mrdd.10038 1098-2779r School of Education & Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill~?C A Simeonsson, Rune, J.
Donald, Lollar
Joseph, Hollowell
Mike, Adams 2000n Revision of the International Classification of Impairments, Disabilities, and Handicaps: Developmental issues 113-124 Journal of clinical epidemiology 53 2 Elsevier? ICIDH
Childhood disability
Impairment
Environment
Public Health% Variability in approaches to define and classify disability has constituted persistent problems in documenting the epidemiology of disability and providing appropriate services. The major institutions of health care, mental health, and welfare often have separate systems of classification and terminology related to defining eligibility for programs and funding for services. In 1980, the International Classification of Impairments, Disabilities and Handicaps-ICIDH was published by the World Health Organization as a companion document of the International Classification of Disease to document the consequences of illness or injury. Current problems concerning the classification of childhood disability in health, education, and related services have resulted in growing interest in the revision of the ICIDH as a classification tool. The strengths and limitations of the ICIDH are examined in general, as well as with specific reference to its ability to document the nature and epidemiology of childhood disability. This paper (1) describes the ICIDH taxonomy and representative contributions; (2) reviews issues and concerns contributing to its revision; (3) summarizes changes in the revised ICIDH2 draft document, and (4) identifies issues of particular relevance to children and public health applications.> http://linkinghub.elsevier.com/retrieve/pii/S089543569900133X 0895-4356 S0895-4356(99)00133-X \ ?D 5 Simmons-Mackie, Nina, Travis T. Threats, Aura Kagan, January-February 2005( Outcome assessment in aphasia: a survey 1-27 # Journal of Communication Disorders 38 1- Outcome; Aphasia; Assessment; WHO ICF; Survey There has been a marked increase in attention to the measurement of “outcomes” after speech-language intervention for adult aphasia. Consumers, speech-language pathologists (SLPs), and funding sources desire evidence of therapy outcomes that improve communication and enhance the quality of life for people with aphasia. While many assessment tools are available to measure outcomes after aphasia therapy, there is little information regarding the use of these tools in everyday practice by SLPs. Therefore, the current investigation was undertaken to identify and describe the practices of SLPs relative to outcome assessment in aphasia. An online survey of outcome assessment practices was distributed. Results revealed that 85% of the 94 respondents reportedly perform outcome assessment. A majority of respondents reported barriers to assessment such as time and funding limitations. Considerable variability existed in the types of assessments and the actual tools reported. The impact of the results on clinical practice is discussed http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T85-4CBVMBX-2&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_rerunOrigin=scholar.google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=ca103a59391a2d3a6d493efb6a2a565fV a. Department of Communication Sciences and Disorders, Southeastern Louisiana University, 59020 Highway 433, Slidell, LA 70460, USA
b. Department of Communication Sciences and Disorders, Saint Louis University, St. Louis, MO, USA
c. Aphasia Institute (incorporating the Pat Arato Aphasia Centre), The University of Toronto, Toronto, Canada
/E Simmons-Mackie, N. 2004 Cautiously embracing the ICF 67 - 702 International Journal of Speech-Language Pathology 6 1. WHO, classification, speech-language pathology9 http://www.informaworld.com/10.1080/14417040410001669499 1754-9507
July 20, 2009 5 http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T52-4CKFJH1-4&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_rerunOrigin=scholar.google&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=a623ab0d5b2d787dafc1dc2eaec08fe4 Occupational Therapy Department, 3rd Floor, Coles Building Royal Children’s Hospital, Herston Road, Herston, Queensland 4029, Australia
b Division of Occupational Therapy, The University of Queensland, Queensland, Australia
c Private Practice, Roma, Queensland, Australia
?G Simons M, Ziviani J, Tyack ZF, 2004 Aug^ Measuring functional outcome in paediatric patients with burns: methodological considerations. 411-7 Burns. 30 5 Methodological criticisms of research undertaken in the area of paediatric burns are widespread. To date, quasi-experimental research designs have most frequently been used to examine the impact of impairments such as scarring and reduced range of motion on functional outcomes. Predominantly, these studies have utilised a narrow definition of functioning (e.g. school attendance) to determine a child's level of participation in activities post-burn injury. Until recently, there had been little attempt to develop and/or test a theoretical model of functional outcome with these children. Using a conceptual model of functional outcome based on the International Classification of Functioning, Disability and Health, this review paper outlines the current state of the research literature and presents explanatory case study methodology as an alternative research design to further advance the study of functional outcome post-burn injury.+ http://www.ncbi.nlm.nih.gov/pubmed/15225904} Stuart Pegg Paediatric Burns Centre, Royal Children's Hospital, Brisbane, Qld 4029, Australia. megan_simons@health.qld.gov.au 7 `/ [ Simeonsson, R. J.
Leonardi, M.
Lollar, D.
Bjorck-Akesson, E.
Hollenweger, J.
Martinuzzi, A. 2003u Applying the International Classification of Functioning, Disability and Health (ICF) to measure childhood disability 602 - 610 Disability & Rehabilitation 25 11e The International Classification of Functioning, Disability and Health-ICF addresses the broad need for a common language and classification of functioning and disability. A parallel need is appropriate measures compatible with the content of the ICF to document the nature and impact of limitations of function, activities and participation. The interaction of developmental characteristics and disability among children represent special challenges for classification as well as measurement. Demographic trends emphasize the need for universal measures that encompass the components of the ICF and can be used in surveillance, screening and evaluation. This paper identifies issues related to application of the ICF to measure disability in childhood; reviews approaches and tools to assess childhood disability and identifies priorities for the development of measures of functioning and disability in children based on the ICF. The development of measures should be framed within a framework of children's rights and application of the biopsychosocial model to document profiles of functioning and disability of children.8 http://www.informaworld.com/10.1080/0963828031000137117 0963-8288 a School of Education & FPG Child Development Institute, CB #8185, UNC, Chapel Hill, NC 27599-8185, USA. ?I Skarakis-Doyle, Elizabeth 2005b Reconceptualizing Treatment Goals From Language Impairment to Functional Limitations: A Case Study 353-363 Topics in Language Disorders 25 4x childhood language disability
comprehension impairments
ICF
language intervention
language use
00011363-200510000-00010 This case study of a preadolescent boy with severe expressive and receptive language impairments illustrates treatment focused on the functional limitations on the child's daily academic activities and social participation. Treatment goals incorporated language comprehension objectives into the student's reading program and language use objectives into peer recreation and life skill activities. This case study expands discussion of the World Health Organization's biopsychosocial model of functioning, disability, and health to suggest its value as a framework for rationalizing treatment decisions for chronic language disorders through childhood and adolescence. (C) 2005 Lippincott Williams & Wilkins~ http://journals.lww.com/topicsinlanguagedisorders/Fulltext/2005/10000/Reconceptualizing_Treatment_Goals_From_Language.10.aspx 0271-8294 ?J H Sjögren-Rönkä T, Ojanen MT, Leskinen EK, Tmustalampi S, Mälkiä EA, 2002 Physical and psychosocial prerequisites of functioning in relation to work ability and general subjective well-being among office workers. 184-90* Scand J Work Environ Health. Jun;28(3):1
June 28 3] OBJECTIVES: The purpose of the study was to investigate the physical and psychological prerequisites of functioning, as well as the social environment at work and personal factors, in relation to work ability and general subjective well-being in a group of office workers. METHODS: The study was a descriptive cross-sectional investigation, using path analysis, of office workers. The subjects comprised 88 volunteers, 24 men and 64 women, from the same workplace [mean age 45.7 (SD 8.6) years]. The independent variables were measured using psychosocial and physical questionnaires and physical measurements. The first dependent variable, work ability, was measured by a work ability index. The second dependent variable, general subjective well-being, was assessed by life satisfaction and meaning of life. The variables were structured according to a modified version of the International Classification of Functioning, Disability and Health. RESULTS: Forward flexion of the spine, intensity of musculoskeletal symptoms, self-confidence, and mental stress at work explained 58% of work ability and had indirect effects on general subjective well-being. Self-confidence, mood, and work ability had a direct effect on general subjective well-being. The model developed explained 68% of general subjective well-being. Age played a significant role in this study population. CONCLUSIONS: The prerequisites of physical functioning are important in maintaining work ability, particularly among aging workers, and psychological prerequisites of functioning are of even greater importance in maintaining general subjective well-being.+ http://www.ncbi.nlm.nih.gov/pubmed/12109558X Department of Health Sciences, University of Jyväskylä, Finland. tuuronka@maila.jyu.fi ?K Skeat Jemimah, Perry, Alison, 20058 Outcome Measurement in Dysphagia: Not So Hard to Swallow 113-122 Dysphagia 20 2 Abstract This article reports on the use of a new tool from the Australian Therapy Outcome Measures (AusTOMs) set—the Swallowing scale. The scale is one of six, designed to measure outcomes of clients attending speech pathology practices in Australia. The tool was used for six months in clinical practices across 14 healthcare sites in Victoria, Australia (including six acute hospitals, six rehabilitation services, one specialist pediatric hospital, and one specialist cancer institute). This article provides preliminary descriptive data and analyses of outcomes from swallowing therapy, along with discussion of the strengths and weaknesses of this tool. Potential clinical applications are suggested., http://dx.doi.org/10.1007/s00455-004-0028-z 10.1007/s00455-004-0028-z/L , Brunner, Melissa
Skeat, Jemma
Morris, Meg E. 2008 Outcomes of speech-language pathology following stroke: Investigation of inpatient rehabilitation and rehabilitation in the home programs 305 - 3132 International Journal of Speech-Language Pathology 10 5O Speech-language pathology outcomes following stroke are poorly understood, and potential predictors of these, such as age and therapy input have not been well documented. For 12 months, the Australian Therapy Outcome Measures (AusTOMs) for Speech Pathology scales were used to rate swallowing and language outcomes for patients (n = 63) receiving rehabilitation post stroke. Outcomes were compared by service type (inpatient versus home based), amount of input and patient age. Greatest improvement was seen on the Swallowing scale. There was no difference in outcomes of inpatients compared to home based rehabilitation patients. There was a trend towards better outcomes with increasing input for the Swallowing scale and for Participation Restriction and Distress/Wellbeing domains. Patients less than 75 years of age had better Participation Restriction and Distress/Wellbeing outcomes, compared to older patients. These results align with previous studies, suggesting that inpatient and home based service models may be equally effective post stroke. Therapy input and patient age were related to some, but not all, domains of the AusTOMs, and these results may have implications for patient management. They should also direct future research to further explore these relationships; for example, to identify optimal input to achieve best outcomes.6 http://www.informaworld.com/10.1080/17549500802027392 1754-9507
July 20, 2009 {?M
D Skeat J, Perry A, Morris M, Unsworth C, Duckett S, Dodd K, Taylor N, 2003 The use of the ICF framework in an allied health outcome measure: Australian Therapy Outcome Measures (AusTOMSs). In Australian Institute of Health and Welfare (AIHW) ICF Australian User Guide. Canberra AIHW- http://www.aihw.gov.au/publications/index.cfm AIHW Cat. No. DIS 33. r?N J Skidmore, Elizabeth R.
Rogers, Joan C.
Chandler, Lynette S.
Holm, Margo B. 2006u Dynamic interactions between impairment and activity after stroke: examining the utility of decision analysis methods 523-535 Clinical Rehabilitation 20 6 June 1, 2006 Objective: To examine the utility of decision analysis methods for examining the dynamic nature of impairment-activity interactions following stroke. Design: Decision analyses (Chi-squared Automatic Interaction Detector) of a prospective cohort study. Setting: Community and institutional settings based on the location of participants three months after stroke. Participants: Individuals were recruited from consecutive admissions to a regional academic health center and were assessed three months after stroke (N=67). Main outcome measures: Neurological impairment was measured with the National Institutes of Health Stroke Scale (NIHSS). Mobility, self-care and instrumental activities of daily living (instrumental ADL) performance were assessed with a performance observation measure, the Performance Assessment of Self-care Skills (PASS). Decision analysis methods were used to examine interactions between neurological impairments and activity outcomes. Results: Unique neurological impairments were associated with each activity outcome (bowel and bladder urgency interacted with mobility; hand function interacted with self-care; mental functions interacted with instrumental ADL), and these findings are supported by previous studies. The predictive validity of mobility and self-care analyses was stronger than the instrumental ADL analyses. Conclusions: Decision analysis methods show promise for understanding dynamic impairment-activity interactions. This understanding may enhance methods for informing rehabilitation decisions.5 http://cre.sagepub.com/cgi/content/abstract/20/6/523 10.1191/0269215506cr980oa ?O Smart J, 2005] The promise of the International Classification of Functioning, Disability and Health (ICF). 191-199. Rehabilitation Education 19 2&3+ http://www.elliottfitzpatrick.com/jre.html# ?P B Smeets VM, van Lierop BA, Vanhoutvin JP, Aldenkamp AP, Nijhuis FJ, 2007 May+ Epilepsy and employment: literature review. 354-62. Epilepsy Behav. 10 3 Epub 2007 Mar 21a OBJECTIVE: The aim of this review is to increase understanding of the factors that affect the regular employment positions of people with epilepsy by means of the World Health Organization International Classification of Functioning, Disability, and Health (ICF) model. METHOD: Thirty-four primary research articles describing factors associated with employment for people with epilepsy are reviewed. RESULTS: People with epilepsy may face a number of complex and interacting problems in finding and maintaining employment. Stigma, seizure severity, and psychosocial variables such as low self-esteem, passive coping style, and low self-efficacy have been implicated as factors that play an important role in predicting employment. Findings demonstrate the need for specific employment training programs. CONCLUSION: We recommend specific training interventions that focus on increasing the self-efficacy and coping skills of people with epilepsy so that these individuals will be able to accept their disorder and make personal and health-related choices that help them to achieve better employment positions in society.+ http://www.ncbi.nlm.nih.gov/pubmed/17369102 Department of Research and Development, Epilepsy Centre Kempenhaeghe, PO Box 61, 5590 AB Heeze, The Netherlands. smeetsv@kempenhaeghe.nl ?Q l Smeets, Rob J. E. M, Hijdra, Helma J. M, Kester, Arnold D. M, Hitters, Minou W. G. C, Knottnerus, J. Andre, 2006i The usability of six physical performance tasks in a rehabilitation population with chronic low back pain 989-997 Clinical Rehabilitation 20 11 November 1, 2006 Objective: To examine the influence of task experience on the difference between test and retest and to assess test-retest reliability and limits of agreement of six performance tasks in chronic low back pain patients. These measures will be used to define the clinical usability. Design: Test-retest of six performance tasks in a group of patients with no experience and a group of patients after previous experience with these tasks. Setting: Three rehabilitation centres. Subjects: Fifty-three patients with non-specific chronic low back pain. Main measures: Five-minute walking, 50-ft (15 m) fast walking, sit-to-stand, loaded forward reach, 1-min stair-climbing and Progressive Isoinertial Lifting Evaluation (PILE). To assess the influence of task experience, differences between test and retest between both groups were tested using Mann-Whitney test. For both groups together, intraclass correlation coefficients (ICCs) and the limits of agreement using Bland and Altman plots were calculated. Results: Thirty patients with no task experience and 23 patients who had already undertaken the tasks on at least two occasions participated. Both groups showed similar differences between test and retest. The test-retest reliability for the total study population was good to very high: ICC varied from 0.74 to 0.99. For the total study population, the limits of agreement expressed as percentage of the mean score of each task was low to moderate for 5-min walking and 1-min stair-climbing (21% and 20% respectively), moderate for 50-ft (15 m) fast walking, sit-to-stand and forward reach (33%, 29% and 36% respectively) and high for the PILE (48%). Conclusions: Task experience did not significantly influence test-retest differences. All tasks showed sufficient test-retest reliability. Based on the natural variability of the tasks, the 5-min walking and stair-climbing task, and to a lesser degree the 50-ft (15 m) walking, sit-to-stand and loaded forward reach, seem clinically useful. There are major concerns about the usability of the PILE.6 http://cre.sagepub.com/cgi/content/abstract/20/11/989 10.1177/0269215506070698?R ; Smiley, D. F. Threats, T. M. Mowry, R. L. Peterson, D. B., 2005 The International Classification of Functioning, Disability and Health (ICF): Implications for Deafness Rehabilitation Education 139-1583 REHABILITATION EDUCATION -NEW YORK- PERGAMON PRESS- 19 NUMB 2/3M http://direct.bl.uk/bld/PlaceOrder.do?UIN=176083383&ETOC=RN&from=searchengine ELLIOT & FITZPATRICK, INC 3?S 3 Smith RO, Jansen C, Seitz, J, Longenecker Rust, K, 2006N The ICF in the Context of Assistive Technology (AT) Interventions and Outcomes. http://www.r2d2.uwm.edu/atoms/a+?T N Stamm, Tanja, A.
Alarcos, Cieza
Klaus, Machold
Josef, S. Smolen
Gerold, Stucki 2006 Exploration of the link between conceptual occupational therapy models and the International Classification of Functioning, Disability and Health 9-17' Australian Occupational Therapy Journal 53 1 Background and Aim: Because occupational therapy focuses on occupations and activities of daily living in the context of the environment, conceptual occupational therapy models might be closely related to the International Classification of Functioning, Disability and Health (ICF). The purpose of this paper is to explore the link of conceptual occupational therapy models to the ICF.Methods and Results: A structured literature search was performed. The concepts on which the models are built were linked to the ICF categories and components according to 10 established linking rules. Three conceptual occupational therapy models were identified in the literature: the Model of Human Occupation, the Canadian Model of Occupational Performance and the Occupational Performance Model (Australia). The majority of the concepts from the three models could be linked to the ICF.Conclusion: By applying the conceptual models, occupational therapists might add an additional perspective to multidisciplinary teams that use the ICF.3 http://dx.doi.org/10.1111/j.1440-1630.2005.00513.x 10.1111/j.1440-1630.2005.00513.x 1440-1630 Vienna Medical University, Department of Internal Medicine III, Division of Rheumatology, Vienna, Austria, ; ICF Research Branch of the WHO Collaborating Center for the Family of International Classifications at the German Institute of Medical Documentation and Information (DIMDI), IMBK and ; Department of Physical Medicine and Rehabilitation, Ludwig-Maximilians-University, Munich, Germany rchive/icf.html ?U Stamm T, Machold K, 2007x The International Classification of Functioning, Disability and Health in practice in rheumatological care and research. 184-9 Curr Opin Rheumatol. Mar;19 2 PURPOSE OF REVIEW: The aim of this article is to review the recent literature on the use of the International Classification of Functioning, Disability and Health (ICF) in practice in rheumatological care and research. The specific aims were to explore how the ICF has been used as a frame of reference for identifying functional problems of patients using qualitative and quantitative research methods; determining typical problem areas of functioning; and measuring functioning of people with rheumatic diseases. RECENT FINDINGS: The ICF was used as a frame of reference for formulating interview questions and for analysing data in qualitative research. The majority of experiences of patients could be linked to the ICF. In quantitative surveys and by reviewing medical records, the ICF could be used as a model to identify problem areas of patients from the perspective of experts. The ICF served as a frame of reference for performing content comparisons of several health-status instruments. SUMMARY: In rheumatological care and research, the translation of aspects of functioning important to patients and of the content of health-status instruments to ICF terms enables researchers and clinicians to condense and compare the meaning of patients' experiences and the content of the instruments.= http://www.ncbi.nlm.nih.gov/pubmed/17278936?dopt=AbstractPlus Division of Rheumatology, Department of Internal Medicine III, Vienna Medical University, Vienna, Austria. tanja.stamm@meduniwien.ac.at
B?V } Stamm Tanja, Geyh Szilvia, Cieza Alarcos, Machold Klaus, Kollerits Barbara,Kloppenburg Margreet, Smolen Josef, Stucki Gerold, 2006 Measuring functioning in patients with hand osteoarthritis--content comparison of questionnaires based on the International Classification of Functioning, Disability and Health (ICF) 1534-1541 Rheumatology 45 12 December 1, 2006 Objective. When selecting a questionnaire, researchers and clinicians need to know whether or not a questionnaire covers the relevant outcomes. The aim of this study was to analyse and compare the content of questionnaires that have been used to assess functioning in patients with hand osteoarthritis (OA) based on the International Classification of Functioning, Disability and Health (ICF). Method. Questionnaires were identified in a structured literature search. All concepts included in the items of the questionnaires were linked to the ICF categories according to the 10 established linking rules by two health professionals. The degree of agreement between the two health professionals was determined by means of kappa statistic. On the basis of the linking, the content of the instruments was compared. For each concept, it was examined whether functioning is measured on the level of activity or participation or both activity and participation. Indicators for content density, content diversity and the percentage of linked ICF categories addressing participation were calculated. Results. Health Assessment Questionnaire, AUSCAN, Cochin scale, FIHOA, SACRAH and AIMS2-SF were analysed. The result of the kappa statistic for agreement between the two investigators was 0.74. 163 concepts were identified in the 113 items of all instruments, which were then linked to seven ICF categories of the component body functions, 45 categories of the component activities and participation and six categories of the component environmental factors. AUSCAN and SACRAH had the lowest and AIMS2-SF showed the highest diversity ratio and the highest percentage of linked ICF categories that addressed participation. Conclusion. When selecting instruments for comprehensive measurements of functioning in hand OA, researchers and clinicians are advised to include both one instrument with a low diversity ratio (for disease-specific aspects) and another instrument with a high diversity ratio (for broader aspects of functioning including some aspects of participation).G http://rheumatology.oxfordjournals.org/cgi/content/abstract/45/12/1534 10.1093/rheumatology/kel133= http://rheumatology.oxfordjournals.org/cgi/reprint/45/12/1534 ?W 3 Stamm T, K Machold, D Aletaha, G Stucki, J Smolen, 2006_ Clinical outcome measures in hand- and finger joint osteoarthritis from the patient perspective 139-43 Zeitschrift für Rheumatologie. 65 2X Hand-, Health, Instruments, Joint, Measures, arthritis, Osteoarthritis, Outcome, Patient Osteoarthritis (OA) is the most common joint disease. While research activities in OA have concentrated on the knee and hip in recent years, knowledge and research results in the field of hand OA are still limited. In order to measure the effects of treatment or to obtain information on the course of a disease and the health status of a patient, outcome measures are commonly used in rheumatology. Such measures are variables which can be quantified and which represent either the perspective of health professionals or the perspective of patients or both. The aim of this article is to evaluate clinical outcome measures and corresponding instruments which are currently used for patients with hand OA, and to examine whether these measures and instruments represent the perspective of patients. For hand OA, measurements of disease activity and inflammation, function and performance, pain, mobility and stiffness, deformity and aesthetic damage are recommended by experts. Corresponding instruments are available for most of these outcome measures, but these often do not sufficiently represent the perspective of the patients. Some instruments lack reliability because standardized protocols for measurement have not yet been developed. https://www.researchgate.net/publication/7281454_Clinical_outcome_measures_in_hand-_and_finger_joint_osteoarthritis_from_the_patient_perspective ISSN: 0340-1855 DOI: 10.1007/s00393-006-0037-4 T@?X w Stamm, Tanja, A,
Alarcos, Cieza
Michaela, Coenen
Klaus, P. Machold
Valerie, P. K. Nell
Josef, S. Smolen
Gerold, Stucki 2005 Validating the International Classification of Functioning, Disability and Health Comprehensive Core Set for Rheumatoid Arthritis from the patient perspective: A qualitative study 431-439 Arthritis Care & Research 53 3g To validate the International Classification of Functioning, Disability and Health (ICF) Comprehensive Core Set for Rheumatoid Arthritis (RA) from the patient perspective.Patients with RA were interviewed about their problems in daily functioning. Interviews were tape recorded and transcribed verbatim. Interview texts were divided into meaning units. The concepts contained in these meaning units were linked to the ICF according to 10 established linking rules. Of the transcribed data, 15% were analyzed and linked by a second health professional. The degree of agreement was calculated using the kappa statistic.Twenty-one patients were interviewed. Two hundred twenty different concepts contained in 367 meaning units were identified in the qualitative analysis of the interviews and linked to 109 second-level ICF categories. Of the 76 second-level categories from the ICF RA Core Set, 63 (83%) were also found in the interviews. Twenty-five second-level categories, which are not part of the current ICF RA Core Set, were identified in the interviews. The result of the kappa statistic for agreement was 0.62 (95% bootstrapped confidence interval 0.59-0.66).The validity of the ICF RA Core Set was supported by the perspective of individual patients. However, some additional issues raised in this study but not covered in the current ICF RA Core Set need to be investigated.$ http://dx.doi.org/10.1002/art.21159 10.1002/art.21159 1529-0131 Vienna Medical University, Vienna, Austria; German Institute of Medical Documentation and Information, IMBK, Munich, Germany; German Institute of Medical Documentation and Information, IMBK, and Ludwig-Maximilians-University, Munich, Germany; Vienna Medical University, Vienna, Austria; German Institute of Medical Documentation and Information, IMBK, and Ludwig-Maximilians-University, Mun ich, Germany
\ ?Y R Stamm, Tanja, A.
Alarcos, Cieza
Klaus, P. Machold
Josef, S. Smolen
Gerold, Stucki 2004 Content comparison of occupation-based instruments in adult rheumatology and musculoskeletal rehabilitation based on the International Classification of Functioning, Disability and Health 917-924 Arthritis Care & Research 51 6 To compare the content of clinical, occupation-based instruments that are used in adult rheumatology and musculoskeletal rehabilitation in occupational therapy based on the International Classification of Functioning, Disability and Health (ICF).Clinical instruments of occupational performance and occupation in adult rehabilitation and rheumatology were identified in a literature search. All items of these instruments were linked to the ICF categories according to 10 linking rules. On the basis of the linking, the content of these instruments was compared and the relationship between the capacity and performance component explored.The following 7 instruments were identified: the Canadian Occupational Performance Measure, the Assessment of Motor and Process Skills, the Sequential Occupational Dexterity Assessment, the Jebson Taylor Hand Function Test, the Moberg Picking Up Test, the Button Test, and the Functional Dexterity Test. The items of the 7 instruments were linked to 53 different ICF categories. Five items could not be linked to the ICF. The areas covered by the 7 occupation-based instruments differ importantly: The main focus of all 7 instruments is on the ICF component activities and participation. Body functions are covered by 2 instruments. Two instruments were linked to 1 single ICF category only.Clinicians and researchers who need to select an occupation-based instrument must be aware of the areas that are covered by this instrument and the potential areas that are not covered at all.$ http://dx.doi.org/10.1002/art.20842 10.1002/art.20842 1529-0131 Vienna Medical University, Vienna, Austria, ICF Research Branch of the WHO Collaborating Center for the Family of International Classifications at the German Institute of Medical Documentation and Information, Munich, and Ludwig-Maximilians-University, Munich, Germany; ICF Research Branch of the WHO Collaborating Center for the Family of International Classifications at the German Institute of Medical Documentation and Information, Munich, Germany; Vienna Medical University, Vienna, Austria; ICF Research Branch of the WHO Collaborating Center for the Family of International Classifi-cations at the German Institute of Medical Documentation and Information and Ludwig-Maximilians-University, Munich, Germanyx ?Z Stanger, Meg
Oresic, Susan 2003D Rehabilitation Approaches for Children With Cerebral Palsy: Overview S79-88 J Child Neurol 18 1_suppl January 1, 2003g This article reviews the use of the World Health Organization classification framework for assessing children and adolescents with cerebral palsy and the use of outcome measures as they relate to the International Classification of Functioning, Disability and Health. Various intervention philosophies and approaches are discussed, including the evidence to support their use with children with cerebral palsy. Therapists will be able to use this information to formulate an assessment plan, incorporate the use of outcome measures, and employ evidence-based intervention methods. (J Child Neurol 2003;18:S79--S88).; http://jcn.sagepub.com/cgi/content/abstract/18/1_suppl/S79 10.1177/08830738030180010201j/[ D Stark, Susan
Hollingsworth, Holly H.
Morgan, Kerri A.
Gray, David B. 2007C Development of a measure of receptivity of the physical environment 123 - 137 Disability & Rehabilitation 29 2@ Purpose. New models of disability identify the importance of measuring the influence of the environment (environmental barriers) on the performance of persons with disabilities. The objective of this paper is to present a new measure of the receptivity of the physical environment for persons with mobility impairments and to offer preliminary information about its psychometric properties.
Methods. The measure, The Community Health Environment Checklist (CHEC), was developed and validated in a community setting with a group of persons with mobility impairments. Sixty-three destinations (buildings, recreational areas or facilities) were assessed using the CHEC.
Results. Using Cronbach's alpha, the CHEC was found to have an internal consistency reliability of 0.95. The content validity of the CHEC was assured by the development procedure.
Conclusion. The CHEC offers a brief, easily administered measure of receptivity of the physical environment for persons with mobility impairments that is psychometrically sound.6 http://www.informaworld.com/10.1080/09638280600731631 0963-8288
July 22, 2009 ?\ b Steiner, Werner A.
Ryser, Liliane
Huber, Erika
Uebelhart, Daniel
Aeschlimann, Andre
Stucki, Gerold 2002g Use of the ICF Model as a Clinical Problem-Solving Tool in Physical Therapy and Rehabilitation Medicine 1098-1107 PHYS THER 82 11 November 1, 2002c The authors developed an instrument called the "Rehabilitation Problem-Solving Form" (RPS-Form), which allows health care professionals analyze patient problems, to focus on specific targets, and to relate the salient disabilities to relevant and modifiable variables. In particular, the RPS-Form was designed to address the patients' perspectives and enhance their participation in the decision-making process. Because the RPS-Form is based on the International Classification of Functioning, Disability, and Health (ICF) Model of Functioning and Disability, it could provide a common language for the description of human functioning and therefore facilitates multidisciplinary responsibility and coordination of interventions. The use of the RPS-Form in clinical practice is demonstrated by presenting an application case of a patient with a chronic pain syndrome.9 http://www.ptjournal.org/cgi/content/abstract/82/11/1098 /] , Stephens, Dafydd
Vetter, Norman
Lewis, Peter 2003P Investigating lifestyle factors affecting hearing aid candidature in the elderly 33 - 38" International Journal of Audiology 42 6 supp 2 Within this presentation, the authors consider briefly the published data on the effects of hearing impairment on lifestyle in the elderly, and suggest that the World Health Organization's International Classification of Functioning. Disability and Health (ICF) would provide a framework for standardizing the study of effects of impairments. This is followed by two studies, In the first study, we asked a consecutive sample of elderly patients (hearing aid candidates and users) to list the activities, transactions and interactions in which they participated, and classified these using the ICF. We then took the main categories, and, in a second study, explored how often individuals participated in them, how much difficulty they had because of their hearing loss, and how much they enjoyed them. This highlighted the considerable difficulties that most such individuals experience in common activities and communication situations, and which seem to be little influenced by whether or not they use hearing aids.6 http://www.informaworld.com/10.3109/14992020309074642 1499-2027 http://www.isa-audiology.org/periodicals/2002-2004_International_Journal_of_Audiology/IJA,%20%202003,%20%20Vol.%2042/Supplement%20No.%202%20(S3-S101)/Stephens%20Vetter,%20Lewis,%20%20IJA,%202003.pdf
July 22, 2009?^ Stephens, D 2001j World Health Organization’s International Classification of Functioning, Disability and Health – ICF. vii–x.! Journal of Audiological Medicine 10 3: http://iapa-online.org/publications/audiological-medicine/
?_ < Stiens SA, Kirshblum SC, Groah SL, McKinley WO, Gittler MS, 2002 Mar; Spinal cord injury medicine. 4. Optimal participation in life after spinal cord injury: physical, psychosocial, and economic reintegration into the environment.
S72-81, S90-8 Arch Phys Med Rehabil. 83 3 Suppl 1 This learner-directed module on spinal cord injury (SCI) presents a variety of perspectives of the process of personal and environmental adaptation for reintegration. Adaptation is unique to each person and does not predictably follow stages. Models used for understanding the process include biopsychosocial, ICIDH-2 (International Classification of Functioning, Disability and Health), and sector divisions of the environment. Home modification requires home (intermediate environment) evaluation and sociospatial behavioral mapping for planning and appropriation of remodeling in proportion to functional need and use. Options for access to the natural environment include specialized wheelchairs, climbing rigging, kayaks, and sail boats. Sports participation with adaptations is expanding and includes a larger variety of organizations and leagues. Economic needs are effectively anticipated with development of a life care plan. Procreative options to overcome infertility after SCI include vibratory stimulation for ejaculation, intravaginal insemination, intrauterine insemination, in vitro fertilization, and intracytoplasmic sperm injection. Approaches to requests for withdrawal of life-sustaining care include depression screening, pain evaluation, and assistance in accomplishment of person centered goals. Overall, community reintegration after SCI is continually improving because of better acceptance, accessibility, and technology for building adaptations. OVERALL ARTICLE OBJECTIVES: (a) To review models and theories of medical intervention and disablement and (b) to demonstrate their application in rehabilitation practice by designing unique treatment plans that meet patient person-centered goals. Copyright 2002 by the American Academy of Physical Medicine and Rehabilitation+ http://www.ncbi.nlm.nih.gov/pubmed/11973700 Department of Rehabilitation Medicine, University of Washington, SCI Unit VA Puget Sound Health Care System, Seattle, WA 98195, USA. stiens@u.washington.edu 7` , Stier-Jarmer M, Liman W, Stucki G, Braun J, 2006 Dec;$ [Structures of acute rheumatic care] 747-60 Z Rheumatol. 65 8 Severe rheumatological systemic diseases demand high levels of diagnostic and therapeutic measures and differentiated and complex methods of care. In Germany, specialised rheumatologists and, if hospitalisation is indicated, specialised rheumatology hospitals or departments are responsible for the treatment of these patients. Early rehabilitation procedures, provided by a multidisciplinary therapeutic team, are an important component of the treatment concept in these facilities. Early rehabilitation is integrated into the patients acute medical treatment plan, with careful consideration of the patients current health problems and functional capabilities (body functions and structures, activities and participation as outlined in the ICF), thereby providing a comprehensive, integrated therapy strategy which has long been acknowledged as necessary for the successful treatment of rheumatoid patients. This article presents an analysis concerning the development, organisation, facilities and processes of the acute medical in-patient care for patients with rheumatological disorders in Germany. In total there are 4188 beds in 88 acute hospitals exclusively available for rheumatological in-patients in Germany at present. There is at least one facility specialised in rheumatology in every German federal state. The density of care in the German federal states varies between 131.8 beds per 1 million inhabitants in Bremen and 9 beds per 1 million inhabitants in Saxony. In most regions of Germany the acute in-patient care for patients with rheumatological disorders is provided by hospitals specialised in rheumatology. Rheumatological patients are treated in a variety of hospital departments. In the year 2000 only 47% of the inpatients with rheumatoid arthritis, 56% of those with ankylosing spondylitis and 28% of those with systemic lupus erythematosus were treated in a ward specialising in rheumatology. Rheumatoid arthritis, with a total share of nearly 30%, was the most frequently treated rheumatic disease in wards specialising in rheumatology, followed by soft tissue disorders (e.g. fibromyalgia), diseases with systemic involvement of connective tissue and inflammatory spinal disorders such as ankylosing spondylitis.+ http://www.ncbi.nlm.nih.gov/pubmed/16482478* Ludwig-Maximilians-Universität, München . German n/a Stier-Jarmer, Marita
Grill, Eva
Ewert, Thomas
Bartholomeyczik, Sabine
Finger, Monka
Mokrusch, Thomas
Kostanjsek, Nenad
Stucki, Gerold 2005d ICF Core Set for patients with neurological conditions in early post-acute rehabilitation facilities 389 - 395 Disability & Rehabilitation 27 7 Purpose: The aim of this consensus process was to decide on a first version of the ICF Core Set for neurological patients in early post-acute rehabilitation facilities.
Methods: The ICF Core Set development involved a formal decision-making and consensus process, integrating evidence gathered from preliminary studies including focus groups of health professionals, a systematic review of the literature and empiric data collection from patients.
Results: Seventeen experts selected a total of 116 second-level categories. The largest number of categories was selected from the ICF component Body Functions (54 categories or 47%). Eleven (9%) of the categories were selected from the component Body Structures, 34 (29%) were of the categories from the component Activities and Participation, and 17 (15%) from the component Environmental Factors.
Conclusion: The Post-acute ICF Core Set for neurological patients is a clinical framework to comprehensively assess patients in early post-acute rehabilitation facilities, particularly in an interdisciplinary setting. This first ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally.6 http://www.informaworld.com/10.1080/09638280400014022 0963-8288
July 22, 2009 0 ?b Stineman MG, Ross RN, Maislin G, 2005B Functional status measures for integrating medical and social care 1-10 Int J Integr Care 5 disabled persons, integrated delivery system, computer communication health plan, computerized medical records systems, functional review of systems, international classification of functioning, disability and health (ICF)\ Purpose
Identify standard self-report questions about functioning suitable for measuring disability across integrated health and social services.
Theory
Functional activities can be validly grouped according to the International Classification of Functioning, Disability and Health (ICF) chapters of mobility, self-care, and domestic life.
Methods
Cross-sectional analysis using information on 112,601 persons interviewed as part of the United States National Health Interview Survey on Disability. We combined related sets of questions and tested the appropriateness of their groupings through confirmatory factor analyses. Construct validity was addressed by seeking to confirm clinically logical relationships between the resulting functional scales and related health concepts, including number of physician contacts, number of bed days, perception of illness, and perception of disability.
Results
Internal consistency for the summed scales ranged from 0.78 to 0.92. Correlations between the functional scales and related concepts ranged from 0.12 to 0.52 in directions consistent with expectations.
ConclusionsA http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1475730 Correspondence to: Margaret G. Stineman, MD, 101 Ralston Center, 3615 Chestnut Street, Philadelphia, PA 19104-2676. Phone: (215) 898-6272, Fax: (215) 573-2017. E-mail:mstinema@mail.med.upenn.eduJ http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1475730&blobtype=pdf 5~?c T Stineman, Margaret, G
Richard, N. Ross
Roger, Fiedler
Carl, V. Granger
Greg, Maislin 2003_ Functional Independence Staging: Conceptual foundation, face validity, and empirical derivation 29-370 Archives of physical medicine and rehabilitation 84 1
W.B. Saunders Stineman MG, Ross RN, Fiedler R, Granger CV, Maislin G. Functional Independence Staging: conceptual foundation, face validity, and empirical derivation. Arch Phys Med Rehabil 2003;84:29-37. Objective: To develop a staging system for functional independence across the activities of daily living (ADLs), sphincter-management, mobility, and executive-function domains (ASME) for the FIM[trade ] instrument that is consistent with the International Classification of Functioning, Disability and Health. Design: National data were used to define the stages. We searched for the most likely configurations of item scores that increased ability to perform component activities in each domain by approximately 1 level per item per stage. Setting: Inpatient rehabilitation facilities. Participants: Data from 218,290 people discharged from 560 US inpatient rehabilitation facilities in 1995. Interventions: Not applicable. Main Outcome Measures: Activity profiles formed from FIM scores. Results: Seven stages were defined separately for each ASME domain. Stages approximate the average amount of effort expended by the patient when performing the component activities included in a domain, beginning with less than 25% of effort at the lowest total assistance (stage 1) and ending with 100% effort at the highest complete independence (stage 7). Consistent with developmental principles, independence is achieved at lower stages in the most fundamental activities of eating, transfers, and communication. Recovery of independence in the more difficult activities of bathing, stair climbing, and problem solving does not occur until the higher stages are reached. The degree of independence is described with a shorthand abbreviation of the domains followed by the stage the patient has reached in each domain. For example, ASME 5,1,6,7 indicates need for supervision in the ADLs (A-5), total assistance in sphincter management (S-1), modified independence in mobility (M-6), and complete independence in executive functions (E-7). Conclusions: ASME stages serve as a common language and shorthand for expressing the functional consequences of illness and injury, while complementing information about impairment and diagnosis, thereby facilitating communication, assessment, and goal setting in terms that are meaningful to patients and their care givers. [copy ] 2003 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation> http://linkinghub.elsevier.com/retrieve/pii/S0003999302048797 0003-9993 S0003-9993(02)04879-7 _?d Stineman, Margaret G. 2001s Defining the Population, Treatments, and Outcomes of Interest: Reconciling the Rules of Biology with Meaningfulness 147-1596 American Journal of Physical Medicine & Rehabilitation 80 2a Staging
Disability
Preference
Physical
Mental
Physiologic
Environmental
00002060-200102000-00016 Stineman MG: Defining the population, treatments, and outcomes of interest: reconciling the rules of biology with meaningfulness. Am J Phys Med Rehabil 2001;80:147-159. Population characteristics, treatment needs, therapeutic interventions, and outcomes are inextricably linked. To appreciate the treatment needs and outcomes of populations served by rehabilitation medicine, it is essential to understand how specific conditions impair mental and physical functioning, given the environments within which people choose to live. States of the mind and body combine with the characteristics of the man-made and natural world and the social infrastructure to yield disabilities and, thus, shape the demand for rehabilitation services. The 1997 draft of ICIDH-2: International Classification of Impairments, Activities, and Participation (ICIDH-2) is described as an approach to population definition and outcome assessment. A new and evolving model referred to as the spheres of human-environmental integration (HEI) is applied to expressing the nonlinear and overlapping relationships among the ICIDH-2 dimensions. HEI is defined as the individual's potential for meaningful physical and mental activity as determined by physical and mental capabilities in relationship to the man-made and natural worlds, social expectations, and available resources. HEI can be expanded by reducing disabilities through medical and rehabilitation interventions and by eliminating environmental barriers. This dual approach implies a need to integrate rehabilitation sciences with the principles of independent living, which view disablement as a function of the environment. The ICIDH-2 dimensions combined with HEI are used to define populations and to study the mechanisms and effects of alternative treatments through various techniques of case-mix measurement, disability staging, and utility assessment. (C) 2001 Lippincott Williams & Wilkins, Inc.l http://journals.lww.com/ajpmr/Fulltext/2001/02000/Defining_the_Population,_Treatments,_and_Outcomes.16.aspx 0894-9115 P d/e | Stoll, Thomas
Brach, Mirjam
Huber, Erika Omega
Scheuringer, Monika
Schwarzkopf, Susanne R.
Konstanjsek, Nenad
Stucki, Gerold 2005O ICF Core Set for patients with musculoskeletal conditions in the acute hospital 381 - 387 Disability & Rehabilitation 27 7q Musculoskeletal system; rehabilitation; consensus development conference; acute rehabilitation; ICF; ICF core setn Purpose: The aim of this consensus process was to decide on a first version of the ICF Core Set for patients with musculoskeletal conditions in the acute hospital. Methods: The ICF Core Set development involved a formal decision-making and consensus process integrating evidence gathered from preliminary studies including focus groups of health professionals, a systematic review of the literature and empiric data collection from patients. Results: Twenty-one experts selected a total of 47 second-level ICF categories. The largest number of categories was selected from the ICF component Body Functions (17 categories or 36%). Nine (19%) of the categories were selected from the component Body Structures, 11 (23%) from the component Activities and Participation, and 10 (21%) from the component Environmental Factors. Conclusion: The Acute ICF Core Set for patients with musculoskeletal conditions provides all professionals with a clinical framework to comprehensively assess patients in the acute hospital. This first ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally. 6 http://www.informawor ~?g d Stucki, Armin,
Gerold, Stucki
Alarcos, Cieza
Macé, M. Schuurmans
Nenad, Kostanjsek
Jörg, Ruof 2007I Content comparison of health-related quality of life instruments for COPD 1113-1122 Respiratory medicine 101 6
W.B. SaundersV Chronic obstructive pulmonary disease
Health-related quality of life
Health status
ICFV Due to the increasing importance of quality of life assessments in chronic obstructive pulmonary disease (COPD) patients, and the increased use of the International Classification of Functioning, Disability and Health (ICF) for comparative purposes it is essential to understand the relationship between health-related quality of life (HRQL) instruments and the ICF. The objective of this study was to compare the content of recommended COPD-specific HRQL instruments using the ICF as reference. COPD-specific instruments mentioned in widely accepted guidelines were linked to the ICF using standardized linking rules. The degree of agreement between various health professionals was assessed by calculating the kappa statistic. Eleven instruments were included. They varied strongly in the number of concepts contained and the number of ICF categories used to map these concepts. A total of 548 concepts were identified and linked to 60 different ICF categories. Only the single category ‘dyspnea’ was covered by all instruments, whilst 21 categories were unique to specific instruments. The relationships of the measures with the ICF were identified. This study may aid researchers and clinicians to choose the most appropriate instrument for a specific purpose as well as help compare studies that have used different instruments for HRQL assessment.> http://l =ld.com/10.1080/09638280400013990 0963-8288
July 22, 2009 Q inkinghub.elsevier.com/retrieve/pii/S0954611106006032 0954-6111 S0954-6111(0 6)00603-2 :?h ? Stucki, A.
Borchers, M.
Stucki, G.
Cieza, A.
Amann, E.
Ruof, J. 2006 Content comparison of health status measures for obesity based on the international classification of functioning, disability and health 1791-1799
Int J Obes 30 12) http://dx.doi.org/10.1038/sj.ijo.0803335 0307-0565 W?i Stucki Armin,
Peter, Daansen
Michaela, Fuessl
Alarcos, Cieza
Erika, Huber
Richard, Atkinson
Nenad, Kostanjsek
Gerold, Stucki
ouml,
rg, Ruof 2004 ICF Core Sets for obesity 107-113" Journal of Rehabilitation Medicine 36 Supplement 44 U obesity; consensus development conferences; outcome assessment; quality of life; ICF Research Objective: To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of the Comprehensive ICF Core Set and the Brief ICF Core Set for obesity.
Methods: A formal decision-making and consensus process integrating evidence gathered from preliminary studies was followed. Preliminary studies included a Delphi exercise, a systematic review and an empirical data collection. After training in the ICF and based on these preliminary studies relevant ICF categories were identified in a formal consensus process by international experts from different backgrounds.
Results: The preliminary studies identified a set of 219 ICF categories at the second, third and fourth ICF levels with 87 categories on body functions, 34 on body structures, 53 on activities and participation and 45 on environmental factors. Twenty-one experts attended the consensus conference on obesity (18 physicians with various sub-specializations and 3 physical therapists). Altogether 109 categories (108 second-level and one third-level categories) were included in the Comprehensive ICF Core Set with 30 categories from the component body functions, 18 from body structures, 28 from activities and participation and 33 from environmental factors. The Brief ICF Core Set included a total of 9 second-level categories with 3 on body functions, 4 on activities and participation and 2 on environmental factors. No body-structures categories were included in the Brief ICF Core Set.
Conclusion: A formal consensus process integrating evidence and expert opinion based on the ICF framework and classification led to the definition of ICF Core Sets for obesity. Both the Comprehensive ICF Core Set and the Brief ICF Core Set were defined.{ http://www.ingentaconnect.com/content/mjl/sreh/2004/00000036/A044s044/art00018
http://dx.doi.org/10.1080/16501960410016064 A [1]
[2]
[3]
[4]
[5]
[6]
[7]
[3]
[3]
doi:10.1080/16501960410016064< Department of Internal Medicine University Hospital Bern Switzerland 2: Department of Eating Disorder and Obesity Parnassia Psychomedical Centre The Hague The Netherlands 3: Division of Rheumatology Hannover Medical School Germany 4: ICF Research Branch, WHO FIC Collaborating Center (DIMDI), IMBK Ludwig-Maximilians-University Munich Germany 5: Swiss Association of Physiotherapy Sursee Switzerland 6: Obesity Institute, MedStar Research Institute Washington DC USA 7: Classification, Assessment, Surveys and Terminology Team World Health Organization Geneva Switzerland K
ntegrating evidence from preliminary studies to develop the first version of the Comprehensive ICF Core Set and a Brief ICF Core Set for obstructive pulmonary diseases.
Methods: A formal decision-making and consensus process integrating evidence gathered from preliminary studies was followed. Preliminary studies included a Delphi exercise, a systematic review and an empirical data collection. After training in the ICF and based on these preliminary studies relevant ICF categories were identified in a formal consensus process by international experts from different backgrounds.
Results: The preliminary studies identified a set of 287 ICF categories at the second, third and fourth ICF levels with 97 categories on body functions, 33 on body structures, 104 on activities and participation, and 53 on environmental factors. Seventeen experts from 8 different countries attended the consensus conference on obstructive pulmonary diseases. Altogether 67 second-level and 4 third-level categories were included in the Comprehensive ICF Core Set with 19 categories from the component “body functions”, 5 from “body structures”, 24 from “activities and participation” and 23 from “environmental factors”. The Brief ICF Core Set included a total of 17 second-level categories with 5 on “body functions”, 3 on “body structures”, 5 on “activities and participation” and 4 on “environmental factors”.
Conclusion: A formal consensus process integrating evidence and expert opinion based on the ICF framework and classification led to the definition of ICF Core Sets for obstructive pulmonary diseases. Both the Comprehensive ICF Core Set and the Brief ICF Core Set were defined.6 http://www.informaworld.com/10.1080/16501960410016794 1650-1977C http://jrm.medicaljournals.se/article/pdf/10.1080/16501960410016794
July 22, 2009 ?k Stucki Gerold, Melvin, John 2007 The International Classification of Functioning, Disability and Health: A unifying model for the conceptual description of physical and reha 5 bilitation medicine 286-292" Journal of Rehabilita tion Medicine 39 Number 40 REHABILITATION MEDICINE; ICF; PHYSICAL MEDICINE Research There is a need to develop a contemporary and internationally accepted conceptual description of physical and rehabilitation medicine (PRM). The process of evolving such a definition can now rely on the unifying conceptual model and taxonomy of the International Classification of Functioning, Disability and Health (ICF) and an ICF-based conceptual description of rehabilitation understood as a health strategy. The PRM section of the European Union of Medical Specialists (UEMS) has endorsed the application of the ICF as a unifying conceptual model for PRM and supports the process of moving towards an "ICF-based conceptual description and according definitions of PRM". With this goal in mind, the authors have developed a first tentative conceptual description in co-operation with the professional practice committee of the UEMS-PRM-section. A respective brief definition describes PRM as the medical specialty that, based on the assessment of functioning and including the diagnosis and treatment of health conditions, performs, applies and co-ordinates biomedical and engineering and a wide range of other interventions with the goal of optimizing functioning of people experiencing or likely to experience disability. Readers of the Journal of Rehabilitation Medicine are invited to contribute to the process of achieving an internationally accepted ICF-based conceptual description of PRM by submitting commentaries to the Editor of this journal. w http://www.ingentaconnect.com/content/mjl/sreh/2007/00000039/00000004/art00003
http://dx.doi.org/10.2340/16501977-0044 doi:10.2340/16501977-0044
?l Stucki Gerold, Grimby Gunnar 2007 Organizing human functioning and rehabilitation research into distinct scientific fields. Part I: Developing a comprehensive structure from the cell to society 293-298" Journal of Rehabilitation Medicine 39 Number 47 REHABILITATION; SCIENCE; RESEARCH; ICF; CLASSIFICATION Research There is a need to organize rehabilitation and related research into distinct scientific fields in order to overcome the current limitations of rehabilitation research. Based on the general distinction in basic, applied and professional sciences applicable to research in general, and the rehabilitation relevant distinction between the comprehensive perspective based on WHO's integrative model of human functioning (ICF) and the partial perspective focusing on the biomedical aspects of functioning, it is possible to identify 5 distinct scientific fields of human functioning and rehabilitation research. These are the emerging human functioning sciences and integrative rehabilitation sciences from the comprehensive perspective, the established biosciences and biomedical rehabilitation sciences and engineering from the partial perspective, and the professional rehabilitation sciences at the cutting edge of research and practice. The human functioning sciences aim to understand human functioning and to identify targets for comprehensive interventions, with the goal of contributing to the minimization of the experience of disability in the population. The biosciences in rehabilitation aim to explain body injury and repair and to identify targets for biomedical interventions. The integrative rehabilitation sciences design and study comprehensive assessments and interventions that integrate biomedical, personal factor and environmental approaches suited to optimize people's performance. The biomedical rehabilitation sciences and engineering study diagnostic measures and interventions suitable to minimize impairment, including symptom control, and to optimize people's capacity. The professional rehabilitation sciences study how to provide best care with the goal of enabling people with health conditions experiencing or likely to experience disability to achieve and maintain optimal functioning in interaction with the environment. The organization of human functioning and rehabilitation research into the 5 distinct scientific fields facilitates the development of academic training programs and career building as well as the development of research structures dedicated to human functioning and rehabilitation research. w http://www.ingentaconnect.com/content/mjl/sreh/2007/00000039/00000004/art00004
http://dx.doi.org/10.2340/16501977-0050 doi:10.2340/16501977-0050 ?m M Stucki Gerold, Boonen Annelies, Tugwell Peter, Cieza Alarcos, Boers Maarten, 2007 The World Health Organisation International Classification of Functioning, Disability and Health: a conceptual model and interface for the OMERACT process 600-606 The Journal of Rheumatology 34 3
March 2007 "What to measure" refers to domains stable over time. "How to measure" is constantly evolving. Lacking a common terminology and common underlying conceptual model of functioning and disability, what and how to measure have been described differently in the various OMERACT Core Sets. With the approval of the International Classification of Functioning, Disability and Health (ICF) by the World Health Assembly in 2001, we now have a universally conceptual model that integrates the biomedical and societal model of functioning and disability. The so-called ICF Core Sets can be used as a basis for the further specification of OMERACT domains addressing aspects of functioning. In line with the successful approach taken by OMERACT, it is suggested to comprehensively specify the domain "function" when defining "what should be measured," and only then to recommend how to measure or which health status measure to use. We recommend comparing the specifications of domains addressing aspects of functioning of OMERACT Core Sets already established with the ICF Core Sets, and examine whether the ICF Core Sets may be useful for the further specification of these domains.0 http://www.jrheum.org/content/34/3/600.abstract ?n Stucki G, Ewert T, 2005L How to assess the impact of arthritis on the individual patient: the WHO ICF 664-668
Ann Rheum Dis 64 5 May 1, 2005 The ICF is not only a comprehensive and adequate framework for assessing the impact of arthritis on individual patients but also its impact on populations. The ICF framework and applications such as the ICF Core Sets for rheumatoid arthritis, osteoarthritis, osteoporosis, and low back pain are therefore likely to be used extensively not only in clinical practice but also in outcomes and rehabilitation research, education, health statistics, and regulation.1 http://ard.bmj.com/cgi/content/abstract/64/5/664 10.1136/ard.2003.019356 %/o / Stucki Gerold, T Bedirhan Ustün, Melvin John, 2005V Applying the ICF for the acute hospital and early post-acute rehabilitation facilities 349 - 352 Disability & Rehabilitation 27 76 http://www.informaworld.com/10.1080/09638280400013941 0963-8288
July 22, 2009 ?p Stucki, Gerold 2005 International Classification of Functioning, Disability, and Health (ICF): A Promising Framework and Classification for Rehabilitation Medicine 733-7406 American Journal of Physical Medicine & Rehabilitation 84 10 Disability
Classification
International Classification of Functioning, Disability, and Health
World Health Organization
00002060-200510000-00002 Stucki G: International Classification of Functioning, Disability, and Health (ICF): A promising framework and classification for rehabilitation medicine. Am J Phys Med Rehabil 2005;84:733-740. (C) 2005 Lippincott Williams & Wilkins, Inc.f http://journals.lww.com/ajpmr/Fulltext/2005/10000/International_Classification_of_Functioning,.2.aspx 0894-9115/q < Stucki Gerold, Stier-Jarmer Marita, Grill Eva, Melvin John, 2005V Rationale and principles of early rehabilitation care after an acute injury or illness 353 - 359 Disability & Rehabilitation 27 7x Patients hospitalized for an acute illness or injury are at risk of experiencing a significant loss of functioning as defined by the International Classification of Functioning, Disability and Health (ICF). The risk of a significant loss of functioning is increased in critically ill patients, in patients with complications or long-term intensive care stays, in persons with disabilities or with pre-existing chronic conditions and in the elderly. Early identification of rehabilitation needs and early start of rehabilitation can reduce healthcare costs by reducing dependence and nursing care, length of stay and prevention of disability. Two principles of rehabilitation for acute and early post-acute care can be distinguished. First, the provision of rehabilitation by health professionals who are generally not specialized in rehabilitation in the acute hospital. And second, specialized rehabilitation care provided by an interdisciplinary team. There is large variation how this specialized, typically post-acute rehabilitation care is organized, provided, and reimbursed in different countries, regions, and settings. For instance, it may be provided either in the acute hospital or in a rehabilitation or nursing setting. Most in-patients do not receive specialized rehabilitation at all during their whole stay in the acute hospital. But, it is important to point out that health professionals working in acute hospitals and who are not specialized in rehabilitation need to be able to recognize patients' needs for rehabilitation care and to perform rehabilitation interventions themselves or to assign patients to appropriate rehabilitation care settings. The principles outlined in this paper can serve as a basis for the development of clinical assessment instruments to describe and classify functioning, health and disability of patients receiving acute or early post-acute rehabilitation care.6 http://www.informaworld.com/10.1080/09638280400014105 0963-8288
July 22, 2009 ronic conditions, Brief ICF Core Sets+ http://www.ncbi.nlm.nih.gov/pubmed/15370740 doi:10.1080/16501960410022300 Department of Physical Medicine and Rehabilitation, ICF Research Branch, WHO FIC CC (DIMDI), Ludwig-Maximilians University, Munich, Germany. L 2 2B http://www.advancesinrheumatology.com/FileOpenSecure.axd?aaid=3849 F?v Stucki G, WHO-CAS Team, 20045 Applying the ICF in the acute and sub-acute situation' Disability and rehabilitation; (Suppl).F http://www.icf-research-branch.org/Deutsch/publications_g/papers_d.htm ?w
Stucki, G. 2003 Understanding disability 289-290
Ann Rheum Dis 62 4_ economic analysis; rheumatoid arthritis; clinical nurse specialist; multidisciplinary team care
April 1, 2003 For many years the researchers of the department of rheumatology at the University of Leiden have contributed to our understanding of the effectiveness and cost effectiveness of specific rehabilitation interventions1,2 and the provision of comprehensive care for patients with rheumatoid arthritis.3,4,4a The most recent study by van den Hout et al, published in this issue of the Annals of the Rheumatic Diseases,5 found that compared with inpatient and day patient team care, clinical nurse specialist care provides equivalent quality of life and utility, at lower costs. This result challenges the current but largely unproven assumption that multidisciplinary team care is both necessary and superior. The objective of this editorial is to discuss some conceptual and methodological issues relevant to the interpretation of this result and to draw some conclusions for the design of future studies examining the effectiveness and cost effectiveness of multidisciplinary care. http://ard.bmj.com Correspondence to:
Professor G Stucki, Department of Physical Medicine and Rehabilitation, Marchioninistr 15, 81377 Munich, Germany;
gerold.stucki@phys.med.uni-muenchen.de 10.1136/ard.62.4.289 Y/t Stucki Gerold, Cieza Alarcos, Geyh Szilvia, Battistella Linamara, Lloyd Jill, Symmons Deborah, Kostanjsek Nenad, Schouten Jan, 2004& ICF Core Sets for rheumatoid arthritis 87 - 93" Journal of Rehabilitation Medicine 36 4 supp 44 Objective: To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of a Comprehensive ICF Core Set and a Brief ICF Core Set for rheumatoid arthritis.
Methods: A formal decision-making and consensus process integrating evidence gathered from preliminary studies was followed. Preliminary studies included a Delphi exercise, a systematic review, and an empirical data collection. After training in the ICF, and based on these preliminary studies, relevant ICF categories were identified in a formal consensus process by international experts from different backgrounds.
Results: The preliminary studies identified a set of 530 ICF categories at the second, third and fourth ICF levels with 203 categories on body functions, 76 on body structures, 188 on activities and participation, and 63 on environmental factors. Seventeen experts from 12 different countries attended the consensus conference on rheumatoid arthritis (7 physicians with at least a specialization in physical and rehabilitation medicine, 7 rheumatologists, one nurse, one occupational therapist, and one physical therapist). Altogether 96 categories (76 second-level and 20 third-, and fourth-level categories) were included in the Comprehensive ICF Core Set with 25 categories from the component body functions, 18 from body structures, 32 from activities and participation, and 21 from environmental factors. The Brief ICF Core Set included a total of 39 second-level categories, with 8 on body functions, 7 on body structures, 14 on activities and participation, and 10 on environmental factors.
Conclusion: A formal consensus process integrating evidence and expert opinion based on the ICF framework and classification led to the definition of ICF Core Sets for rheumatoid arthritis. Both the Comprehensive ICF Core Set and the Brief ICF Core Set were defined.6 http://www.informaworld.com/10.1080/16501960410015470 1650-1977
July 22, 2009m?u Stucki G, Cieza A, 2004 The International Classification of Functioning, Disability and Health (ICF) Core Sets for rheumatoid arthritis: a way to specify functioning ii40-45
Ann Rheum Dis 63 suppl_2 November 1, 2004! Today, patients' functioning is a central issue in medicine. Concepts, classifications, and measurements of functioning and health, such as the International Classification of Functioning, Disability and Health (ICF) are of prime importance in clinical practice, teaching, and research. This report compares the contents of three of the most widely used health status measures in rheumatoid arthritis (RA), namely the Health Assessment Questionnaire disability index (HAQ), the Arthritis Impact Measurement Scales 2 (AIMS2), and the Short Form health survey (SF-36) based on the ICF. In addition, their content is compared to the Comprehensive ICF Core Set for RA. The comparisons illustrate that the different health status measures cover different components, and that they cover the different components with different level of precision. Using the ICF as a reference framework allows a researcher or a recommending instance to see which domains are covered in a specific instrument and, therefore, whether it is necessary to complement the study with other measures. Nevertheless, which specific health status measures to recommend still remains a challenge. If enough care is taken to define "what should be measured", it could form the basis for a solid and stable recommendation, adhered to for many years.8 http://ard.bmj.com/cgi/content/abstract/63/suppl_2/ii40 10.1136/ard.2004.028233 ?x Stucki G, Sigl T, 20036 Assessment of the impact of disease on the individual. 451-73 Best Pract Res Clin Rheumatol. Jun;17 3s From the medical or disease perspective, patients' functioning, disability and health are seen primarily as the consequences or the impact of a disease or condition. In this perspective, self-administered health status instruments are used primarily to evaluate the effects of drug treatments or surgical interventions. The interpretation of these measures is generally based on scales and scores and not on individual items. Currently used instruments are reviewed and an algorithm for the selection of instruments is provided. In the rehabilitation or disability perspective, patients' functioning and health is associated with and not merely a consequence of, a condition or disease. The basis for the understanding of functioning, disability and health--in association with the condition but also the personal and contextual factors--is WHO's International Classification of Functioning, Disability and Health or ICF. This chapter illustrates the use of the ICF framework for structuring patients' problems, and the use of condition-specific ICF-Core-Sets to check for problems typically encountered in patients with a given condition.+ http://www.ncbi.nlm.nih.gov/pubmed/12787512 Department of Physical Medicine and Rehabilitation, University of Munich, Munich 81377, Germany. gerold.stucki@phys.med.uni-muenchen.deF/y Stucki G, Ewert T, Cieza A, 2002; Value and application of the ICF in rehabilitation medicine 932 - 938 Disability & Rehabilitation 24 17L Context: Rehabilitation medicine may be defined as the multi- and interdisciplinary management of a person's functioning and health. Rehabilitation medicine defines itself with respect to concepts of functioning, disability and health. Assessment and intervention management rely on these concepts. The current framework of disability--the WHO International Classification of Functioning, Disability and Health (ICF)--providing a coherent view of health from a biological, individual and social perspective.
Issue: However, ICF success will depend on its compatibility with measures used in rehabilitation and on the improvement of its practicability. Thus, it is expected to see the development of the ICF based on versions of currently used instruments and on the development of ICF core sets.
Conclusion: The new language ICF is an exciting landmark event for rehabilitation. It may lead to a stronger position of rehabilitation within the medical community, change multi-professional communication and improve communication between patients and rehabilitation professionals.6 http://www.informaworld.com/10.1080/09638280210148594 0963-8288
July 22, 2009 /z J Stucki G, Cieza A, Ewert T, Kostanjsek N, Chatterji S, Ustün T. Bedirhan, 2002p Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practice 281 - 282 Disability & Rehabilitation 24 56 http://www.informaworld.com/10.1080/09638280110105222 0963-8288R Department of Physical Medicine and Rehabilitation, University of Munich, Germany.
July 22, 2009 Kiseases,@ http://www.cihi.ca/cihiweb/en/downloads/icf_jun02_papers_4_e.pdf ?{ ) Svensson, Elisabeth
Hager-Ross, Charlotte 2006R Hand function in Charcot Marie Tooth: test retest reliability of some measurements 896-908 Clinical Rehabilitation 20 10 October 1, 2006 Objective: To evaluate the reliability of some measurements of hand function in people with Charcot Marie Tooth disease. Design: Test retest study. Setting: University, hospitals/clinics in northern Sweden. Subjects: Twenty people with Charcot Marie Tooth disease. Main outcome measures: Measures of (1) dexterity; Box and Block Test and Nine-Hole Peg Test, (2) strength; Grippit instrument (grip and pinch), (3) tactile sensation; Shape Texture Identification Test. Statistics used: intraclass correlation (ICC 2.1), limits of agreement, coefficient of repeatability, coefficient of variation, and linear weighted kappa. Results: The ICC for the Box and Block Test was very high (0.95). The limits of agreement, coefficient of repeatability (CR) (11.5 blocks/min) and coefficient of variation (CV) (8.4%) were acceptable. There was bias towards a better result on the second occasion. For the Nine-Hole Peg Test, the reliability was good if performance was within 2 min (ICC =0.99, CR = 4.3 s, CV = 3.9%). Grip strength proved to be reliable (ICC = 0.99, CR = 26.7 N, CV = 6.6%), while pinch strength was less reliable. The kappa value of the Shape Texture Identification Test was 0.87, which was considered very good although the test has limitations in terms of how well it can describe patients either performing very well or very poorly. Conclusions: The tested instruments can all be used to evaluate hand function in people with Charcot Marie Tooth. Certain factors, however, like limited time aspects for the Nine-Hole Peg Test and the number of trials used, should be taken into consideration. Pinch strength evaluation should be interpreted with caution.6 http://cre.sagepub.com/cgi/content/abstract/20/10/896 4 Elisabeth Svensson
Department of Community Medicine and Rehabilitation, Section of Physiotherapy, Umeå University, Umeå, Sweden
Charlotte Häger-Ross
Department of Community Medicine and Rehabilitation, Section of Physiotherapy, Umeå University, Umeå, Sweden, charlotte.hager-ross@physiother.umu.se 10.1177/0269215506072184 724 15 Purpose : To propose a conceptual basis for a rehabilitation system in the Czech Republic (CR) founded on the WHO International Classification on Functioning (ICF).
Methods : Surveying the present state of rehabilitation in the CR using data from The Institute for Health Information and Statistics of the CR, studying the available literature of medical rehabilitation as well as the WHO ICF.
Results : At present the rehabilitation system in the CR is not adequate, mainly from the qualitative point of view, and requires a legal framework that would determine the availability of appropriate rehabilitation services.
Conclusion : The WHO ICF can serve as a conceptual basis for the framework.6 http://www.informaworld.com/10.1080/09638280210126435 0963-8288
July 22, 2009 ]/} 7 Swanson, Gretchen
Carrothers, Leeanne
Mulhorn, Kristine 2003_ Comparing disability survey questions in five countries: a study using ICF to guide comparisons 665 - 675 Disability & Rehabilitation 25 11! This paper describes an international effort to compare disability survey questions using the ICF framework. The process included backcoding survey questions to ICF. To establish a meaningful basis for comparison, the original 14 functioning areas were scaled to seven: hearing, seeing, speaking, mobility, body movement, gripping and personal care. The names of disability topics changed reflecting ICF definitions, for example, hearing became receiving spoken messages and gripping became fine hand use . A rigorous backcoding process resulted in a comprehensive set of survey questions with unique ICF codes. It was concluded that the question format and focus must be structured to the ICF in the survey development phase in order to achieve the best possible base for international comparability.8 http://www.informaworld.com/10.1080/0963828031000137162 0963-8288
July 22, 2009 tems Based on Numerous Factors 72-74. Journal of AHIMA 75 No. 8c http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_024509.hcsp?dDocName=bok1_024509 (catherine.sykes@aihw.gov.au) oD?~ Sykes C, Madden R, 2004> Functional outcome measurement in health information systems. Presented at the 36th Asia-Pacific Academic Consortium for Public Health (APACPH) conference on Public Health Network and Alliances: Building Capacity in the Asia-Pacific Region, Brisbane 30 November–3 December $ http://www.apacph.org/site/index.php 'D? Sykes C, Madden R, Fortune N , 20047 ICF applications: a framework for sharing what we know.d Presented at World Health Organization (WHO) Family of International Classifications Network Meeting Reykjavik, Iceland,
24-30 October& http://www.who.int/classifications/en/ %D? Sykes C, Madden R, Fortune N, 20048 ICF measurement calibration: developments in Australia. d Presented at World Health Organization (WHO) Family of International Classifications Network Meeting Reykjavik, Iceland
24-30 October& http://www.who.int/classifications/en/ D? Sykes C, 2005. Functioning and related health outcomes moduleW Presented at the 11th Annual NACC conference on ICF: Mapping the Clinical World to ICF, Minnesota 21-24 June 2005, http://www.cihiconferences.ca/icfconference/D? ) Sykes C, Madden R, Bullock S, Fortune N, 2005x A functioning and related health outcome module: the development of a data capture tool for health information systems. / Proceedings of the Health Outcomes Conference. Canberra August 2005. http://209.85.229.132/search?q=cache:lo-IiOYhbUgJ:www.uow.edu.au/commerce/ahoc/+Health+Outcomes+Conference.&cd=2&hl=en&ct=clnk&gl=uk= http://chsd.uow.edu.au/ahoc//conferences/2005/program2005.pdf ? e Taal Erik, Bobietinska Elzbieta, Lloyd Jill, Veehof Martine, Rasker Wietske, Oosterveld F, Rasker J, 2006* Successfully living with chronic arthritis 189-197 Clinical Rheumatology 25 2A Arthritis - Health professionals Multidisciplinary care - Review Abstract The treatment and care of patients with rheumatoid arthritis (RA) is complex and various health professionals with different areas of expertise may be involved. The objective of this article is to review the treatments and their efficacy as provided by health care professionals in RA care. The requirements for further research in this area are formulated. To achieve better effects of treatment it is necessary to improve the coordination of services as provided by the different specialists. The important roles of the patients themselves in the care and management of the disease are emphasized, as well as the roles of the informal caregivers such as a spouse or other family members and friends and the role of patient societies. The possible role of the International Classification of Functioning, Disability and Health (ICF) to improve the communication and facilitate the coordination among health professionals and between patients and health professionals is mentioned. The topics presented in this article may encourage further discussion and research, particularly concerning the effects of the treatments as provided by allied health professionals. Health professionals play an important role in the life of patients with rheumatic disorders, in all the domains of the ICF: body functions and structure, activities (action by an individual) and participation (involvement in a life situation). Health professionals in rheumatology can make the difference in the lives of RA patients and their families., http://dx.doi.org/10.1007/s10067-005-1155-0 10.1007/s10067-005-1155-0 10.1007/s10067-005-1155-0? ( Tannenbaum, Cara
Ahmed, Sara
Mayo, Nancy 2007J What drives older women’s perceptions of health-related quality of life? 593-605 Quality of Life Research 16 4 Abstract Background Age-related differences in the way ratings of health related quality of life (HRQL) are produced are poorly understood, especially for older women. Objective To examine age differences in critical dimensions of HRQL among older women using structural equation modelling. We hypothesized that physical, mental and social health domains would exert weaker total effects on HRQL among older middle-aged versus much older women. Methods A model of HRQL was developed and confirmatory factor analysis (CFA) was used to test the structure of the model across two samples of community-dwelling women aged 55 years and older. The relationships between the constructs and the relative magnitude of direct and indirect effects on HRQL were evaluated in a series of path models, with women younger and older than age 70 tested separately. Results The CFA model of HRQL showed excellent fit in both the national and verification samples (RMSEA 0.04 and 0.02 respectively). In the path model, the total effects of physical, mental and social health on general perceptions of HRQL were greater and more significant in middle-aged versus older women (beta coefficients 0.810, 0.277, 0.266, all P < 0.05 versus, 0.700, 0.189, and 0.057, P < 0.05 for physical and mental health only respectively). Conclusion This HRQL model suggests different opportunities for intervention among older women to improve the outcomes along the path to HRQL., http://dx.doi.org/10.1007/s11136-006-9148-2 10.1007/s11136-006-9148-2
? / Tannenbaum, Cara
Mayo, Nancy
Ducharme, Francine 2005b Older women's health priorities and perceptions of care delivery: results of the WOW health survey 153-159 CMAJ 173 2
July 19, 2005 Background: As women get older, their health priorities change. We surveyed a sample of older Canadian women to investigate what health priorities are of concern to them, their perceptions about the care delivered to address these priorities and the extent to which priorities and perceptions of care differ across age groups and provinces. Methods: The WOW (What Older women Want) cross-sectional health survey was mailed in October 2003 to 5000 community-dwelling women aged 55-95 years from 10 Canadian provinces. Women were asked questions on 26 health priorities according to the World Health Organization's International Classification of Functioning, Disability and Health, and their perceptions of whether these priorities were being addressed by health care providers through screening or counselling. Differences in priorities and perceptions of care delivery were examined across age groups and provinces. Results: The response rate was 52%. The mean age of the respondents was 71 (standard deviation 7) years. The health priorities identified most frequently by the respondents were preventing memory loss (88% of the respondents), learning about the side effects of medications (88%) and correcting vision impairment (86%). Items least frequently selected were counselling about community programs (28%), counselling about exercise (33%) and pneumonia vaccination (33%). Up to 97% of the women recalled being adequately screened for heart disease and stroke risk factors, but as little as 11% reported receiving counselling regarding concerns about memory loss or end-of-life issues. Women who stated that specific priorities were of great concern or importance to them were more than twice as likely as those who stated that they were not of great concern or importance to perceive that these priorities were being addressed: osteoporosis (odds ratio [OR] 2.6, 95% confidence interval [CI] 2.1- 3.2), end-of-life care (OR 2.6, 95% CI 2.0-3.4), anxiety reduction (OR 2.2, 95% CI 1.8-2.6), fall prevention (OR 2.1, 95% CI 1.6-2.7), stroke (OR 2.1, 95% CI 1.4-3.0), depression (OR 2.1, 95% CI 1.7-2.7) and urinary incontinence (OR 2.1, 95% CI 1.7-2.5). The respondents' perceptions of care delivery varied across age groups and provinces. Interpretation: According to the perceptions of surveyed women, health care providers are addressing many, but not all, of their health concerns, especially those that are of great concern or importance to these women.2 http://www.cmaj.ca/cgi/content/abstract/173/2/153 10.1503/cmaj.050059 n/ ! Tempest, Stephanie
McIntyre, Anne 2006_ Using the ICF to clarify team roles and demonstrate clinical reasoning in stroke rehabilitation 663 - 667 Disability & Rehabilitation 28 10J Purpose. The International Classification of Functioning, Disability and Health (ICF) is advocated as a tool to structure rehabilitation and a universal language to aid communication, within the multi-disciplinary team (MDT). The ICF may also facilitate clarification of team roles and clinical reasoning for intervention. This article aims to explore both factors in stroke rehabilitation.
Method. Following a review of the literature, a summary was presented and discussed with clinicians working within stroke rehabilitation, to gather expert opinions. The discussions were informal, being part of service development and on-going education. The clinicians summarised key themes for the potential use of the ICF within clinical practice.
Results. Two key themes emerged from the literature and expert opinion for the potential use of the ICF in stroke rehabilitation: (i) to aid communication and structure service provision, (ii) to clarify team roles and aid clinical reasoning. Expert opinion was that clarification of team roles needs to occur at a local level due to the skill mix, particular interests, setting and staffing levels within individual teams. The ICF has the potential to demonstrate/facilitate clinical reasoning, especially when different MDT members are working on the same intervention.
Conclusion. There is potential for the ICF to be used to clarify team roles and demonstrate clinical reasoning within stroke rehabilitation. Further experiential research is required to substantiate this view.6 http://www.informaworld.com/10.1080/09638280500276992 0963-8288
July 23, 2009 ? Tennant A, Penta M, Tesio L, Grimby G, Thonnard JL, Slade A, Lawton G, Simone A, Carter J, Lundgren-Nilsson A, Tripolski M, Ring H, Biering-Sørensen F, Marincek C, Burger H, Phillips S. 2004 Jan Assessing and adjusting for cross-cultural validity of impairment and activity limitation scales through differential item functioning within the framework of the Rasch model: the PRO-ESOR project. I37-48 Med Care 42 1 Suppl INTRODUCTION: In Europe it is common for outcome measures to be translated for use in other languages. This adaptation may be complicated by culturally specific approaches to certain tasks; for example, bathing. In this context the issue of cross-cultural validity becomes paramount. OBJECTIVE: To facilitate the pooling of data in international studies, a project set out to evaluate the cross-cultural validity of impairment and activity limitation measures used in rehabilitation from the perspective of the Rasch measurement model. METHODS: Cross-cultural validity is assessed through an analysis of Differential Item Functioning (DIF) within the context of additive conjoint measurement expressed through the Rasch model. Data from patients undergoing rehabilitation for stroke was provided from 62 centers across Europe. Two commonly used outcome measures, the Mini-Mental State Examination (MMSE) and the Functional Independence Measure (FIM) motor scale are used to illustrate the approach. RESULTS: Pooled data from 3 countries for the MMSE were shown to fit the Rasch model with only 1 item displaying DIF by country. In contrast, many items from the FIM expressed DIF and misfit to the model. Consequently they were allowed to be unique across countries, so resolving the lack of fit to the model. CONCLUSIONS: Where data are to be pooled for international studies, analysis of DIF by culture is essential. Where DIF is observed, adjustments can be made to allow for cultural differences in outcome measurement.+ http://www.ncbi.nlm.nih.gov/pubmed/14707754 Academic Unit of Musculoskeletal and Rehabilitation Medicine, University of Leeds, 36 Clarendon Road, Leeds, LS2 9NZ, United Kingdom. a.tennant@leeds.ac.uk /
Tennant, Alan 1997, Models of disability: A critical perspective 478 - 479 Disability & Rehabilitation 19 116 http://www.informaworld.com/10.3109/09638289709166842 0963-8288
July 23, 2009 / + Tepper, S.
Sutton, J.
Beatty, P.
Dejong, G. 1997O Alternative definitions of disability: Relationship to health-care expenditures 556 - 558 Disability & Rehabilitation 19 12! disability definition expenditure The purpose of this study is to investigate the relationship between different definitions of disability and health-care expenditures in the working aged population in the United States using the 1987 National Medical Expenditure Survey (NMES). Five different definitions of disability were identified and the health-care expenditures for each group were compared using descriptive analyses. Results reveal that estimates of the prevalence of disability vary dramatically by the definition of disability. A more than three-fold difference in average total health-care expenditures is observed using different specifications of disability. These results suggest that estimates of health-care expenditures should be interpreted cautiously, since the definition influences the magnitude of estimates. Researchers and policy-makers should consider the standardization of the term ‘disability’.6 http://www.informaworld.com/10.3109/0/ ? Thomas-Stonell, N.
Johnson, P.
Rumney, P.
Wright, V.
Oddson, B. 2006 An evaluation of the responsiveness of a comprehensive set of outcome measures for children and adolescents with traumatic brain injuries 14 - 23! Developmental Neurorehabilitation 9 1Z Outcome measurement; rehabilitation; paediatric; traumatic brain injuries; responsiveness The relative responsiveness of nine outcome measure scales was evaluated with 33 children and adolescents (aged 4–18 years) who had sustained traumatic brain injuries. Scales were selected to evaluate outcomes from each of the World Health Organization (WHO) International Classification of Functioning, Disability and Health domains. The outcome measures were administered to all participants during their inpatient rehabilitation stay and again at a follow-up clinic visit. No single outcome measure captured the diversity of improvement in this sample. The measures agreed that improvement had occurred, but did not agree about which children were improving. This result suggests that the scales were measuring different skills and outcomes. Three of the measures used in combination, either the Child Health Questionnaire or the Functional Independence Measure for Children, the American Speech-Language-Hearing Association National Outcome Measures System (Birth to Kindergarten NOMS/School–aged Health Care) and the Gross Motor Function Measure, are sufficient to detect change in each of the children where change occurred. The Pediatric Evaluation of Disability Inventory and the MultiAttribute Health Status Classification were the least responsive of the nine measures used.6 http://www.informaworld.com/10.1080/13638490500050097 1751-8423
July 23, 2009L/ Threats, Travis 2007w Access for persons with neurogenic communication disorders: Influences of Personal and Environmental Factors of the ICF 67 - 80 Aphasiology 21 15 Background: Access for persons with acquired communication disorders is an important area that has been evaluated and discussed using many different theoretical frameworks. Clinicians and researchers need practical frameworks and more direction to guide specific assessments of the issues influencing access.
Aim: This article discusses the issue of access through the framework of the Personal and Environmental Factors of the World Health Organisation's International Classification of Functioning, Disability, and Health (ICF).
Main Contribution: The ICF's Personal and Environmental Factors are discussed in relationship to access and their interactions with each other. A fuller understanding of the complexities of access issues can be achieved though the ICF framework and this article uses clinical examples to demonstrate this complexity. The clinician's role in promoting or hindering access for their clients is discussed. Lastly, the challenge of evidence-based practice and research with access issues is addressed.
Conclusions: The Personal and Environmental Factors of the ICF can be used to help elucidate the different aspects and complexity of access issues with persons with acquired aphasia. These areas need further research in order to advance intervention towards improving the lives of this population. 6 http://www.informaworld.com/10.1080/02687030600798303 0268-7038
July 23, 2009 ) k 39 4 Communication,? There has bee n an interest in the World Health Organization's framework of functioning and disability by those in communication disorders since the original 1980 International Classification of Impairments, Disabilities, and Handicaps (ICIDH). In 2001, WHO published the substantially revised International Classification of Functioning, Disability, and Health (ICF). This framework is gaining in acceptance as a system that would be beneficial for the field and for our clients. This article describes the basics of the ICF and how it differs from the ICIDH; the possible applications of the ICF to communication disorders; some of the work done with the ICF in communication disorders internationally; and the benefits to the field from increased interdisciplinary and international collaboration using the ICF as a common framework.
Learning outcomes: As a result of this activity the reader will be able to: (1) describe the basics of the ICF, (2) describe the applications of the ICF to communication disorders, and (3) describe the possible impact upon the field internationally.
http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T85-4JMVHSK-1&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=0a65af2c5d2172950688a7ef5ab7be87 Department of Communication Sciences and Disorders, Saint Louis University, 3750 Lindell Blvd., St. Louis, MO 63108, United States
% doi:10.1016/j.jcomdis.2006.02.002 / Threats, T. T.
Worrall, L. 20042 Classifying communication disability using the ICF 53 - 622 International Journal of Speech-Language Pathology 6 1 Health classification schemes not only affect funding of speech-language pathology services but the terminology used in the classification affects the way the profession communicates externally to its stakeholders and internally within the profession. This paper describes the classification scheme of the World Health Organization's International Classification of Functioning, Disability and Health (ICF). While the conceptual framework of the ICF has been established within the profession, the detailed classification scheme is becoming increasingly important to speech-language pathologists. The implementation of the classification worldwide presents many opportunities for speech-language pathologists. Details of the ICF, however, continue to be “work in progress,†particularly in areas highly relevant to speech-language pathology such as the differentiation of the Activity and Participation components and their qualifiers. This uncertainty, together with other limitations, needs to be acknowledged by the profession. A research agenda is proposed that aims to place the speech-language pathology profession firmly at the forefront of ICF developments, so that the full scope of the profession's work is suitably acknowledged in the future.9 http://www.informaworld.com/10.1080/14417040410001669426 1754-9507
July 23, 2009 ? Threats, Travis T. 2001 October9 New Classifications Will Aid Assessment and Intervention. 12-13 A S H A Leader, Oct. 9 What are our clients capable of doing, as demonstrated in a clinical setting? What do our clients actually do in their own environments? What can we do for our clients in the clinic that will generalize to their environments? How can we measure how our clients do in their environments? What can be changed in the environments of our clients to help them do better in their actual lives? These are five basic questions that we think about when we provide assessment and intervention.
We want to believe that we have influenced the quality of life of our clients as measured by their increased ability to interact with others, enjoy meals, and pursue activities of personal interest. The newly approved World Health Organization's (WHO) 2001 International... D http://findarticles.com/p/articles/mi_hb4337/is_200110/ai_n15165539/ \/ H Tilquin, C.
Michelon, P.
D'Hoore, W.
Sicotte, C.
Carrillo, E.
G. Lonard, 1995g Using the handicap code of the ICIDH for classifying patients by intensity of nursing care requirements 176 - 183 Disability & Rehabilitation 17 3 ICIDH, dependancy, grids An 11-class patient classification system (PCS) has been built on a recode of two dimensions of the handicap code of the ICIDH: physical independence and mobility handicaps. The proposed system, called MAC XI, explains 78% of the variance of nursing care hours required by nursing-home residents and extended-care hospital patients. This percentage of variation is higher than the one explained by traditional dependency grids such as the Exton-Smith, Murphy, Kuntzmann and SMAF. MAC XI, based on two dimensions of the handicap code, is thus a powerful tool for predicting intensity of nursing care for staffing and budgeting purposes in long-term care institutions.6 http://www.informaworld.com/10.3109/09638289509166713 0? Toombs, S. K. 2004T 'Is she experiencing any pain?': disability and the physician−patient relationship 645-647 Internal Medicine Journal 34 11Z disability • physician−patient relationship • chronic illness • multiple sclerosis Ethics in Medicine In this essay, I reflect on my experience as a multiple sclerosis patient in order to identify some of the unique challenges that chronic disability poses in the physician2212patient relationship. I suggest that it is important to broaden the goals of the clinical encounter to incorporate personal (as opposed to simply bodily) well-being, to be aware of the manner in which chronic disability affects decisions regarding treatment, to recognize the import of physical and attitudinal barriers and to acknowledge that patients with chronic disabilities have an 'expert' knowledge of bodily experience. I also suggest that chronic disability provides an exceptional opportunity with respect to the relationship between doctors and patients. (Intern Med J 2004; 34: 6452212647)3 http://dx.doi.org/10.1111/j.1445-5994.2004.00700.x 10.1111/j.1445-5994.2004.00700.x 1445-5994: Philosophy Department, Baylor University, Waco, Texas, USA
? S Tschiesner, U.
Cieza, A.
Rogers, S.
Piccirillo, J.
Funk, G.
Stucki, G.
Berghaus, A. 2007 Developing core sets for patients with head and neck cancer based on the International Classification of Functioning, Disability and Health (ICF) 1215-1222* European Archives of Oto-Rhino-Laryngology 264 10 International Classification of Functioning, Disability and Health - Head and neck cancer - ICF - Quality of life - Functioning - Disability 0 Abstract Problems in functioning are frequently seen in survivors of head and neck cancer (HNC) and proof to have increasing impact on their quality of life. With the approval of the International Classification of Functioning, Disability and Health (ICF) by the World Health Assembly in May 2001, we can now rely on a globally accepted framework and classification system based on a bio-psycho-social mode to assess and compare functional outcome. To make the ICF-classification with more than 1.400 categories applicable to every-day clinical practice, ICF core sets are established. The objective of this paper is to outline the proposed development process for the ICF core set for HNC and to invite international experts to participate in this process. The ICF core set will be defined at a Consensus conference, which will integrate evidence from preparatory studies, namely: (a) a systematic literature review regarding the outcome measures of clinical trails and observational studies, (b) semi-structured patient interviews, (c) international experts participating in a internet-based survey and (d) cross-sectional, multi-center studies for clinical applicability. To validate the ICF core set field-testing will follow. The ICF provides useful standards of clinical rehabilitation practice, research and teaching. Its application stimulates comparability of outcome parameters, eventually improving understanding of functioning and disability. The ICF can function as a new language, simplifying communication and cooperation between various professional backgrounds and between health professionals and their patients eventually leading to a more effective and economic rehabilitation. The ICF core set for HNC is designed to translate the benefits of the ICF into clinical routine. The development of ICF core sets is an inclusive and open process. Anyone who wishes to actively participate is invited to contact the project coordinator (Uta.Tschiesner@med.uni-muenchen.de). Individuals, institutions and associations can be formally associated as partners of the project., http://dx.doi.org/10.1007/s00405-007-0335-8 10.1007/s00405-007-0335-88 U. Tschiesner
Email: uta.tschiesner@med.uni-muenchen.de / = Tustin, R. Don
Kent, Penny A.
Haskell, Simon
Bond, Malcolm J. 1991H Measuring severity of challenging behaviours: A behaviour disorder scale 285 - 3022 Journal of Intellectual & Developmental Disability 17 3 The terms challenging behaviour and behaviour disorder have been used increasingly by administrators in Australia to draw attention to the issues raised by people of low intelligence who present persistent behaviour problems. As yet, there are no widely accepted measures of severity of behaviour disorder. This study examined whether degrees of severity of behaviour disorder can be measured objectively using a checklist of observable behaviours, in a way that is meaningful to both administrators and therapists. The study examined relations between scores on a Behaviour Disorder Scale and eight other measures of severity of challenging behaviours that have been used by administrators and therapists. It is concluded that scores on the Behaviour Disorder Scale are reliable and can be used in a meaningful way to identify people with intellectual disabilities who exhibit behavioural disorders with different degrees of severity.6 http://www.informaworld.com/10.1080/07263869100034621 1366-8250
July 23, 2009 ? Tweedy, S. M. 2002-04\ Taxonomic theory and the ICF: Foundations for a unified disability athletics classification 220-237# Adapted Physical Activity Quarterly 19 2< Rehabilitation
Sport Sciences
Performance
Impairment
Sports Human Kinetics F Development of a unified classification system to replace four of the systems currently used in disability athletics (i.e., track and field) has been widely advocated. The definition and purpose of classification, underpinned by taxonomic principles and collectively endorsed by relevant disability sport organizations, have not been developed but are required for successful implementation of a unified system. It is posited that the International classification of functioning. disability, and health (ICF), published by the World Health Organization (2001), and current disability athletics systems are, fundamentally, classifications of the functioning and disability associated with health conditions and are highly interrelated. A rationale for basing a unified disability athletics system on ICF is established. Following taxonomic analysis of the current systems, the definition and purpose of a unified disability athletics classification are proposed and discussed. The proposed taxonomic framework and definitions have implications for other disability sport classification systems. - http://espace.library.uq.edu.au/view/UQ:62673 0736-5829? Ueda, S.
Okawa, Y. 2003V The subjective dimension of functioning and disability: what is it and what is it for? 596-601 Disability & Rehabilitation 25 11 Informa Healthcare} The International Classification of Functioning, Disability and Health (ICF, WHO 2001) made a great advancement over ICIDH of 1980 in the understanding of the human functioning and disability. However, in both of them there is an important 'missing' element. That is the subjective dimension of functioning and disability. One of the authors (S. Ueda) published on this topic in 1981 both in Japanese and English. It had originated from his clinical experience in rehabilitation medicine. The understanding of the inner world of the client has proved a great asset in clinical practice. This paper explains its importance and provides a definition. It also proposes a tentative framework of a classification of subjective dimension of functioning and disability as the starting point for more intensive and extensive discussion on this important problem, and for its future inclusion into ICF.8 http://www.informaworld.com/10.1080/0963828031000137108 0963-8288 ;
UN, 20065 Convention on the Rights of Persons with Disabilities> http://www.un.org/disabilities/convention/conventionfull.shtml` Prepared by the UN Web Services Section, Department of Public Information © United Nations 2006A http://www2.ohchr.org/english/law/pdf/disabilities-convention.pdf Source: Annex 1, Final report of the Ad Hoc Committee on a Comprehensive and Integral International Convention on the Protection and Promotion of the Rights and Dignity of Persons with Disabilities [A/61/611 - PDF, 117KB]
?
UN, 1993Q Standard Rules on the Equalization of Opportunities for Persons with Disabilities0 http://www.un.org/ecosocdev/geninfo/dpi1647e.htm% For general information, also contact:
Information Officer for Disability
Development and Human Rights Section
Promotion and External Relations Division
Department of Public Information
United Nations
Room S-1040, United Nations
New York, NY 10017, USA
Tel: (212) 963-0353, Fax: (212) 963-1186@ http://www.independentliving.org/standardrules/StandardRules.pdf a}? _ Unsworth, Carolyn
Duckett, Stephen
Duncombe, Dianne
Perry, Alison
Skeat, Jemma
Taylor, Nicholas 2004I Validity of the AusTOM scales: A comparison of the AusTOMs and EuroQol-5D 64# Health and Quality of Life Outcomes 2 1 BACKGROUND:Clinicians require brief outcome measures in their busy daily practice to document global client outcomes. Based on the UK Therapy Outcome Measure, the Australian Therapy Outcome Measures were designed to capture global therapy outcomes of occupational therapy, physiotherapy and speech pathology in the Australian clinical context. The aim of this study was to investigate the construct (convergent) validity of the Australian Therapy Outcome Measures (AusTOMs) by comparing it with the EuroQuol-5D (EQ-5D).METHODS:The research was a prospective, longitudinal cohort study, with data collected over a seven month time period. The study was conducted at a total of 13 metropolitan and rural health-care sites including acute, sub-acute and community facilities. Two-hundred and five clients were asked to score themselves on the EQ-5D, and the same clients were scored by approximately 115 therapists (physiotherapists, speech pathologists and occupational therapists) using the AusTOMs at admission and discharge. Clients were consecutive admissions who agreed to participate in the study. Clients of all diagnoses, aged 18 years and over (a criteria of the EQ-5D), and able to give informed consent were scored on the measures. Spearman rank order correlation coefficients were used to analyze the relationships between scores from the two tools. The clients were scored on the AusTOMs and EQ-5D.RESULTS:There were many health care areas where correlations were expected and found between scores on the AusTOMs and the EQ-5D.CONCLUSION:In the quest to measure the effectiveness of therapy services, managers, health care founders and clinicians are urgently seeking to undertake the first step by identifying tools that can measure therapy outcome. AusTOMs is one tool that can measure global client outcomes following therapy. In this study, it was found that on the whole, the AusTOMs and the EQ-5D measure similar constructs. Hence, although the validity of a tool is never 'proven', this study offers preliminary support for the construct validity of AusTOMs.# http://www.hqlo.com/content/2/1/64 1477-7525 doi:10.1186/1477-7525-2-64 ?
6 UNECE (United Nations Economic Commission for Europe) 2004[ Report of the May 2004 joint UNECE/WHO/Euorstat meeting on the measurement of health status@ . ? Ustün TB, 2007 Jan-Feb Using the international classification of functioning, disease and health in attention-deficit/hyperactivity disorder: separating the disease from its epiphenomena. 132-9 Ambul Pediatr. ;7 7 1 SupplC This paper discusses the description of attention-deficit/hyperactivity disorder (ADHD) as a possible "disease entity" and the "disabilities" associated with it. It builds on the nosological descriptions of ADHD from International Classification of Disease (ICD) and Diagnostic and Statistical Manual of Mental Disorders (DSM) perspectives and introduces the distinct disability dimension from the International Classification of Functioning, Disability and Health (ICF) perspective. It advocates for separating assessment of disease and disability dimensions and then utilizing these constructs jointly by using both the ICD and ICF classifications. The ICF analyzes functioning in relation to a health condition in terms of 1) body functions and body structures, 2) activities of the person and participation of the person in society, and 3) contextual factors such as environmental factors and personal factors. The separation of signs/symptoms and consequences permits better understanding of the disease pathophysiology on the one hand and the consequences (eg, its impact on the person, family, peers, school, work, and social life) on the other hand. It will therefore enable us to better understand the nature of ADHD because the core body functions associated with the disorder will be better delineated. In addition, capturing environmental factors may help people with ADHD by modifying their environments. The ICF provides a good outcome monitoring and evaluation tool for the assessment of treatment response. As in many other disorders, diagnosis alone is not a sufficient predictor of health care needs, utilization, costs, or outcomes. When one adds disability as a predictor, our capacity to predict these parameters is increased dramatically. It is therefore suggested that the ICF framework be considered in future ADHD research activities.+ http://www.ncbi.nlm.nih.gov/pubmed/17261492> World Health Organization, Geneva, Switzerland. ustunb@who.int / ' Üstün B,
Chatterji, S.
Kostanjsek, N. 2004` Comments from who for the journal of rehabilitation medicine special supplement on ICF core sets 7 - 8" Journal of Rehabilitation Medicine 36 4 supp 446 http://www.informaworld.com/10.1080/16501960410015344 1650-1977i Classification, Assessment, Surveys and Terminology Team, World Health Organization, Geneva, Switzerland.5 http://jrm.medicaljournals.se/files/pdf/36/44/7-8.pdf
July 23, 2009 3 ψ/ Sugden, David
Dunford, Carolyn 2007` Intervention and the role of theory, empiricism and experience in children with motor impairment 3 - 11 Disability & Rehabilitation 29 1 Purpose. This paper presents a framework for examining the different approaches to intervention in children with motor impairment such that more informed decisions are made by researchers and clinicians in their respective fields.
Method. Studies are examined using a framework employing theoretical, empirical and experiential evidence. A range of interventions are analysed and are applied to the conditions of cerebral palsy and developmental coordination disorder. The theoretical, empirical and experiential evidence is analysed by an examination of such methods as constraint induced therapy, Bobath techniques, bimanual coordination methods, sensory integration therapy and functional task approaches, all set within a development and learning context.
Results. The results show that evidence from the three parts of the framework, namely theoretical, empirical and experiential are often in conflict with each other and it is not surprising that there is confusion in the field about the efficacy of the various methods.
Conclusions. First, it is recommended? L Ustün, T Bedirhan,
Somnath Chatterji,
Nenad Kostansjek,
Jerome Bickenbach 2003= WHO's ICF and functional status information in health records 77-88. Health care financing review 24 3n A common framework for describing functional status information (FSI) in health records is needed in order to make this information comparable and of value. The World Health Organization's (WHO's) International Classification of Functioning, Disability and Health (ICF), which has been approved by all its member States, provides this common language and framework. The biopsychosocial model of functioning and disability embodied in the ICF goes beyond disease and conceptualizes functioning from the individual's body, person, and lived experience vantage points, thereby allowing for planning interventions targeted at the individual's body, the individual as a whole or toward the environment. This framework then permits the evaluation of both the effectiveness and cost effectiveness of these different interventions in devising programs at the personal or societal level.o https://www.researchgate.net/publication/10631918_WHO's_ICF_and_functional_status_information_in_health_records ISSN: 0195-8631 d3 @/ H Üstün, T. B.
Chatterji, S.
Bickenbach, J.
Kostanjsek, N.
Schneider, M. 2003z The International Classification of Functioning, Disability and Health: a new tool for understanding disability and health 565 - 571 Disability & Rehabilitation 25 11* Functioning, WHO, outcomes, rehabilitation Reliable and timely information about the health of populations is part of the World Health Organization's mandate in the development of international public health policy. To capture data concerning functioning and disability, or non-fatal health outcomes, WHO has recently published the revised International Classification of Functioning, Disability and Health (ICF). In this article, the authors briefly outline the revision process and discuss the rationale for the ICF and the needs that it serves in rehabilitation. The ICF is shown to be an essential tool for identifying and measuring efficacy and effectiveness of rehabilitation services, both through functional profiling and intervention targeting. Existing applications of the ICF in rehabilitation are then surveyed. The ICF, in short, offers an international, scientific tool for understanding human functioning and disability for clinical, research, policy development and a range of other public health uses.8 http://www.informaworld.com/10.1080sted life years.+ http://www.ncbi.nlm.nih.gov/pubmed/10408486 Editorial comment attachedY WHO, Assessment Classification and Epidemiology Group, Geneva, Switzerland. ustunb@who.ch http://jan.ucc.nau.edu/rtt/pdf%20format%20pubs/Trotter%201990s%20pdf%20Pubs/Multiple-informant%20Ranking%20of%20Disabling%20Effects%20of%20Health%20Co.pdfZ Comments in : Lancet. 1999 Jul 10;354(9173):87-8.
Lancet. 2000 Jun 10;355(9220):2079-80. ; Ustün TB, Chatterji S, Rehm J. 1998 Dec> Limitations of diagnostic paradigm: it doesn't explain "need". 1147-8 Arch Gen Psychiatry.):1145-6; 15 12* http://www.ncbi.nlm.nih.gov/pubmed/98625608 Comment on:
Arch Gen Psychiatry. 1998 Feb;55(2):109-15. R? 7 Ustun, T. B.
Bickenbach, J. E.
Badley, E.
Chatterji, S. 1998C A Reply to David Pfeiffer 'The ICIDH and the Need for its Revision' 829-831 Disability & Society 13 Number 51 WHO, classification, collaborating, interventionsT http://www.ingentaconnect.com/content/routledg/cdso/1998/00000013/00000005/art00010
Using a multidisciplinary classification in nursing: the International Classification of Functioning Disability and Health 432-441 Journal of Advanced Nursing 49 4 van achterberg t., holleman g., heijnen-kaales y., van der brug y., roodbol g., stallinga h.a., hellema f. & frederiks c.m.a. (2005) Journal of Advanced Nursing49(4), 4322013441 Using a multidisciplinary classification in nursing: the International Classification of Functioning Disability and HealthAim. This paper reports a study to explore systematically the usefulness of the International Classification of Functioning, Disability and Health to nurses giving patient care.Background. The International Classification of Functioning, Disability and Health has a history of more than 20 years. Although this World Health Organization classification offers multidisciplinary use, nurses are not familiar with it.Methods. Applications of the International Classification for nursing practice were developed and evaluated in a multi-centre project, composed of a series of 10 projects in a variety of settings. These applications were a variety of tools, such as assessment forms, care plans and transfer forms. The study used information from 653 patients, 469 nurses and 178 others (International Classification experts; other professionals with whom nurses communicate or discuss patient data).Findings. Large sections of the International Classification were used in the 10 projects, revealing a predominant focus on body functions (53% of all three-digit codes and corresponding terms used). Although large sections of the Classification were useful in practice applications, some items were identified that could be added, improved or described with more detail. Positive remarks made by nurses referred to the scope of the International Classification, which encouraged assessing beyond a patient's functional impairments.Conclusions. The International Classification of Functioning, Disability and Health can be a useful tool in classifying and communicating aspects of patient functioning by nurses. A level of moderate detail within the Classification (three-digit level) seems appropriate for most nursing purposes. Our results on items that could be added or improved can serve as input in future revisions of the Classification. Future use of the International Classification should be encouraged, because of its relevance to nursing and its potential for multidisciplinary use in patient care.3 http://dx.doi.org/10.1111/j.1365-2648.2004.03307.x 10.1111/j.1365-2648.2004.03307.x 1365-2648 Professor of Nursing Science, Centre for Quality of Care Research, University Medical Centre St Radboud, Nursing Science Section, Nijmegen, The Netherlands; Researcher, Centre for Quality of Care Research, University Medical Centre St Radboud, Nursing Science Section, Nijmegen, The Netherlands; Senior Staff Member, National Expert Centre for Nursing and Care, Utrecht, The Netherlands; Senior Staff Member, Academic Medical Centre, Amsterdam, The Netherlands; Researcher and Clinical Nurse Specialist, Department of Psychiatry, University Medical Centre St Radboud, Nursing Science Section, Nijmegen, The Netherlands; Staff Member, Academic Medical Centre, Groningen, The Netherlands; Staff Member, Academic Medical Centre, Groningen, The Netherlands; Emeritus Professor of Nursing Science, Centre for Quality of Care Research, University Medical Centre St Radboud, Nursing Science Section, Nijmegen, The Netherlands? N Van Achterberg, Theo,
Carla, Frederiks
Nynke, Thien
Chel, Coenen
Anke, Persoon 2002X Using ICIDH-2 in the classification of nursing diagnoses: results from two pilot studies 135-144 Journal of Advanced Nursing 37 2J Using ICIDH-2 in the classification of nursing diagnoses: results from two pilot studies Background. As an International Classification of Functioning and Disability, the ICIDH-2 is potentially relevant to the work of all health care professionals. Nurses, however, had little involvement in the development of this classification and have no tradition of using it. Aim. Two pilot studies were designed to explore the fit between ICIDH-2 and the nursing domain. Methods. In the first study, experts (n=2) and nurses (n=9) were asked to identify and classify patient problems that they observed on a video taped case. In the second study, problem statements from nursing diagnoses (n=199) that had been retrieved from patient files were classified using ICIDH-2. Each problem statement was classified by a panel of three individuals. Results and conclusion. Results from the two studies suggest that the ICIDH-2 is certainly relevant to the nursing discipline and allows a large majority of nursing diagnoses to be classified. It is recommended that nurses take an active role in the ongoing development of the ICIDH in order to further improve its usefulness to the nursing profession. Limitations. The studies were small-scale pilots performed in a single medical centre. Preliminary insight resulted from these pilots, but more research is needed.3 http://dx.doi.org/10.1046/j.1365-2648.2002.02085.x 10.1046/j.1365-2648.2002.02085.x 1365-2648 Associate Professor, Department of Nursing Science, University Medical Centre St Radboud, Nijmegen, The Netherlands,; Professor, Department of Nursing Science, University Medical Centre St Radboud, Nijmegen, The Netherlands,; Staff Member, Home Care Organization City of Utrecht (TSU), Utrecht, The Netherlands,; Staff Member, Department of Care, University Medical Centre St Radboud, Nijmegen, The Netherlands,; Staff Member, Department of Nursing Science, University Medical Centre St Radboud, Nijmegen, The Netherlands ? D van Baar ME, Essink-Bot ML, Oen IM, Dokter J, Boxma H, van Beeck EF. 2006 Feb) Functional outcome after burns: a review. 1-9. Epub 2005 Dec 22 Burns 32 1 We conducted a Medline search (1966-11/2003) on empirical studies into the consequences of burns. The International Classification of Functioning, disabilities and health (ICF) was used to classify dimensions of functional outcome. We included 50 studies, reporting a wide spectrum of ICF-dimensions. The current state of knowledge on the functional outcome after burns was hard to summarise, due to the wide variety in study designs and outcome assessment methods. Some indications on the major functional problems after burns were gained. Problems in mental function were described in subgroups of patients, both in children/adolescents and adults. Restrictions in range of motion were observed in about one-fifth of burn patients, even 5 years after injury. Problems with appearance were reported often (up to 43%), even in patients with minor burns (14%). Problems with work were reported in 21-50% of the adult patients, with permanent incapacity for work in 1-5%. None of the publications gave sufficient information to fully estimate the functional consequences of burns. We recommend the development of a standard core set for measurement and reporting of functional outcome after burns.+ http://www.ncbi.nlm.nih.gov/pubmed/16376020 Department of Public Health, Erasmus MC, University Medical Center Rotterdam, Rotterdam, The Netherlands. m.e.vanbaar@umcutrecht.nll ~? O van Boxel, Yvonne, J. J. M,
Frits, H. J. Roest
Michael, P. Bergen
Henk, J. Stam 1995C Dimensionality and hierarchical structure of disability measurement 1152-11550 Archives of physical medicine and rehabilitation 76 12
W.B. Saunders( ICIDH , ADL (Activities of daily living) Since the D-code of the International Classification of Impairments, Disabilities, and Handicaps (ICIDH) in its full form has proven to be impractical, an instrument based on a selection of 28 items is used to measure disability in Dutch patients undergoing rehabilitation. The items are categorized into 5 domains of physical, activities of daily living (ADL), social, psychological, and communicative activity. Measurement is made on a 4-point scale ranging from 0 (not disabled) to 3 (severely disabled). As a result of the ordinal character of the rating, statistical and mathematical manipulations of the scores are complicated. The aim of this study was to obtain more insight in the dimensionality and hierarchical structure of the items, to overcome problems in comparing disability between items, between patients, and within patients between different moments in time. Mokken scale analysis of the disability scores from 1,967 rehabilitation inpatients showed that the 28 items constitute hierarchical scales. However, categorization of the items into the 5 original domains was not replicated. Five other scales or dimensions were investigated, measuring the level of extended ADL, extended psychological, fine motoric, work/leisure, and hearing/ seeing activity, respectively. The number of items per dimension ranges from 14 in the extended ADL dimension to 2 each in the work/leisure and hearing/seeing dimensions. Although each disability item may be of importance in clinical case management, a reduced set of extended ADL items suffices to describe the disability level in this dimension for epidemiological research purposes. The other dimensions need further specification to provide reliable and sensitive measuring of disability.> http://linkinghub.elsevier.com/retrieve/pii/S0003999395801251 0003-9993 S0003-9993(95)80125-1d Brazil using standard methods. The instrument was to be based on the Participation domains of the International Classification of Functioning, Disability and Health (ICF), be cross-cultural in nature and assess client-perceived participation. Respondents rated their participation in comparison with a ‘peer’, defined as ‘someone similar to the respondent in all respects except for the disease or disability’.
Results. An 18-item instrument was developed in seven languages. Crohnbach's α was 0.92, intra-tester stability 0.83 and inter-tester reliability 0.80. Discrimination between controls and clients was good at a Participation Score threshold of 12. Responsiveness after a ‘life change’ was according to expectation.
Conclusions. The Participation Scale is reliable and valid to measure client-perceived participation in people affected by leprosy or disability. It is expected to be valid in other (stigmatised) conditions also, but this needs confirmation. The scale allows collection of participation data and impact assessment of interventions to improve social participation. Such data may be compared between clients, interventions and programmes. The scale is suitable for use in institutions, but also at the peripheral level.6 http://www.informaworld.com/10.1080/09638280500192785 0963-8288
July 24, 2009 : NMD 17 6 Pergamon Press Outcome assessment
Activity limitations
Neuromuscular disorders
Rasch analysis
International Classification of Functioning, Disability and Health (ICF) A common measure of activity limitations for both children and adults with neuromuscular disorders was developed using the Rasch model. A self-reported questionnaire containing daily activities was submitted to 245 adult patients and to the parents of 124 affected children from the two major Belgian communities. They were asked to provide their perceived difficulty in performing daily activities on a three-level scale. The 22 items of the final scale define a unidimensional and linear measure of activity limitations and show a continuous progression in their difficulty. The item difficulty hierarchy is invariant with regard to the diagnosis, community, gender and age. The scale exhibits a good precision, since the 22 items are well targeted on our sample (r=0.96); furthermore, it is reproducible over time (ICC=0.93). The patients’ measures are related to the Functional Independence Measure motor score (Ï=0.85), to the Brooke (Ï=−0.63) grade and to the Vignos (Ï=−0.83) grade.> http://linkinghub.elsevier.com/retrieve/pii/S096089660700079X 0960-8966 S0960-8966(07)00079-X ? Van Dillen, Linda R,
Sahrmann, Shirley A.
Norton, Barbara J.
Caldwell, Cheryl A.
Fleming, Deborah A.
McDonnell, Mary Kate
Woolsey, Nancy B. 1998` Reliability of Physical Examination Items Used for Classification of Patients With Low Back Pain 979-988 PHYS THER 78 9E Classification • Low back pain • Reliability • Spinal disorders September 1, 1998< Background and Purpose. The purpose of this study was to examine the interrater reliability of measurements obtained by examiners administering tests proposed to be important for classifying low back pain (LBP) problems. Subjects. Ninety-five subjects with LBP (41 men, 54 women) and 43 subjects without LBP (17 men, 26 women) were examined by 5 therapists trained in the techniques used. Methods. A manual was developed by the first author that described the clinical examination procedures. The therapists were trained by the first author in the test procedures and definitions. The training included instruction through videotapes, practice, and a written examination. Each examination was conducted by a pair of therapists. Within a pair, a therapist was the primary examiner for half of the subjects and an observer was the primary examiner for half of the subjects. Examination findings were recorded independently, without discussion. Results. Percentage of agreement and generalized kappa coefficients were used to analyze the data. Kappa values were [≥].75 for all 28 items related to the symptoms elicited and [≥].40 for 72% of the 25 items related to alignment and movement. Conclusion and Discussion. The results suggest that experienced therapists who had trained together were able to agree on the results of examinations and obtain an acceptable level of reliability. Future work should focus on testing of reliability when more than one therapist performs the examination and when therapists not trained by the test developer to administer the examination perform the tests.7 http://www.ptjournal.org/cgi/content/abstract/78/9/979 L Van Dillen, PhD, PT, is Instructor, Program in Physical Therapy, Washington University School of Medicine, Campus Box 8502, St Louis, MO 63110 (USA) (vandille@medicine.wustl.edu).
SA Sahrmann, PhD, PT, FAPTA, is Professor and Associate Director for Doctoral Studies, Program in Physical Therapy, Washington University School of Medicine.
BJ Norton, PhD, PT, is Assistant Professor and Associate Director of Post-Professional Studies, Program in Physical Therapy, Washington University School of Medicine.
CA Caldwell, PT, CHT, is Instructor, Program in Physical Therapy, Washington University School of Medicine.
DA Fleming, PT, is Lead Physical Therapist, BJC Health System, St Louis, Mo.
MK McDonnell, PT, OCS, is Instructor, Program in Physical Therapy, Washington University School of Medicine.
NB Woolsey, OT, PT, is Instructor, Program in Physical Therapy, Washington University School of Medicine. > http://www.physicaltherapyjournal.com/cgi/reprint/78/9/979.pdf mber 105 Exercise prescription; Exercise therapy; Handicapped E The promotion of a physically active lifestyle has become an important issue in health policy in first-world countries. A physically active lifestyle is accompanied by several fitness and health benefits. Individuals with a disability can particularly benefit from an active lifestyle: not only does it reduce the risk for secondary health problems, but all levels of functioning can be influenced positively.
The objective of this article is to propose a conceptual model that describes the relationships between physical activity behaviour, its determinants and functioning of people with a disability. The literature was systematically searched for articles considering physical activity and disability, and models relating both topics were looked for in particular. No models were found relating physical activity behaviour, its determinants and functioning in people with a disability. Consequently, a new model, the Physical Activity for people with a Disability (PAD) model, was constructed based on existing models of disability and models of determinants of physical activity behaviour. The starting point was the new WHO Model of Functioning and Disability, part of the International Classification of Functioning, Disability and Health (ICF), which describes the multidimensional aspects of functioning and disability. Physical activity behaviour and its determinants were integrated into the ICF model. The factors determining physical activity were based mainly on those used in the Attitude, Social influence and self-Efficacy (ASE) model. The proposed model can be used as a theoretical framework for future interventions and research on physical activity promotion in the population of people with a disability. The model currently forms the theoretical basis for a large physical activity promotion trial in ten Dutch rehabilitation centres. O http://www.ingentaconnect.com/content/adis/smd/2004/00000034/00000010/art00002 [1]
[2] ~? @ van der Woude, Lucas, H. V
Sonja de, Groot
Thomas, W. J. Janssen 2006\ Manual wheelchairs: Research and innovation in rehabilitation, sports, daily life and health 905-915 Medical engineering & physics 28 9 Butterworth-HeinemannV Manual wheelchairs
Rehabilitation
Health
Physical activity
Sports
Assistive technology Those with lower limb disabilities are often dependent on manually propelled wheelchairs for their mobility, in Europe today some 3.3 million people. This implies a transfer from leg to arm work for ambulation and all other activities of daily living (ADL). Compared to the legs, arm work is less efficient and more straining, and leads to a lower physical capacity. Also, there is a major risk of mechanical overuse. Problems of long-term wheelchair use are not only pain or discomfort, but also a risk of a physically inactive lifestyle. Subsequently, serious secondary impairments (obesity, diabetes and cardiovascular problems) may eventually emerge. Wheelchair quality, including the ergonomic fitting to the individual may play a preventive role here, but also other modes of physical activity, and the understanding of training, rehabilitation, active lifestyle and sports on health and wellbeing. The ‘International Classification of Functioning, Health and Disability’ (ICF) model, a stress–strain–work capacity model, as well as the ergonomics model that relates human-activity-assistive technology are instrumental to the concepts, structure and aims of research in assistive technology for mobility. Apart from empirical developments and innovations from within wheelchair sports, systematic research has played a role in wheelchair development and design in three important areas: (1) the vehicle mechanics, (2) the human movement system and (3) the wheelchair–user interface. Current practical developments in design and technology are discussed. A position stand on the key-issues of a current and future research agenda in this area is presented.> http://linkinghub.elsevier.com/retrieve/pii/S1350453305002560 1350-4533 S1350-4533(05)00256-0% a. Institute for Fundamental and Clinical Human Movement Sciences, Faculty of Human Movement Sciences, Vrije Universiteit, Van der Boechorststraat 9, Amsterdam, The Netherlands
b Rehabilitation Centre Amsterdam, The Netherlands
Corresponding author. Tel.: +31 20 5988500; fax: +31 20 5988529 !? van Echteld, Irene
Cieza, Alarcos
Boonen, Annelies
Stucki, Gerold
Zochling, Jane
Braun, Jürgen
van der Heijde, Désirée 2006 Identification of the most common problems by patients with ankylosing spondylitis using the international classification of functioning, disability and health 2475-2483 The Journal of Rheumatology 33 12
December 2006o OBJECTIVE: The International Classification of Functioning, Disability and Health (ICF) aims to classify functioning and health by a number of categories divided over 3 components: body functions and body structures, participation and activities, and environmental factors. We identified the common health problems of patients with ankylosing spondylitis (AS) based on the ICF from the perspective of the patient. METHODS: During structured interviews with the extended ICF checklist, trained assessors collected data from 111 patients with AS. ICF categories identified by more than 5% of the patients as at least mildly impaired or restricted were selected. Categories identified by less than 5% were removed. Additional impairments/restrictions reported by more than 5% of the patients, after the structured interviews and not yet included in the checklist, were added. RESULTS: One hundred nineteen (72%) out of 165 categories of the extended ICF checklist were identified to be at least mildly impaired or restricted. Within each of the 4 components of the ICF, at least one-third of the categories were impaired or restricted for more than 50% of the patients. Thirty-nine (33%) categories were related to movement and mobility. Within the component "environmental factors" the categories "support of immediate family" and "health professionals" were the most important facilitators, "climate" was the most important barrier. Eight impairments were additionally mentioned as relevant. These were hierarchically lower levels of ICF categories previously included and they were added. CONCLUSION: One hundred twenty-seven ICF categories represent the comprehensive classification of functioning in AS from the patients' perspective. The results underscore the need to address the 4 ICF components when classifying functioning and to emphasize that functioning implies more than physical functioning.2 http://www.jrheum.org/content/33/12/2475.abstract ? Z van Empelen, R.
Jennekens-Schinkel, A.
Buskens, E.
Helders, P. J. M.
van Nieuwenhuizen, O. 2004* Functional consequences of hemispherectomy 2071-2079 Brain 127 9 September 1, 2004 Using the International Classification of Functioning Disability and Health (ICF) (WHO, 2001), impairments, activities and social participation are reported in 12 children (mean age at surgery 5.9 years) who were investigated before and three times over a 2-year period after hemispherectomy. Impairments were assessed (i) in terms of seizure frequency (Engel classification) and seizure severity (HASS) and (ii) with respect to muscle strength (MRC), range of motion (JAM score) and muscle tone (modified Ashworth scale). Activities were assessed in terms of gross motor functioning (GMFM) and self-care, mobility and social function (PEDI). Participation was assessed in terms of epilepsy-related restrictions and quantified by means of the Hague Restrictions in Childhood Epilepsy Scale (HARCES). Nine out of 12 children could be classified as free of seizures (Engel class I), and in the remaining three seizure frequency was Engel class III. HASS scores showed maximum improvement in 10 out of 12 children and near-maximum improvement in the two remaining children. Muscle strength and muscle tone on the side of the body contralateral to the hemispherectomy, which were already decreased preoperatively, decreased even further in the first 6 months after surgery, but returned to the presurgical baseline thereafter, except for the distal part of the arm. Range of motion was abnormal prior to operation and remained so after operation. Mean GMFM increase was 20% after 2 years (95% confidence interval 10-33); all five dimensions improved statistically significantly (P < 0.05). Mean PEDI increase was more than 20 scale points (95% confidence interval 10-35); again, all domains improved significantly (P < 0.05). In nearly all children, HARCES scores had normalized 2 years after surgery. In conclusion, decrease of seizure frequency and severity widens the scope of motor and social functioning, which overrides the effects of remaining motor impairments.@ http://brain.oxfordjournals.org/cgi/content/abstract/127/9/2071 10.1093/brain/awh2246 http://brain.oxfordjournals.org/cgi/reprint/127/9/2071/ van Hof, C.
Looijestijn, P. L. 1995z An interdisciplinary model for the rehabilitation of visually impaired and blind people: application of the ICIDH concepts 391 - 399 Disability & Rehabilitation 17 7 ICIDH, visual impairments In rehabilitation centres for visually impaired and blind people the need for a common, conceptual framework was felt by the various disciplines working there. As a consequence an interdisciplinary model has been developed. This article gives a brief description of the two elements of the model: the concepts of the ICIDH and the path of rehabilitation. The classifications of the ICIDH have been adapted to suit our purposes better. The concepts of impairment, disability, and handicap can serve as a framework during an interdisciplinary consultation. In this context a visual profile, which contains information gained from the assessments done by the various disciplines, will be discussed. The visual profile makes it possible to gain general insight into the client's visual problems from all perspectives, which enables the team to draw up an interdisciplinary rehabilitation diagnosis. At present the model is being tested by practical experience in three regional rehabilitation centres for visually impaired and blind people. The model gives an outline of the application of the ICIDH concepts, and leaves open the possibility of working on the various aspects in more detail.6 http://www.informaworld.com/10.3109/09638289509166727 0963-8288
July 24, 2009 ssions. The following settings were defined: disease controlling antirheumatic therapy (DC-ART), symptom modifying antirheumatic drugs (SMARD)/physical therapy, and clinical record keeping. Over 110 variables used as endpoints in AS were found in the literature. The preliminary core set for DC-ART consists of physical function, pain, spinal mobility, patient global assessment, peripheral joints/entheses, x-ray spine. The selected core set for SMARD/physical therapy includes physical function, pain, spinal mobility, spinal stiffness, and patient global assessment. The core set for clinical record keeping includes all measures of the SMARD/physical therapy core set completed by peripheral joints/entheses, and acute phase reactants. Three preliminary core sets for AS have been defined. Further research will be performed to select specific measures for all domains.* http://www.ncbi.nlm.nih.gov/pubmed/9375888_ Department of Internal Medicine, University of Maastricht, The Netherlands. DHE@MS-AZM-3.AZM.NL 0963-8288
July 24, 2009Mf high methodological and organizational complexity. Finally, they comprise the development of a transdisciplinary workforce and the integration into a research landscape which is organized along scientific disciplines and not along interdisciplinary themes.
Conclusion. The ideas and approaches described in this paper may serve as an example for creating integrative research institutions dedicated to human functioning and rehabilitation research from the comprehensive perspective.6 http://www.informaworld.com/10.1080/09638280701456369 0963-8288
July 24, 2009 Functioning, Disability, and Health (ICF) was applied to examine the factors associated with childhood impairment and leisure activity. Information on leisure activity was obtained using a structured questionnaire from a population-based cohort of young adults with childhood impairment. The results underscore the differences in leisure lifestyles by impairment type and severity. Activity limitations, educational attainment, and the acquisition of adult social roles were significant predictors of leisure activity. This study emphasizes the importance of improving daily activities, increasing attendance of postsecondary school and opportunities for competitive employment and participation in impairment-related programs to help increase the number and scope of types of leisure activities for young adults with developmental disabilities. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6VDN-4HHH4VY-1&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=b042c33e62b95c2cde39ae84b9bf6649 a. Developmental Disabilities Team, National Center on Birth Defects and Developmental Disabilities, Centres for Disease Control and Prevention, 1600 Clifton Road MS E-86, Atlanta, GA 30333, USA
b. Office of the Director, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, 1600 Clifton Road MS E-86, Atlanta, GA 30333, USA
c. Battelle Memorial Institute, New York, NY 10463, USA well as in institutional settings. The instrument is rapid to administer (on average 42 min) and the reliability is not influenced by training. A study of concurrent validity has shown a strong correlation between the disability index obtained by the SMAF and the amount of required nursing-care time. This instrument can be used for clinical purposes and in epidemiological and evaluative research.? http://ageing.oxfordjournals.org/cgi/content/abstract/17/5/293 10.1093/ageing/17.5.293 d Purpose--Handicap or health-related quality of life (HRQL) measures are seldom used in stroke trials, although the importance of these measures has been stressed frequently. We studied the clinical meaning of the Stroke-Adapted Sickness Impact Profile-30 (SA-SIP30) and the original SIP136 for use in stroke research. Methods--We included 418 patients who had had a stroke 6 months earlier. We studied the associations between the SA-SIP30 and SIP136 scores versus other frequently used outcome measures from the International Classification of Impairments, Disabilities, and Handicaps (ICIDH) (Barthel Index, Rankin Scale) and the HRQL model (health perception items, Euroqol). To interpret the continuous SA-SIP30 and SIP136 scores, we used receiver operating characteristic curve analysis with the aforementioned measures as external criteria. Results--The psychosocial dimension scores of both SIP versions remained largely unexplained. The physical dimension and total scores of both SIP versions were mainly associated with the disability measures derived from the ICIDH model, as well as with the physical HRQL domains. Most patients with an SA-SIP30 total score >33 or an SIP136 total score >22 had poor health profiles. There were no major differences between the SA-SIP30 and the SIP136, although the SA-SIP30 scores were less skewed toward the healthier outcomes than the SIP136. Conclusions--Our study showed that (1) both SIP total scores primarily represent aspects of physical functioning and not HRQL; (2) both SIP versions provide more clinical information than the frequently used disability measures; and (3) the SA-SIP30 should be preferred over the SIP136.> http://stroke.ahajournals.org/cgi/content/abstract/31/11/2610 4 http://stroke.ahajournals.org/cgi/reprint/31/11/2610 '? c van Velzen, J. M.
van Bennekom, C. Am
Polomski, W.
Slootman, J. R.
van der Woude, L. Hv
Houdijk, H. 2006V Physical capacity and walking ability after lower limb amputation: a systematic review 999-1016 Clinical Rehabilitation 20 11 November 1, 2006 Objective: To review the influence of physical capacity on regaining walking ability and the development of walking ability after lower limb amputation. Design: A systematic search of literature was performed. The quality of all relevant studies was evaluated according to a checklist for statistical review of general papers. Subjects: Lower limb amputees. Main measures: Physical capacity (expressed by aerobic capacity, anaerobic capacity, muscle force, flexibility and balance) and walking ability (expressed by the walking velocity and symmetry). Results: A total of 48 studies that complied with the inclusion criteria were selected. From these studies there is strong evidence for deterioration of two aspects of physical capacity (muscle strength and balance) and of two aspects of walking ability (walking velocity and symmetry) after lower limb amputation. Strong evidence was found for a relation between balance and walking ability. Conclusion: Strong evidence was only found for a relation between balance and walking ability. Evidence about a relation between other elements of physical capacity and walking ability was insufficient. Training of physical capacity as well as walking ability during rehabilitation following lower limb amputation should not be discouraged since several parameters have been shown to be reduced after amputation, although their relation to regaining walking ability and to the development of walking ability remains unclear.6 http://cre.sagepub.com/cgi/content/abstract/20/11/999 10.1177/0269215506070700 /
Verbeke, Marc 2006 Comments on Nordenfelt 1481 - 1482 Disability & Rehabilitation 28 236 http://www.informaworld.com/10.1080/09638280600926132 0963-8288
July 24, 2009 &? t Vieta. E, A. Cieza, G. Stucki, S. Chatterji, M. Nieto, J. Sánchez-Moreno, J. Jaeger, H. Grunze, J. L. Ayuso-Mateos, 2007 Developing core sets for persons with bipolar disorder based on the International Classification of Functioning, Disability and Health 16-24 Bipolar Disorders 9 1-2 Vieta E, Cieza A, Stucki G, Chatterji S, Nieto M, Sánchez-Moreno J, Jaeger J, Grunze H, Ayuso-Mateos JL. Developing core sets for persons with bipolar disorder based on the International Classification of Functioning, Disability and Health.Bipolar Disord 2007: 9: 16201324. © Blackwell Munksgaard, 2007Introduction: Functioning is increasingly being taken into account when assessing the impact of bipolar disorder (BD) on the individual, as well as the effectiveness of treatments. With the International Classification of Functioning, Disability and Health (ICF), we can now rely on a globally agreed-upon framework and system for classifying the typical spectrum of problems in functioning, given the environmental context in which subjects live. ICF Core Sets are subgroups of ICF items selected to capture those aspects of functioning that are most likely to be affected by specific disorders. Within a given disorder, both Brief and Comprehensive Core Sets can be established to serve specific purposes.Objective: The aim of this paper is to outline the development process of the ICF Core Sets for BD.Methods: The final definition of ICF Core Sets for BD will be determined at an ICF Core-Sets Consensus Conference, which will integrate evidence from preliminary studies, namely (a) semi-structured interviews with people with BD in different countries, (b) a Delphi exercise with international experts participating and (c) a cross-sectional study.Conclusion: ICF Core Sets are being designed with the goal of providing useful standards for research, clinical practice and teaching. We believe that these ICF Core Sets for BD will stimulate research leading to improved understanding of functioning, disability and health in BD. Such research, we hope, will lead to interventions and accommodations to improve restoration and maintenance of functioning and minimise disability among people with BD throughout the world.3 http://dx.doi.org/10.1111/j.1399-5618.2007.00322.x 10.1111/j.1399-5618.2007.00322.x 1399-5618 Bipolar Disorders Programme, Institute of Neuroscience, Hospital Clinic, University of Barcelona, IDIBAPS, Barcelona, Spain; ICF Research Branch, WHO FIC CC (DIMDI), IHRS, Ludwig Maximilians University; Department of Physical Medicine and Rehabilitation, University Hospital Munich, Munich, Germany; Department of Measurement and Health Information Systems, World Health Organization, Geneva, Switzerland; Department of Psychiatry, Hospital Universitario de la Princesa, Universidad Autnoma de Madrid, Madrid, Spain; The Center for Neuropsychiatric Outcome and Rehabilitation Research, The Zucker Hillside Hospital, North Shore Long Island Jewish Health System, Glen Oaks, NY, USA; Department of Psychiatry, Ludwig Maximilians University, Munich, Germany 30 8z Hereditary Motor and Sensory Neuropathies; Charcot-Marie-Tooth disease; upper extremity; hand; activities of daily living
Purpose. To explore impairments in manual dexterity and perceived limitations in upper extremity-related activities in subjects with Hereditary Motor and Sensory Neuropathy (HMSN).
Method. Cross-sectional study of 20 HMSN subjects. Manual dexterity was assessed using the Jebsen test of hand function. Perceived limitations were assessed using the Rehabilitation Activities Profile (RAP) and the Disabilities of Arm, Shoulder and Hand questionnaire (DASH).
Results. Impaired manual dexterity was found in four out of seven Jebsen sub-tests. Turning over cards, lifting large light and large heavy objects were most impaired, as reflected by median z scores of 5.7, 12.0 and 16.9, respectively. Perceived limitations, as reflected by median and percentile (P25; P75) sum-scores, were 7.5 (3; 11.7) for the RAP domains of personal care (scale 0 - 69) and 6.0 (1.25; 15.5) for the domains of occupation (scale 0 - 42). The median (P25; P75) DASH score (scale 0 - 100) was 13.3 (2.7; 48.1). Jebsen test scores were significantly associated with RAP and DASH scores.
Conclusions. Manual dexterity of HMSN subjects, especially requiring the manipulation of flat and of large objects, was impaired and associated with the amount of perceived limitations in upper extremity function. Major limitations were perceived in activities related to upper extremity function by 25% of HMSN subjects. Measurement of manual dexterity and perceived limitations should be incorporated into the evaluation and treatment of HMSN subjects. B http://www.informaworld.com/smpp/content~db=all~content=a779647468 ~/ , Vik Kjersti,
Nyard, Louise
Lilja, Margareta 2007e Perceived Environmental Influence on Participation Among Older Adults After Home-Based Rehabilitation 1 - 20- Physical & Occupational Therapy In Geriatrics 25 4p The aim of this study was to identify how older adults perceive environmental factors to have an influence on their participation after receiving home-based rehabilitation services. The respondents were older adults of more than 65 years of age who had received home-based rehabilitation. The questionnaire Measurement of the Quality of the Environment (MQE) was used to gather the data. The results showed that, in this population of older adults, many environmental factors were perceived as do not apply or to lack influence. Factors that were perceived as facilitators for the respondent's participation came under the categories social network, social and healthcare services and commercial services, and physical environments such as the presence of technical aids within the respondents' homes. Few environmental factors were identified as barriers to participation.2 http://www.informaworld.com/10.1300/J148v25n04_01 0270-3181 a. Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden
b. Department of Occupational Therapy, Faculty of Health Education and Social Work, Sor-Trndelag University College, Norway
July 24, 2009 / ) Vøllestad, Nina K. Mengshoel, Anne Marit 2005T Relationships between neuromuscular functioning, disability and pain in fibromyalgia 667 - 673 Disability & Rehabilitation 27 12k Purpose. Fibromyalgia (FM) is associated with pain and alterations in neuromuscular properties and function. A common belief is that these neuromuscular changes are a major cause of limitations in activities or restrictions in participation. The paper aims at examining the basis for such an understanding. Another aim is to investigate how pain is modified or is a modifier of neuromuscular properties and functions.
Method. Based on a simplified model to analyze the relationship between pain, neuromuscular properties and function, and activities/participation.
Results. It is argued that the changes in neuromuscular properties and functions seen in FM may simply be an adaptation to lowered physical activity level, rather than being a primary feature of the FM. Furthermore, it is shown that chronic pain and acute contraction-induced pain relates differently to functioning.
Conclusion. The analyses indicates that in clinical work and research it is important to distinguish between chronic pain and pain induced by physical activity. Furthermore, the deviations reported for FM in muscular properties and functions such as endurance and strength, are probably not reflecting pathology. Hence, physical activity and improvement of muscular functions are hardly sufficient as treatment of FM.6 http://www.informaworld.com/10.1080/09638280400009055 0963-8288
July 24, 2009 ?
r/ ^ Voelter-Mahlknecht, S.
Pritsch, M.
Gigic, B.
Langer*, P.
Loeffler, K. I.
Dupuis, H.
Letzel, S. 2008A Socio-medicinal aspects of vibration-induced white finger disease
999 - 1013 Disability & Rehabilitation 30 14T Vibration-induced white finger (VWF) disease; forestry; social medicine; prevention Purpose. The influence of vibration-induced white finger disease on the quality of life and possible social consequences is the subject of the study presented herein.
Method. The data acquisition was carried out by means of a standardized questionnaire. Parameters such as quality of life, professional practice, prevention and social security were assessed among other things.
Results. Nearly three quarters of the interviewees (n = 115) did not consult a physician with the occurrence of the first complaints. Physicians frequently made the correct diagnosis only with delay. From the first occurrence of symptoms to the acknowledgment as an occupational disease 0.5 - 34.5 years had usually elapsed. The quality of life affected the patients and their families. Change of profession and unemployment were frequently associated with substantial problems. There is clear need for information regarding the clinical picture, protective possibilities in the workplace, recognition as an occupational disease and financial problems. The introduction of industrial safety measures was not substantially affected by the occurrence of the disease.
Conclusions. A quick diagnosis and the recognition of this occupational disease are important in view of its potential reversibility upon discontinuation of the exposition to vibration. As a consequence, intensified preventive measures need to be called for.6 http://www.informaworld.com/10.1080/09638280701443292 -
0963-8288 a. Institute of Occupational, Social and Environmental Health, University of Mainz,
b. Institute for Medical Biometry and Informatics, University of Heidelberg, Germany
July 24, 2009 &se study 991 - 998 Disability & Rehabilitation 30 12# Cambodia, international developmentl International development work is designed to help developing countries strengthen their economies, infrastructure, healthcare systems and educational systems in order to decrease poverty and to improve the quality of life for citizens. However, people with disabilities often miss out on the benefits of development efforts because international organizations and donors do not know how to include them. The International Classification of Functioning, Disability and Health (ICF) could serve as a model for understanding disability from a population perspective, and has the potential to guide disability mainstreaming in international development. To use the ICF as an operational tool for international development requires highlighting the relationship between specific categories of body function impairments and the environmental factors that serve as barriers or facilitators in order to identify needed accommodations on the regional or national level. In addition, accurate and complete national data are needed that use internationally accepted definitions of disability. This paper suggests a framework based on the ICF for analyzing relationships between particular impairments and environmental factors that impede or enable activity and participation. Specific examples are offered from the developing country of Cambodia to illustrate this population-based use of the ICF.6 http://www.informaworld.com/10.1080/09638280701800251 0963-8288
July 24, 2009 alking/climbing/running construct of the ICF Activity Measure was used to show how to develop a computer adaptive test (CAT). Fit of the items to the Rasch model and validation of the item difficulty hierarchy was accomplished using Winsteps software. Standard error was used as a stopping rule for the CAT. Finally, person abilities were connected to items difficulties using Rasch analysis 'maps'. RESULTS: All but the walking one mile item fit the Rasch measurement model. A CAT was developed which selectively presented items based on the last calibrated person ability measure and was designed to stop when standard error decreased to a pre-set criterion. Finally, person ability measures were connected to the ability to perform specific walking/climbing/ running activities using Rasch maps. CONCLUSIONS: Rasch measurement models can be useful in developing CAT measures for rehabilitation and disability. In addition to CATs reducing respondent burden, the connection of person measures to item difficulties may be important for the clinical interpretation of measures.+ http://www.ncbi.nlm.nih.gov/pubmed/18297500z Rehabilitation Outcomes Research Center, Department of Veterans Affairs Medical Center, Florida, USA. cvelozo@phhp.ufl.eduv? Von Korff, Michael
Katon, Wayne
Lin, Elizabeth H. B.
Simon, Gregory
Ludman, Evette
Oliver, Malia
Ciechanowski, Paul
Rutter, Carolyn
Bush, Terry 2005T Potentially Modifiable Factors Associated With Disability Among People With Diabetes 233-240
Psychosom Med 67 2U disability • diabetes • depression • chronic disease • risk factor • survey
March 1, 2005 Objective: This article seeks to identify potentially modifiable factors associated with disability among people with diabetes. Study Design and Setting: Among people with diabetes (N = 4357) in a large health maintenance organization, disease severity, psychologic and behavioral risk factors for disability were assessed. Disability was evaluated by the WHO Disability Assessment Scale (WHO-DAS-II), the SF-36 Social Functioning scale, and days of reduced household work. Results: Depression was associated with a tenfold increase in elevated WHO-DAS-II and low SF-36 Social Functioning scores, and a fourfold increase in 20+ days of reduced household work. Minor depression and the presence of three or more diabetic complications were associated with approximately a twofold increase in disability risk. Diabetic symptoms, chronic disease comorbidity, and reduced exercise were also associated with disability. Conclusion: Among people with diabetes, depression, diabetic complications, and exercise are potentially modifiable factors associated with disability. This suggests that integrated, biopsychosocial approaches may be needed to understand and to ameliorate disability among people with diabetes.C http://www.psychosomaticmedicine.org/cgi/content/abstract/67/2/233 Address correspondence and reprint requests to Michael Von Korff, ScD, Center for Health Studies, Group Health Cooperative, 1730 Minor Ave. Suite 1600, Seattle, WA 98101. E-mail: vonkorff.m@ghc.org
" 10.1097/01.psy.0000155662.82621.50 ? n Voorman, Jeanine M.
Dallmeijer, Annet J.
Schuengel, Carlo
Knol, Dirk L.
Lankhorst, Gustaaf J.
Becher, Jules G. 2006N Activities and participation of 9- to 13-year-old children with cerebral palsy 937-948 Clinical Rehabilitation 20 11 November 1, 20062 Objective: To describe the activities and participation of children with cerebral palsy and to examine the relationship with personal factors and disease characteristics. Design: Cross-sectional study. Setting: Department of Rehabilitation Medicine of a University Medical Center in The Netherlands. Subjects: One hundred and ten children: 70 boys, 40 girls, mean (SD) age 11 years and 3 months (20 months). Outcome measures: Activities and participation, described in the domains of mobility, self-care, domestic life, social life and communication, measured with the Gross Motor Function Measure, the Pediatric Evaluation of Disability Inventory and the Vineland Adaptive Behavior Scales. Results: Multiple linear regression models showed that the Gross Motor Function Classification System (GMFCS) was strongly associated with mobility (explained variance 87-92%), self-care and domestic life. Apart from the GMFCS, cognitive impairment and limb distribution were less important but also significantly associated with self-care and domestic life (explained variance 65-81%). Cognitive impairment and epilepsy were the most important factors associated with social life and communication (explained variance 54-75%). Conclusion: Activities and participation can, to a large extent, be explained by only a few associated factors.6 http://cre.sagepub.com/cgi/content/abstract/20/11/937 10.1177/0269215506069673 L ? Vrkljan BH, 2005 \ Dispelling the disability stereotype: embracing a universalistic perspective of disablement. 57-9. Can J Occup Ther Feb;72 1
Disability BACKGROUND: The notion of universalism was introduced to me during my first year of PhD studies in Rehabilitation Science. During a class discussion, we debated the merits of two theoretical perspectives that offered contradicting views as to the most effective means to facilitating a shift in societal perceptions of disability. As exemplified by the World Health Organization's current model of health, the International Classification of Functioning, Disability and Health (ICF), there has been a shift from a minority group analysis towards a universalistic perspective of disablement. PURPOSE: This paper introduces readers to the underlying concepts of both minority group analysis and universalism and, in doing so, proposes that universalism is closely aligned with the underlying constructs of occupational therapy. Universalism provides a comprehensive framework that can be utilized by occupational therapists to encourage the development of health and social-related policies that promote inclusiveness, yet still the respect the differences that exist among individuals. PRACTICE IMPLICATIONS By improving their familiarity with such theories, occupational therapists may be better positioned to contribute to policy development within their respective treatment+ http://www.ncbi.nlm.nih.gov/pubmed/15727049f School of Occupational Therapy, University of Western Ontario, Elborn College, London. bvrkljan@uwo.ca 0 3
March 1, 2006 Adjectives are supposed to describe the associated noun more fully or definitively, and the adjective physical is sometimes added to words such as medicine, rehabilitation and disability. What increase in description does its use allow? The adjective was probably added when rehabilitation started to develop for several reasons: it contrasted the mode of treatment with pharmacology and surgery; it contrasted the nature of the supposed aetiology with emotionally generated disorders, especially shell-shock; and it justified the presence of rehabilitation within the profession of medicine. Its continued use, however, perpetuates a Cartesian, dualist philosophy. This editorial uses the World Health Organization International Classification of Functioning (WHO ICF) model of illness to analyse its continued use, and concludes that its continued use may disadvantage both patients and the practice of rehabilitation.5 http://cre.sagepub.com/cgi/content/abstract/20/3/185 10.1191/0269215506cr952ed
? " Wade, Derick T.
Halligan, Peter W. 2004A Do biomedical models of illness make for good healthcare systems? 1398-1401 BMJ 329 7479, Biomedical, Illness, disease, medical models December 11, 2004 Introduction
Cultural and professional models of illness influence decisions on individual patients and delivery of health care. The biomedical model of illness, which has dominated health care for the past century, cannot fully explain many forms of illness. This failure stems partly from three assumptions: all illness has a single underlying cause, disease (pathology) is always the single cause, and removal or attenuation of the disease will result in a return to health. Evidence exists that all three assumptions are wrong. We describe the problems with current models and describe a new model, derived from the World Health Organization's international classification of functioning framework,1 2 that provides a more comprehensive, less biologically dependent account of illness.
Importance of models for understanding illness
The model of illness adopted by society can have important consequences. In the first world war, for example, soldiers complaining of symptoms after experiencing severe stresses were sometimes shot as malingerers, but today they are considered . . . [Full text of this article]
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http://www.bmj.com 5 Correspondence to: D T Wade derick.wade@dsl.pipex.com 10.1136/bmj.329.7479.1398 4
April 1, 2003c The World Health Organization's International Classification of Functioning (WHO ICF) is a good but incomplete framework for describing the situation of someone with long-term ill health. Several deficiencies exist for which improvements are suggested. The WHO needs to integrate the ICF with the ICD-10 to form a comprehensive system of classification of illness. Words are needed for normality at the level of organ and person, and the words histology' and physiology', and anatomy' and capacity' are suggested for the two levels respectively. A fourth context, that of time, is needed to understand fully a person's situation. The classification framework needs to take more account of the patient. It needs to recognize two separate perspectives, that of the subject and that of external observers and it needs to recognize two other specific person-centred phenomena: free will and quality of life. With changes and additions to take account of these deficiencies, the WHO ICF can be used as a powerful analytic and explanatory model of human experience and behaviour in any situation, not only in illness and disease.5 http://cre.sagepub.com/cgi/content/abstract/17/4/349 10.1191/0269215503cr619ed < / Wade, Derick 2003= Community rehabilitation, or rehabilitation in the community? 875 - 881 Disability & Rehabilitation 25 15M Purpose : Political and other considerations are increasing the profile of 'community rehabilitation' but there is little agreement on the nature of community rehabilitation or its benefits and disadvantages. This paper clarifies some of the underlying conceptual and evidential matters in the context of the WHO International Classification of Functioning model of disablement.
Classifications : Rehabilitation services can be classified by their specialist skills (e.g. spinal injury services, wheelchair services), by the geographic location of the service (e.g. inpatient stroke service), by the organization managing the service (e.g. social services rehabilitation service), or by location of service delivery. There is no useful consistent comprehensive classificatory system, and all classificatory labels may carry hidden implications.
Evidence : The evidence suggests that rehabilitation is more effective when given in the patient's own environment. It also suggests that most so-called community rehabilitation teams are relatively short-lived and are not multi-disciplinary and not expert.
Solution : We should work towards a network of rehabilitation teams, some specialized in specific diseases or interventions, and some in longer-term involvement with patients in the community with special emphasis on increasing social participation and ensuring good support. At all times we should balance the advantages of delivering the service in the patient's home against the obvious problems concerning practicality and the equitable use of scarce specialist staff time.8 http://www.informaworld.com/10.1080/0963828031000122267 0963-8288
July 27, 2009? 4 Wai EK, Young NL, Feldman BM, Badley EM, Wright JG,
2005 Jan-Feb; The relationship between function, self-perception, and spinal deformity: Implications for treatment of scoliosis in children with spina bifida. :64-9 J Pediatr Orthop. 25 1l The purpose of this study was to determine the relationship of spinal deformity with physical function and self-perception in children with spina bifida. Ninety-eight eligible children with scoliosis and spina bifida were identified; 80 of them (82%) consented to participate. Spinal deformity was measured in many ways, including scoliosis, coronal balance, and pelvic obliquity. Measures of physical function included the Sitting Balance Scale, Jebsen Hand Scale, Hoffer Ambulation Scale, the Spine Bifida Spine Questionnaire, and the Activities Scale for Kids (ASK). Self-perception was determined with Harter's Self-Perception Profile. No relationship was found between spinal deformity and overall physical function (ASK). Of all aspects of spinal deformity, only coronal imbalance was significantly related to only one aspect of physical function (ie, sitting imbalance). No aspect of spinal deformity was related to self-perception. In conclusion, surgeons should be clear in their indications for surgery and recognize that in the short term the potential benefit of surgery may be, at best, to improve only sitting balance.+ http://www.ncbi.nlm.nih.gov/pubmed/15614062X Bloorview MacMillan Centre and The Hospital for Sick Children, Toronto, Ontario, Canada.6~? Walsh, Nicolas, E 2004- Global initiatives in rehabilitation medicine 1395-14020 Archives of physical medicine and rehabilitation 85 9
W.B. Saundersg Certification
Musculoskeletal diseases
Professional competence
Rehabilitation
World Health Organization Walsh NE. Global initiatives in rehabilitation medicine. Global initiatives in rehabilitation medicine present significant challenges, as well as great opportunities for the field of physical medicine and rehabilitation. These initiatives are international in focus, from multiple countries, include many different medical specialties, and will impact physiatrists. The Bone and Joint Decade is a global multidisciplinary initiative that aims to reduce the burden of musculoskeletal disorders. Its aim is to improve the health-related quality of life of people with or at risk of musculoskeletal disorders. The International Classification of Functioning, Disability and Health (ICF) is a unified and standard classification system for describing health domains and health-related states with quantifiable assessment measures. The ICF is a significant change from current medical models to patient- and rehabilitation-oriented models of evaluating function, disability, and health status. Medical Professionalism in the New Millennium: A Physician Charter helps define medicine’s contract with society. The demand for medical professionalism is the result of unparalleled challenges facing the physician on a daily basis. The Physician Charter provides a reaffirmation of the Hippocratic oath in modern terms. The Maintenance of Certification is a response of organized medicine to the demand for physician competence during an entire career. This is a means of establishing safeguards to protect the public and of delivering a criterion standard for health care. These initiatives will have a profound influence on our future. I encourage each of you to participate in your own future through these activities.> http://linkinghub.elsevier.com/retrieve/pii/S0003999304006240 0003-9993 S0003-9993(04)00624-0 ? Wang TJ, Chern HL, Chiou YE,
2005 Mar-Apr;D A theoretical model for preventing osteoarthritis-related disability 62-7. Rehabil Nurs. 30 (2): Osteoarthritis (OA) affects many aspects of life for affected individuals. Effective interventions to prevent and restore function must be based upon an understanding of what contributes to OA and its associated disabilities. A hypothetical OA disability model built upon the previous work of Nagi (1991), Verbrugge and Jette (1994), the International Classification of Functioning of World Health Organization (World Health Organization, 2001), and other scientific findings is proposed. The model includes a main disease pathway, which describes the sequence of events from OA-associated impairments to disabilities. Contextual factors influencing the process include individual characteristics, psychological state, coping style, comorbidities, social support, and physical environment. The model provides a useful conceptual framework for understanding the OA disability process from a biopsychosocial perspective and for guiding rehabilitation nursing interventions in OA care.+ http://www.ncbi.nlm.nih.gov/pubmed/15789698c Department of Nursing, National Taipei College of Nursing in Taiwan, ROC. tsaejvy@mail1.ntcn.edu.tw? * Wang, P.
Badley, Elizabeth
Gignac, Monique 2006= Exploring the role of contextual factors in disability models 135-140 Disability and Rehabilitation 28 Number 2C Contextual factors; disability; mediator; moderator; ICIDH and ICF Research Purpose .The objective of this paper is to define and categorize the types of relationships that contextual factors have within models of disability according to the WHO International Classification of Disability, Functioning, and Health (ICF) conceptual scheme. Method .A conceptual analysis building on the disability literature specifies the causal relationships for contextual factors in relation to the association between activity limitation and participation using a person with arthritis as an example. Results .From a statistical point of view, in relation to disability process, contextual factors can act as an independent factor, confounding factor, moderating factor, and mediating factor. How the role of a particular contextual factor is specified depends on the researcher's hypothesized disability framework and research goals. Moderating and mediating contextual factors are of particular importance in disability model specification. Various sub-types of moderating contextual factors are also identified. Conclusion .This paper provides a framework for the conceptualization of contextual factors in the examination of disability models. This framework has implications in constructing conceptual models as well as for setting up analytical plans. In light of the increasing awareness and application of the ICF model, we intend this work to stimulate additional discussion on this topic.{ http://www.ingentaconnect.com/content/apl/tids/2006/00000028/00000002/art00008
http://dx.doi.org/10.1080/09638280500167761 ) [1]
[1]
[1]
doi:10.1080/09638280500167761 Arthritis Community Research and Evaluation Unit, Toronto Western Hospital Research Institute, University Health Network, Toronto, Canada / 3 Wang, P. Peter
Badley, Elizabeth M.
Gignac, Monique 2004g Activity limitation, coping efficacy and self-perceived physical independence in people with disability 785 - 793 Disability & Rehabilitation 26 13 Disease, consequences Objective: This study examines whether the relationships between activity limitations and independence are mediated by coping efficacy.
Method: Data come from a cross-sectional survey of 286 adults, aged 55 or older, with osteoarthritis (OA) and/or osteoporosis (OP). Physical independence was assessed by asking to what extent respondents' OA/OP had affected their independence on a 5-point scale from 'not at all' to 'a great deal'. Activity limitations were examined in three domains: personal care, community mobility, and household activity. A coping efficacy scale was derived from three items scored on a 5-point Likert-type scale from strongly disagree to strongly agree. Structural equation modelling was used to test the model.
Results: Activity limitation in household activities was directly associated with perceptions of independence, with a statistically significant standardized path coefficients of - 0.32. The effect of activity limitation in personal care was partially mediated by coping efficacy with a direct effect of - 0.41 which was partially offset by coping efficacy to give a net effect of - 0.308. The effect of community mobility on independence was completely mediated through coping efficacy with significant standardized path coefficients of - 0.85 (community mobility to coping efficacy) and - 0.14 (coping efficacy to independence). The overall model's goodness of fit was excellent (R2 = 0.59, ch-square/df = 1.4, CFI = 0.97, and NNFI = 0.97).
Conclusion: Activity limitation had a detrimental effect on the level of self-perceived independence. Coping efficacy showed a significant mediating effect between activity limitation and self-perceived independence for the domains of personal care and community mobility, but not household tasks. This study suggests that how activity limitation affects perceptions of independence varies across activity limitation domains, and indicates the importance of incorporating activity limitation domains in future studies. 9 http://www.informaworld.com/10.1080/09638280410001684578 0963-8288 a. Arthritis Community Research and Evaluation Unit, Toronto Western Research Institute, University Health Network, Toronto, Canada
b Department of Public Health Sciences, University of Toronto, Toronto, Canada
c Tianjin Cancer Research Institute and School of Public Health Sciences, Tianjin Medical University, P.R. China
d Division of Outcomes and Population Health, Toronto Western Hospital Research Institute, University Health Network, Toronto, Canada
July 27, 2009 9
ՈVE: To examine the factors affecting labor force participation and understand how arthritis affects labor force participation in a Canadian working population. METHODS: Data from the 1990 Ontario Health Survey population (n = 35,221) were used. Labor force participation was dichotomized as in the labor force and not in the labor force. Stratified logistic regression analyses by sex were carried out to identify factors associated with not being in the labor force, including arthritis, chronic disorders, and sociodemographic and family composition variables. RESULTS: Overall, 6.7% of men and 23.0% of women were not in the labor force compared with 18.6% and 36.0%, respectively, of men and women with arthritis. After controlling for other covariates, disability caused by arthritis was significantly associated with increased risk of being out of the labor force, with odds ratios of 2.70 for men and 1.91 for women. Low education, pain, and nonarthritis disability were also significantly associated with being out of the labor force. The effects of age and family structure on employment were sex dependent. Women were at higher risk at all age groups. Men with dependent children were more likely to work, as were women who lived alone. For women, having dependent children increased the likelihood of not being in the labor force. CONCLUSION: People with arthritis disability were more likely to be out of the labor force. It was not arthritis per se that limited people in labor force participation, but rather the arthritis disabilities.1 http://www.jrheum.org/content/28/5/1077. abstract ? = Weigl, Martin,
Alarcos Cieza,
Pedro Cantista,
Gerold Stucki
01/03/20075 Physical disability due to musculoskeletal conditions 167-90.2 Best practice & research. Clinical rheumatology. 21 1 Musculoskeletal conditions (MSC) are common throughout the world and their impact on individuals is diverse and manifold. Knowledge of the determinants for disability and of strategies for prevention and rehabilitation management according to the scientific evidence is critical for reducing the burden of MSC. The first section of this chapter reviews the evidence for common determinants of functioning and disability in patients with MSC. We have focussed on environmental factors (EF) and personal factors (PF) and have structured them according to the International Classification of Functioning, Disability and Health (ICF) framework. The second section discusses prevention strategies. Generally, prevention needs to address those EF and PF that were presented in the first section. The final section describes modern principles of rehabilitation and reviews the evidence for specific rehabilitation interventions.f https://www.researchgate.net/publication/6455595_Physical_disability_due_to_musculoskeletal_conditions 1521-6942 10.1016/j.berh.2006.10.006 ? @ Weigl, Martin
Ewert, Thomas
Kleinschmidt, Juergen
Stucki, Gerold 2006/ Measuring the outcome of health resort programs 764-770 The Journal of Rheumatology 33 4
April 2006 OBJECTIVE: To evaluate the metric properties and practicability of valid, internationally available outcome instruments in the special setting of health resort programs. METHODS: A cohort study in a convenience sample of patients with low back pain, upper back pain, conditions of the lower extremities, and conditions of the upper extremities was conducted. Their functioning and health were assessed before and after a health resort program by the disease-specific North American Spine Society (NASS) instruments Lumbar NASS and Cervical NASS; WOMAC Osteoarthritis Index; Disabilities of Arm, Shoulder and Hand Questionnaire; and the general instrument, Medical Outcome Study Short Form-36 (SF-36). RESULTS: Completeness on the scale level ranged between 1% and 10%. Criterion validity of condition-specific instruments was confirmed by stronger associations of the pain and function scales to the Physical Health component of the SF-36 (r = -0.59 to -0.79, p < 0.001 for all scales) than to the Mental Health component (r = -0.11, NS, to r = -0.42, p < 0.001). Reliability (Cronbach's alpha coefficient) was higher than 0.8 for all scales of condition-specific instruments and for 6 of 8 SF-36 scales. Floor and ceiling effects ranged between 0% and 7%. The condition-specific instruments demonstrated a good responsiveness with an effect size ranging between 0.28 and 0.55 and with a standardized response mean between 0.32 and 0.94. The responsiveness of most SF-36 scales was similar, but the Physical Function scale showed a lower responsiveness than the condition-specific scales. CONCLUSION: The evaluated instruments can be recommended for use in clinical trials that assess the outcome of health resort programs.0 http://www.jrheum.org/content/33/4/764.abstract ~? 5 M. Weigl
F. Angst
A. Aeschlimann
S. Lehmann
G. Stucki 2006 Predictors for response to rehabilitation in patients with hip or knee osteoarthritis: a comparison of logistic regression models with three different definitions of responder 641-651D Osteoarthritis and cartilage / OARS, Osteoarthritis Research Society 14 75 W.B. Saunders For The Osteoarthritis Research SocietyT Osteoarthritis
Rehabilitation
Outcome assessment
Regression Analysis
Predictor
WOMACJ To identify pre-treatment predictors of who will benefit from a 3–4-week comprehensive rehabilitation intervention in patients with osteoarthritis (OA) of the knee or hip. A prospective cohort study with assessments at admission to the clinic and after 6 months was conducted. Two hundred and fifty patients from the rehabilitation clinic Rehaclinic Zurzach, Switzerland, were included. Three different measures of response to a 3–4-week comprehensive rehabilitation intervention were used: one indirect measure (minimal clinically important difference (MCID) in the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) global score=18% improvement), one direct measure (transition question) and a combination of both criteria. Responders were predicted by a sequential logistic regression analysis with nine personal variables, five lifestyle risk factors, seven psychological status variables and the WOMAC global baseline score. The set of statistically significant predictors was dependent on the definition of response. The comparison of predictors that were statistically significant in any of the prediction models showed similar odds ratios (ORs) for the majority of predictors across three regression models with the different response definitions as dependent variable. Female gender, absence of depressive symptoms (dep), history of complementary medicine (cm) and low comorbidity (com) were the most stable predictors and had ORs above 2.0 (female) and above 1.5 (dep, cm, com) across the three regression models with different response definitions. A set of predictors for the outcome of rehabilitation in patients with OA was identified. If these predictors could be confirmed in future research, this knowledge might help to adopt and individualize the treatment of patients who are, at present, less likely to respond.> http://linkinghub.elsevier.com/retrieve/pii/S1063458406000021 1063-4584 S1063-4584(06)00002-1 ? < Weigl, M.
Cieza, A.
Kostanjsek, N.
Kirschneck, M.
Stucki, G. 2006 The ICF comprehensively covers the spectrum of health problems encountered by health professionals in patients with musculoskeletal conditions 1247-1254 Rheumatology 45 10 October 1, 2006X Objectives. The objective of this study was to investigate, whether the International Classification of Functioning, Disablity and Health (ICF) comprehensively covers the spectrum of health problems encountered by medical doctors and physiotherapists in patients with musculoskeletal conditions. Methods. A worldwide e-mail survey with questionnaires that requested lists of relevant areas in the ICF components--body functions, body structures, activities and participation, and environmental factors--in patients with rheumatoid arthritis, osteoarthritis, low back pain and osteoporosis was conducted. The suitability of linking the named concepts to the ICF as well as the precision of the linking was characterized by assigning the concepts to six groups. Results. All concepts that were named by the experts could be linked to the ICF, with the exception of personal factors. Between 32% (environmental factors) and 51% (activities and participation) of the named concepts were linked to an ICF category with an identical meaning and the same grade of precision. All other named concepts were linked to ICF categories with a lower level of precision, or encompassed more than one ICF category, or were linked to an ICF category with a related, but not identical meaning. Conclusions. The ICF covers comprehensively the spectrum of problems encountered in patients with musculoskeletal conditions by clinical experts throughout the world. This strengthens the validity of the ICF in the view of the users and will encourage the use of ICF-based applications such as the ICF checklist and the now-developed ICF Core Sets.G http://rheumatology.oxfordjournals.org/cgi/content/abstract/45/10/1247 10.1093/rheumatology/kel097 / ^ Weigl, Martin
Cieza, Alarcos
Andersen, Christina
Kollerits, Barbara
Amann, Edda
Stucki, Gerold 2004g Identification of relevant ICF categories in patients with chronic health conditions: a Delphi exercise 12 - 21" Journal of Rehabilitation Medicine 36 4 supp 44f outcome assessment; quality of life; rehabilitation; activities of daily living; Delphi technique; ICF& Objectives: To identify the most typical and relevant categories of the International Classification of Functioning, Disability and Health (ICF) for patients with low back pain, osteoporosis, rheumatoid arthritis, osteoarthritis, chronic generalized pain, stroke, depression, obesity, chronic ischaemic heart disease, obstructive pulmonary disease, diabetes mellitus, and breast cancer.
Methods: An international expert survey using the Delphi technique was conducted. Data were collected in 3 rounds. Answers were linked to the ICF and analysed for the degree of consensus.
Results: Between 21 (osteoporosis, chronic ischaemic heart disease, and obstructive pulmonary disease) and 43 (stroke) experts responded in each of the conditions. In all conditions, with the exception of depression, there were categories in all ICF components that were considered typical and/or relevant by at least 80% of the responders. While all conditions had a distinct typical spectrum of relevant ICF categories, there were also some common relevant categories throughout the majority of conditions.
Conclusion: Lists of ICF categories that are considered relevant and typical for specific conditions by international experts could be created. This is an important step towards identifying ICF Core Sets for chronic conditions. 6 http://www.informaworld.com/10.1080/16501960410015443 1650-1977
July 27, 2009 ? 4 Weigl, M.
A. Cieza,
M. Harder,
S. Geyh,
G. Stucki
2003 July, Linking osteoarthritis-specific health-status measures to the International Classification of Functioning, Disability, and Health (ICF) 519-523 Osteoarthritis and Cartilage
11, 7,K ICF; Osteoarthritis; Health-status measures; WOMAC; Lequesne; Linking rules Objectives: The objective of this study was to link the Western Ontario and McMaster Universities (WOMAC) and Lequesne-Algofunctional indices to the ICF on the basis of linking rules developed specifically to accomplish this aim. The linking process enables the understanding of the relationship between health-status measures and the ICF.
Methods: Since the fifth World Health Organisation/International Liege Against Rheumatism (WHO/ILAR) Task Force and the Outcome Measures in Rheumatology Clinical Trials (OMERACT) group recommend the use of WOMAC and the Lequesne-Algofunctional indices in patients with osteoarthritis of the hip and knee in clinical trials, these two health-status measures have been used in this study.
Both health-status measures were linked to the ICF separately by two trained health professionals. Consensus between health professionals was used to decide which ICF category should be linked to each item/concept of the two questionnaires. To resolve disagreements between the two health professionals, a third person trained in the linking rules was consulted.
Results: Except for the concept of ‘morning stiffness’, both health professionals agreed on the ICF category chosen to link all the items/concepts of both questionnaires. Altogether, 29 different ICF categories have been linked. Five ICF categories belong to the ICF component ‘body functions’, 23 categories to the component ‘activities and participation’, and one category to ‘environmental factors’. Both questionnaires have 10 ICF categories in common.
Conclusions: The results of the linking process reflect both the structure of the two questionnaires studied and the relationship between them, showing that the ICF classification can become the cardinal reference for existing health-status measures. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WP3-48NBXTS-7&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=42729a52ed2ee9f8aa9fc5c7a159236ba Department of Physical Medicine and Rehabilitation, Ludwig-Maximilian University, Munich, Germany ussel, Brussels, Belgium
(3) Gerontology & Geriatrics, Vrije Universiteit Brussel, Laarbeeklaan 101, B-1090 Brussels, Belgium n? Wade, Derick T. 2003e Outcome Measures for Clinical Rehabilitation Trials: Impairment, Function, Quality of Life, or Value? S26-S316 American Journal of Physical Medicine & Rehabilitation 82 10Q Rehabilitation
Rehabilitation Research
Outcome Measures
00002060-200310001-00006 Wade DT: Outcome measures for clinical rehabilitation trials: Impairment, function, quality of life, or value? Am J Phys Med Rehabil 2003;82(Suppl):S26-S31. Choosing outcome measures in rehabilitation research depends on the standard research skills of clear thinking, attention to detail, and minimizing the amount of data collected. In rehabilitation, outcome is more difficult to measure because (1) usually several outcomes are relevant, (2) relevant outcomes are affected by multiple factors in addition to treatment, and (3) even good measures rarely reflect the specific interest of any individual patient or member of the rehabilitation team, leading to some dissent. Measurement of general quality of life is not possible because there is little agreement as to the nature of the construct; moreover, measurement of relevant aspects of quality of life would probably give similar results. Cost in terms of resources can be estimated, but there is no validated or even widely accepted method of relating this to benefit in a fair, open, and rational way. Outcome is best measured at the level of behavior (activities), with other measures being used to aid interpretation. (C) 2003 Lippincott Williams & Wilkins, Inc.f http://journals.lww.com/ajpmr/Fulltext/2003/10001/Outcome_Measures_for_Clinical_Rehabilitation.6.aspx 0894-9115 Oity, a wide range of aspects were used. In the case of musculoskeletal disease, 75% of the IPs considered the ‘function and structures’ component important. With psychiatric and other diseases, however, the ‘participation factor’ component was considered important by 85 and 80%, respectively. Aspects relating to the ‘environmental factor’ and ‘personal factor’ components were mentioned as important by fewer than 25%. In assessing the short- and long-term prognosis of work-ability, the ‘disease or disorder’ component was primarily used with a rate of over 75%.
Conclusions. In determining work-ability, insurance physicians predominantly consider aspects relating to the ‘functions and structures’ and ‘participation’ components of the ICF model important. The ‘environmental factor’ and ‘personal factor’ components were not often mentioned. In assessing the short- and long-term prognosis of work-ability, the ‘disease or disorder’ component was predominantly used. It can be argued that ‘environmental factors’ and ‘personal factors’ should also more often be used in assessing work-ability.6 http://www.informaworld.com/10.1080/09638280600976111 0963-8288
July 27, 2009 transfer surgery for tetraplegia 396-400 Spinal Cord 42 7M tetraplegia, outcome measurement, ICF, tendon transfer surgery, participation Study design: Clinical commentary
Objective and setting: This paper is a clinical commentary based on the Round Table discussion on Assessment and Outcomes at the 7th International Conference on Tetraplegia: Surgery and Rehabilitation, Bologna, Italy 6–8 June, 2001. It refers specifically to the 10-year re-review undertaken in 2001 at the Spinal Unit, Burwood Hospital, Christchurch, New Zealand.
Subjects: In all, 24 tetraplegic persons at a minimum of 12 years and up to 18 years following bilateral forearm tendon transfer surgery.
Method: The data were interpreted using the International Classification of Functioning, Disability, and Health (ICF) conceptual framework as the basis of interdisciplinary understanding of the participation dimension.
Results: The results of the study outlined confirm that outcome measurement at more than one level of functioning is desirable to determine the functional effects beyond grip strength levels and activities of daily living, to consider the dimension of participation.
Conclusions: Use of the ICF as a theoretical framework for interpretation of the results enhanced the clinical applicability of the outcome measures used in the 10-year re-review undertaken in New Zealand in 2001.( http://dx.doi.org/10.1038/sj.sc.3101610 1362-43938 http://www.nature.com/sc/journal/v42/n7/pdf/3101610a.pdf y, Vasteras, Sweden.
e Pdagogische Hochschule Zrich, Department of Research and Development, Zurich, Switzerland.
f E Medea, Conegliano Research Centre, Conegliano, Italy.
July 27, 2009 7all its members in the most cost-effective way, using a combination of AT and UD.6 http://www.informaworld.com/10.1080/09638280701800293 0963-8288l a School of Economics and Finance and Social Justice Social Change Research Centre, University of Western Sydney,
b School of Health and Rehabilitation Sciences, The University of Queensland,
c Consulting Occupational Therapist, Melbourne
d Independent Living Centre (NSW), Sydney
e School of Economics and Finance, University of Western Sydney, Australia DOI: 10.1080/09638280701800293
July 27, 2009 ~lection efforts to identify and characterize disability among children, the large number of items these surveys have required to measure childhood disability prohibit their use in general population surveys. Using a conceptually based approach, we examine whether concise sets of survey items—feasible for use in general population surveys—can be used to measure functional limitations in activities among children. Methods: We analyze three nationally representative population surveys that contain detailed questions on childhood activity limitations. We first examine the full set of survey items and then eliminate survey items, one by one, exploring different combinations and examining the results of each successive elimination. Results: Across the three surveys, we consistently demonstrate that it is possible to reduce the number of survey items needed to measure childhood activity limitations and still produce comparable estimates. Concise sets of measures may contain as few as six items, making it possible to include in general population surveys. However, our concise sets of measures do not produce comparable estimates across surveys, which reflects differences in the types of questions and differences in the wording of questions found in the original survey instruments. Conclusions: On the basis of our findings, we reemphasize the importance of the wording of survey questions, the importance of validating survey questions, and finally, we recommend a concise set of items that can be used to measure childhood activity limitations in general population surveys.* http://dx.doi.org/10.1023/A:1023868911115 10.1023/A:1023868911115 G 1 Mart Knowledge of the determinants of disability in musculoskeletal conditions (MSC) is critical for reducing their burden. No epidemiologic studies from a truly comprehensive perspective consider environmental factors (EF) and personal factors (PF) as determinants of disability. However, one can identify candidate EF from the International Classification of Functioning, Disability and Health (ICF) Core Sets for rheumatoid arthritis (RA), osteoporosis (OP), osteoarthritis (OA), low back pain (LBP) and chronic wide spread pain (CWP). The objective of this literature review was to contribute to the validation of the EF from the ICF Core Sets for MSC and the candidate PF from a (ICF) Delphi exercise, as well as from the report of the Bone and Joint Decade (BJD) Health Strategy Project. The results of the literature search focus on reviews published between January 1991 and March 2006 that contained information on EF and PF that determine disability in LBP, RA and OA. Many PF and EF included in the ICF Core Sets were confirmed as potential determinants of disability. However, regarding some contextual factors, in particular EF referring to the physical environment, there is a lack of reviews and clinical studies that have investigated their relevance to disability. The predominant medical model in studies on disability in MSC may explain this lack of evidence. However, the increasing attention given to the integrative model of functioning, disability and health of the World Health Organization (WHO) and the approval of the ICF by the World Health Assembly in 2001 may stimulate future research on the effect of EF and PF on disability.+ http://www.ncbi.nlm.nih.gov/pubmed/18385630 Department of Physical Medicine and Rehabilitation, Ludwig-Maximilian-University, University Hospital Munich, Marchioninistrasse 15, Munich, Germany. '? V Wessels, R. D.
de Witte, L. P.
Jedeloo, S.
van den Heuvel, W. Pm
van den Heuvel, W. Ja 2004V Effectiveness of provision of outdoor mobility services and devices in the Netherlands 371-378 Clinical Rehabilitation 18 4
April 1, 2004 Objective: To answer the following questions: What are the problems encountered by people with outdoor mobility disabilities? What solutions are being offered to them in the Netherlands? How effective are these solutions? How responsive is the IPPA instrument (Individually Prioritized Problem Assessment)? Design: Analysing the results of a follow-up study using the IPPA instrument. Setting: The Dutch Service for the Disabled Act (SDA, in Dutch: WVG) provision system. This act is responsible for the provision of mobility aids and home adaptations. Subjects: Fifty-nine people with outdoor mobility disabilities. Interventions: The provision of outdoor mobility service and devices. Main outcome measures: Effectiveness of provisions as measured using IPPA (i.e., the degree to which activities have become less difficult to perform), effect size of IPPA with this intervention. Results: Problems identified by clients are very diverse and specific but can be classified fairly well on the basis of the International Classification of Functioning, Disability and Health (ICF); in the main, the solutions they are provided with are very similar and generic. Effectiveness is excellent at a group level, but insufficient for some at an individual level. The IPPA instrument is highly responsive in this setting. Most mobility problems respondents identified, although very individual and specific, were related to shopping, social visits or leisure activities. These specific sets of problems were solved using standard', generic solutions. Conclusions: The Dutch provision system should be more demand oriented' and less supply oriented'. IPPA turns out to be a useful, structured and individualoriented method to evaluate service delivery.5 http://cre.sagepub.com/cgi/content/abstract/18/4/371 10.1191/0269215504cr755oa } environment, environment design, social environment, Objectives: To determine the types of environmental barriers reported by persons with traumatic brain injury (TBI) and to identify the relations between environmental barriers and such components of societal participation as employment, community mobility, social integration, and life satisfaction. Design: Seventy-three persons with TBI who were participating in the TBI Model Systems program at Craig Hospital were surveyed at 1 year, using a new measure of the environment, the Craig Hospital Inventory of Environmental Factors (CHIEF), which rates frequency and impact of 25 barriers. Results: Transportation, the surroundings, government policies, attitudes, and the natural environment were the environmental barriers with the greatest reported impact. Those who were married, older, and unemployed or not in school reported the most barriers overall. Additionally, those reporting a greater impact from environmental barriers also reported lower levels of participation and life satisfaction. Conclusions: Although environmental barriers affect TBI survivors and play a role in their outcomes, their interplay with other, perhaps as yet unidentified, factors requires continued research. CHIEF may be a valuable tool for understanding the environment's role in the lives of people with TBI, and identifying the general environmental domains where interventions are needed to reduce their negative impact. (C) 2004 Lippincott Williams & Wilkins, Inc.t http://journals.lww.com/headtraumarehab/Fulltext/2004/05000/Identifying_Environmental_Factors_That_Influence.1.aspx 0885-9701 00001199-200 4 er or users of multiple databases. This paper discusses a novel approach of using the International Classification of Functioning, Disability and Health (ICF) codes to retrieve rehabilitation research information.
Method. A crosswalk was created by mapping the Center for International Rehabilitation Research and Information Exchange's (CIRRIE) subject headings to the two-level ICF codes and a search interface was developed (available at: http://cirrie.buffalo.edu/icf/crosswalk.php) so that users can input ICF codes instead of conventional subject headings.
Results. About 62% of all CIRRIE subject headings were mapped to equivalent ICF codes. Among the CIRRIE subject heading that were mapped, 43% were mapped to the Environmental Factors, followed by 34% mapped to the Activities and Participation component of the ICF.
Conclusion. Although the ICF was not conceived or developed as a system of formal terminology, it can be used effectively for information retrieval in conjunction with an existing vocabulary. This paper describes the first attempt in implementing the use of ICF for information retrieval.6 http://www.informaworld.com/10.1080/09638280701800285 0963-8288
July 27, 2009 H f handicap in individuals. Using dimensions of handicap identified and described by the WHO, CHART uses measurable, behavioral terms to compare such individuals with the norms of able-bodied members of society. Test-retest, proxies, and independent raters have established the validity and reliability of CHART. Rasch analysis has verified the CHART scaling and scoring procedures. In addition, an initial application of CHART, with a group of 342 spinal cord injured individuals, is described. Beyond demonstrating the instrument's effectiveness in assessing the extent of handicap or social disadvantage, this application, by documenting rehabilitation outcomes, demonstrates the potential usefulness of CHART for program evaluation.* http://www.ncbi.nlm.nih.gov/pubmed/16222999 Research Department, Craig Hospital, Englewood, CO 80110. ? , Wiegerink DJHG, Donkervoort M, Roebroeck ME, 2006n Sociale en seksuele relaties bij jongeren met cerebrale parese (CP) vergeleken met Nederlandse leeftijdgenoten 28-29 Revalidata 28 131 ? j Wiegerink, Diana J. H. G.
Roebroeck, Marij E.
Donkervoort, Mireille
Stam, Henk J.
Cohen-Kettenis, Peggy T. 2006] Social and sexual relationships of adolescents and young adults with cerebral palsy: a review 1023-1031 Clinical Rehabilitation 20 12 December 1, 2006R Objective: To investigate possible barriers to successful social and sexual relationships in adolescents and young adults of normal intelligence with cerebral palsy. Design: A literature review based on a PubMed and PsycINFO search for the period 1990-2003. Included were studies focusing on one or more of the outcome parameters (i.e. social, intimate and sexual relationships) or on associated factors that described relationships with the outcome parameters. Results: Fourteen papers were selected. Two studies investigated exclusively people with cerebral palsy whereas 12 concerned people with a congenital disability and/or physical disabilities, including people with cerebral palsy. All studies addressed adolescents or adults of normal intelligence. A. Social and sexual relationships: In social relationships adolescents and young adults with cerebral palsy were less active than their age mates, and dating was often delayed and less frequent. Adolescents with congenital disabilities indicated that sexuality is an important aspect of their lives, but they experienced difficulties developing a sexual relationship. B. Associated factors: Psychological maladjustment, insufficient self-efficacy and low sexual self-esteem may impair the development of social and sexual relationships. Overprotection in raising children with cerebral palsy and the negative attitudes of other people may have a negative influence on the self-efficacy of people with cerebral palsy. Conclusion: The reviewed studies suggest many factors that may influence the development of social and sexual relationships in adolescents and young adults with cerebral palsy. However, evidence was found only for the personal factors self-efficacy and sexual self-esteem and their interrelationships with the parents' way of raising their children and successful experiences in social situations.7 http://cre.sagepub.com/cgi/content/abstract/20/12/1023 10.1177/0269215506071275P / $ Wilder, J.
Axelsson, C.
Granlund, M. 2004P Parent - child interaction: a comparison of parents' perceptions in three groups 1313 - 1322 Disability & Rehabilitation 26 213 Purpose: To evaluate a children's version of the ICF that takes children's dependency on their parents and a developmental perspective into consideration. Method: This study explored how 91 parents perceived child participation in terms of parent/child immediate interaction, and desires for ideal interaction in relation to body impairments and activity limitations. Similarities and differences were investigated in three matched groups of families through questionnaires. Group 1 consisted of parents of children with profound multiple disabilities, Group 2 was developmentally matched and Group 3 was matched according to chronological age. Results: The children with profound multiple disabilities expressed the same amount of emotions as the other groups, but they had difficulties expressing more complex emotions. Parents perceived the children's behaviour styles in a similar way in the three groups. There were significant differences in how the immediate interaction was perceived with parents to children of Group 1 perceiving difficulties in maintaining joint attention and directing attention. Conclusions: The results suggest that parental perceptions of the interaction with their children with profound multiple disabilities in the immediate setting to a certain extent are related to the body impairments of the children but not strongly to communicative skills /activity limitations. Thus, to focus communication intervention on participation and interaction, assessment and questions to parents have to be focused directly on these issues.9 http://www.informaworld.com/10.1080/09638280412331280343 0963-8288
July 27, 2009/ ~ Wildner, Manfred
Quittan, Michael
Portenier, Lucien
Wilke, Sabine
Boldt, Christine
Stucki, Gerold
Kostanjsek, Nenad
Grill, Eva 2005g ICF Core Set for patients with cardiopulmonary conditions in early post-acute rehabilitation facilities 397 - 404 Disability & Rehabilitation 27 7
Purpose: The aim of this consensus process was to decide on a first version of the ICF Core Set for patients with cardiopulmonary conditions in early post-acute rehabilitation facilities.
Methods: The ICF Core Set development involved a formal decision-making and consensus process integrating evidence gathered from preliminary studies including focus groups of health professionals, a systematic review of the literature and empiric data collection from patients.
Results: Seventeen experts selected a total of 84 second-level categories. The largest number of categories was selected from the ICF component Body Functions (33 categories or 39% of all ICF Core Set categories). Four (5%) of the categories were selected from the component Body Structures, 23 (27%) from the component Activities and Participation, and 24 (29%) from the component Environmental Factors.
Conclusions: The Post-acute ICF Core Set for patients with cardiopulmonary conditions is a clinical framework to comprehensively assess patients in early post-acute rehabilitation facilities, particularly in an interdisciplinary setting. This first ICF Core Set will be further tested through empiric studies in German-speaking countries and internationally.6 http://www.informaworld.com/10.1080/09638280400013958 0963-8288
July 27, 2009G? 5 Wilkie, Ross
Peat, George
Thomas, Elaine
Croft, Peter 2006_ The prevalence of person-perceived participation restriction in community-dwelling older adults 1471-1479 Quality of Life Research 15 9 AbstractObjective: To estimate the prevalence, nature and distribution of person-perceived participation restriction, in community-dwelling older adults.Method: Population based cross-sectional postal survey of 11,055 adults aged 50 years and over in North Staffordshire, United Kingdom. Person-perceived participation restriction was measured using the Keele Assessment of Participation which covers 11 different aspects of life mapped to the World Health Organization’s International Classification of Functioning. Four-week period prevalence was calculated for restriction in any, multiple and for each aspect separately. Prevalence estimates were calculated for the total sample, and for each age and gender stratum.Results: A total of 7,878 subjects responded (adjusted response – 71.3%). The 4-week period prevalence of any participation restriction was 51.8%; 3.3% had substantial restriction. Participation restriction increased with age (p<0.001) and, for moderate and substantial restriction, was more frequent in women. The prevalence of restricted participation in individual aspects of life ranged from 3.8% (work) to 25.9% (mobility outside the home).Conclusion: Some restriction of participation ‚as and when we want it’ is common in the general population and increases with age, although severe restriction only affects a minority. The distribution of person-perceived participation restriction is similar to that of impairments and activity limitation in community-dwelling older adults., http://dx.doi.org/10.1007/s11136-006-0017-9 10.1007/s11136-006-0017-9 f? F Wilkie, Ross
Peat, George
Thomas, Elaine
Hooper, Helen
Croft, Peter R. 2005 The Keele Assessment of Participation: A New Instrument to Measure Participation Restriction in Population Studies. Combined Qualitative and Quantitative Examination of its Psychometric Properties 1889-1899 Quality of Life Research 14 8Y ICF - Instrument - Participation restriction - Person-perceived - Psychometric properties The World Health Organization has proposed participation restriction to reflect the societal consequences of health conditions. Despite its importance, participation restriction appears to be inconsistently represented or absent from the content of many health status instruments. This paper describes the development and testing of a new self-complete measure of participation restriction from the conceptual basis of participation as an individual’s perception of their actual involvement in life situations. The psychometric properties (face, content and construct validity, responder burden, performance and repeatability) of the instrument were examined using qualitative and quantitative methods. Person-perceived participation restriction did not reflect the frequency of participation but was associated with participants’ expectations, aspirations, and needs, as well as contextual factors. We conclude that the instrument can provide estimates of person-perceived participation restriction in population surveys., http://dx.doi.org/10.1007/s11136-005-4325-2 10.1007/s11136-005-4325-2e Primary Care Sciences Research Centre, Keele University, Keele, Staffordshire ST5 5BG, United Kingdom ^S l~? Wilkerson, Deborah, L. 2004' Individual, science, and society: ACRM’s mission and the body politic 1 1 No party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated 527-5300 Archives of physical medicine and rehabilitation 85 4
W.B. Saunders0 Health services research
Rehabilitation
Taxonomy Wilkerson DL. Individual, science, and society: ACRM’s mission and the body politic. Arch Phys Med Rehabil 2004;85:527–530. The core mission of the American Congress of Rehabilitation Medicine (ACRM)—using interdisciplinary research to “enhance the lives of persons living with disabilitiesâ€â€”has a role to play in the world. This mission draws on rehabilitation’s origins in a strong belief system about the value of all individuals, regardless of the state of the body structure and function. This address draws on Scheper-Hughes and Lock’s use of the body as a metaphor for a way in which society can think about its beliefs of the human body and disability; a body of science contributing to the evolution of rehabilitation; organizational bodies, both rehabilitation service organizations and ACRM as an organization; and the body politic, a concept used to talk about our engagement in society and its rules, policies, and priorities including research funding. In addition to highlighting excellent interdisciplinary clinical research, ACRM should continue development of a taxonomy of the rehabilitation process; it should endorse the World Health Organization’s International Classification of Functioning, Disability and Health as a conceptual framework for research development; it should continue increasing attention on research on participation and the environment; and it should embrace the scientific community of people engaged in evidence-based policy and health services research.> http://linkinghub.elsevier.com/retrieve/pii/S0003999304000024 0003-9993 S0003-9993 (04)00002-4 ? . Willems, Han
de Kleijn-de Vrankrijker, Marijke 2002N Work Disability in the Netherlands: Data, Conceptual Aspects, and Perspectives 510-5152 Journal of Occupational and Environmental Medicine 44 6 00043764-200206000-00011 Data on work disability lack a standardized approach when defining the main variables. As a consequence, these data do not usually provide reliable information about health problems and related outcome measures. Examples of this unreliability are provided by the rather different approaches used in Dutch social security compared with the national statistics on disability. Several authors have tried to cope with this by introducing concepts that recognize disability as the multifaceted phenomenon it is and still provide reliable data. We recommend the development and global use of one concept so as to make data comparable. The recently presented International Classification of Functioning, Disability, and Health seems to be a sound base for further exploration of the possibilities for standardization in occupational health and social security. (C)2002The American College of Occupational and Environmental Medicinec http://journals.lww.com/joem/Fulltext/2002/06000/Work_Disability_in_the_Netherlands__Data,.11.aspx 1076-2752G h/ j Wolff, Birgit
Cieza, Alarcos
Parentin, Angelika
Rauch, Alexandra
Sigl, Tanja
Brockow, Thomas
Stucki, Armin 2004 Identifying the concepts contained in outcome measures of clinical trials on four internal disorders using the international classification of functioning, disability and health as a reference 37 - 42" Journal of Rehabilitation Medicine 36 4 supp 44 chronic ischaemic heart disease, diabetes mellitus, obesity, obstructive pulmonary disaese and asthma, outcome assesment, systematic review, ICFu Objectives: To systematically identify and compare the concepts contained in outcome measures of clinical trials on chronic ischaemic heart disease, diabetes mellitus, obesity, and obstructive pulmonary disease, including asthma using the International Classification of Functioning, Disability and Health (ICF) as a reference.
Methods: Randomized controlled trials between 1993 and 2003 were located in MEDLINE and selected according predefined criteria. The outcome measures were extracted and the concepts contained in the outcome measures were linked to the ICF.
Results: 166 trials on chronic ischaemic heart disease, 227 trials on diabetes mellitus, 428 trials on obesity, and 253 trials on obstructive pulmonary disease were included. Ten different health status questionnaires (fulfilling the inclusion criteria) were extracted in chronic ischaemic heart disease, 19 in diabetes mellitus, 47 in obesity, and 39 in obstructive pulmonary disease. Across conditions at least 75% (range 75–92%) of the extracted concepts could be linked to the ICF. In diabetes mellitus and obesity the most used ICF categories were general metabolic functions (b540), in obstructive pulmonary disease respiration functions (b440) and in chronic ischaemic heart disease heart functions (b410).
Conclusion: In all 4 health conditions the majority of studies were drug trials focusing on clinically relevant parameters and not on functioning. The ICF provides a useful reference to identify and quantify$ / L Wormgoor, Marjon E. A.
Indahl, Aage
van Tulder, Maurits W.
Kemper, Han C. G. 2006 FUNCTIONING DESCRIPTION ACCORDING TO THE ICF MODEL IN CHRONIC BACK PAIN: DISABLEMENT APPEARS EVEN MORE COMPLEX WITH DECREASING SYMPTOM-SPECIFICITY 93 - 99" Journal of Rehabilitation Medicine 38 2 Objective: To determine the significance of degree of symptom-specificity in the disablement condition in chronic back pain.
Design: Cross-sectional design.
Subjects: All inhabitants of a restricted geographical area of Norway, who had had 8 weeks of sick-leave due to back pain during a 2-year period, were included in this study. Following examination they were diagnosed as having “specific back pain†(n=34), “non-specific back pain†(n=113) or “widespread pain†(n=49).
Methods: Functioning of the 3 diagnostic subgroups was described and compared. Functioning assessment was guided by the concepts of the International Classification of Functioning, Disability and Health (ICF): health condition, body function and structure, activity, participation and contextual factors.
Results: Pain components and final participation restriction did not differ among the diagnostic subgroups. However, with increasing symptom-specificity, loss of physical body functions and structures and subsequent activity limitation tended to increase. On the other hand, with decreasing symptom-specificity, mental distress, unfavourable contextual factors and dissatisfaction with various factors of life tend to increase, which may raise the impact of pain on restricting participation in activities.
Conclusion: Functioning description according to the components of the ICF model indicated that the disablement condition in patients with back pain who had been on sick-leave for 8 weeks may appear more complex with decreasing symptom-specificity.6 http://www.informaworld.com/10.1080/16501970510044052 1650-1977
July 27, 2009
? < Worrall, L.
McCooey, R.
Davidson, B.
Larkins, B.
Hickson, L. 2002 The validity of functional assessments of communication and the Activity/Participation components of the ICIDH-2: do they reflect what really happens in real-life? 107-137" Journal of Communication Disorders 35Z Functional communication; ICIDH-2; Functional assessment; Functional treatment of aphasia Research http://www.ingentaconnect.com/content/els/00219924/2002/00000035/00000002/art00060
http://dx.doi.org/10.1016/S0021-9924(02)00060-6 % [1]
doi:10.1016/S0021-9924(02)00060-6 Communication Disability in Ageing Research Unit, Department of Speech Pathology and Audiology, The University of Queensland, , Qld 4072, Brisbane, Australia Rlletin.oxfordjournals.org/cgi/content/abstract/15/2/325 10.1093/schbul/15.2.325 e reatment activities and/or services that address body impairments, activity limitations and participation restrictions for an individual. The framework was developed through broad consultation and interviews with thirteen key informants. Themes that emerged from analysis of interviews related to concepts of rehabilitation in the context of HIV, rehabilitation professionals' roles in the context of HIV, and barriers to access and delivery of rehabilitation services. While there was some variation, key informants generally viewed rehabilitation as a goal-oriented and client-centered process with the potential to impact a range of life domains. Themes were presented to members of a national advisory committee (including PLHAs and health care providers), who produced the foundation of the HIV rehabilitation framework. The framework uses the perspective of the person living with HIV/AIDS, and includes individual life domains that may be affected by HIV, drawing and expanding upon the World Health Organization's (WHO's) International Classification of Functioning, Disability and Health.+ http://www.ncbi.nlm.nih.g/ e Worrall, Linda
Rose, Tanya
Howe, Tami
Brennan, Alison
Egan, Jennifer
Oxenham, Dorothea
McKenna, Kryss 20055 Access to written information for people with aphasia 923 - 929 Aphasiology 19 10 Background : Accessibility is often constructed in terms of physical accessibility. There has been little research into how the environment can accommodate the communicative limitations of people with aphasia. Communication accessibility for people with aphasia is conceptualised in this paper within the World Health Organisation's International Classification of Functioning, Disability and Health (ICF). The focus of accessibility is considered in terms of the relationship between the environment and the person with the disability.
Aims : This paper synthesises the results of three studies that examine the effectiveness of aphasia-friendly written material.
Main Contribution : The first study (Rose, Worrall, & McKenna, 2003) found that aphasia-friendly formatting of written health information improves comprehension by people with aphasia, but not everyone prefers aphasia-friendly formatting. Brennan, Worrall, and McKenna (in press) found that the aphasia-friendly strategy of augmenting text with pictures, particularly ClipArt and Internet images, may be distracting rather than helpful. Finally, Egan, Worrall, and Oxenham (2004) found that the use of an aphasia-friendly written training manual was instrumental in assisting people with aphasia to learn the Internet.
Conclusion : Aphasia-friendly formatting appears to improve the accessibility of written material for people with aphasia. Caution is needed when considering the use of illustrations, particularly ClipArt and Internet images, when creating aphasia-friendly materials. A research, practice, and policy agenda for introducing aphasia-friendly formatting is proposed.6 http://www.informaworld.com/10.1080/02687030544000137 0268-7038
July 27, 2009 pov/pubmed/15857198[ Faculty of Social Work, University of Calgary, Calgary, Alberta, Canada. cworth@ucalgary.ca D? Y World Health Organization Classification, Assessment, Surveys and Terminology Team (CAS) 2002/ The ICF Checklist: Development and Application./ Paper presented at the WHO-FIC Network meeting Brisbane, Australia. * http://www.who.int/classifications/icd/en/ ?
World Health Organization 2002F Towards a Common Language for Functioning, Disability and Health ICF.
Geneva: WHO. www.who.int/classifications ?
World Health Organization, 2001. F The International Classification of Functioning, Disability and Health Geneva WHO* http://www.who.int/classificati ons/icd/en/ c? World Health Organization, 2001 ICF Checklist. www.who.int/classifications "/ Wood, Philip H. N. 1980P The language of disablement: A glossary relating to disease and its consequences 86 - 92 Disability & Rehabilitation 2 2 This paper presents a glossary of terms relevant to some of the consequences of disease. The glossary was originally prepared as an appendix to the International Classification of Impairments, Disabilities, and Handicaps, but ultimately it was not possible for it to be included in this publication. Although the work cannot be regarded either as official or as definitive, it is offered as a contribution to resolving some of the difficulties encountered by those in rehabilitation medicine when they try to communicate with each other.6 http://www.informaworld.com/10.3109/09638288009163963 0963-8288
July 28, 2009 / ' Wood, Philip H. N.
Badley, Elizabeth M. 1978" Setting Disablement in Perspective 32 - 37 Disability & Rehabilitation 1 16 http://www.informaworld.com/10.3109/03790797809163928 0963-8288
July 28, 2009 ? * Wunderlin, B. W.
Ferster, M.
Schneider, W. 2002m Is global outcome predictable in the rehabilitation of patients with musculoskeletal disorders? A pilot study 103-1170 International Journal of Rehabilitation Research 25 2` ICIDH-2
muskuloskeletal disorders
prediction of outcome
rehabilitation
00004356-200206000-00004I Definition of prognostic factors for outcome quality is of increasing interest in rehabilitation medicine. The main question of this pilot study in 552 patients was whether global outcome could be predicted by a team-based chief physician specialized in physical medicine and rehabilitation (PMR), and whether other predictive factors would exist (ICIDH-2 levels, pain, working incapacity). Little data is available about the possibility of global prediction of prognosis in the rehabilitation of patients with musculoskeletal disorders. All 552 patients met each member of the rehabilitation team and key data from each patient was discussed at the rehabilitation conference within the first 2 days. On entry to the study, a chief physician specialized in PMR assessed the patient's key data, which was structured according to ICIDH-2 (ICF) and assessed quantitatively on a scale from zero to ten. Second, the PMR physician rated the expected global prognosis on the basis of ICIDH-2 and other key data, and in respect to the defined rehabilitation goals (see Table 2). At the same time, the patient and an assistant doctor (AD) assessed pain scores (VAS 0-10) and the actual working incapacity (%). These assessments were completed within the first 3 days and were repeated before discharge. Assessment of outcome was rated by both, separately, according to the above-mentioned scale. Different regression models were calculated, searching for significant differences between the numerous variables. In the regression models, the best predictor for outcome was the PMR physician assessment. Complete and good correspondence between prediction and outcome was obtained in 71.4% (42.1% and 29.3%, respectively) in the descriptive model. Quantitatively assessed ICIDH-2 levels, pain at entrance and working incapacity at entrance were not predictive factors for global outcome. The global outcome was rated as very good/good in 79.0% of cases by patient and in 75.1% cases by the AD, as moderate in 13.9% of cases by the patient and 18.4% of cases by the AD, and as poor/worsening in 7.1% of cases by the patient and in 6.5% of cases by the AD. Rating of outcome by the patient and the AD gave complete and good correspondence in 87.6% and no correspondence in only 2.6% of cases. Pain could be reduced highly significantly (P <0.001). There was a highly significant degree of correlation between quality of outcome and pain relief (outcome 'very good' and 'good', P <0.001; 'moderate', P =0.003; 'poor/worsening', not significant). Partial or complete reduction of working incapacity could be reached in 30% of the patients. This had no statistical influence on global outcome; neither did persistent working incapacity. Prediction of global outcome by a team-based PMR assessment seems to be a useful semiquantitative method with high predictive value. The method, including the critical point of validation, is currently being extensively discussed. Prediction is an integral process based on the high information grade of a multiprofessional rehabilitation team, the ICIDH-2 structures, the definition of rehabilitation goals, the knowledge and experience in bio-psycho-social medicine and the application of common sense. Rating of global outcome by the patient/AD is an integrative process as well. Pain relief is an important and very strong factor, with a high degree of influence on global outcome in musculoskeletal rehabilitation, probably by improving quality of life. Working incapacity is no reason for refusing patients rehabilitation and both improvement of working capacity and persistence of working incapacity, has no statistical influence on global outcome. Finally, the extent of the four ICIDH-2 levels, especially negative contextual factors, were not predictive, that is, they had no significant influence on global outcome in this study. In conclusion, prediction of global outcome by a team-based chief physician specialized in PMR is of high predictive value, practicable and useful for rehabilitation processes, quality assurance, insurance companies and health policies. To our knowledge, this is the first published study on this topic.
g http://journals.lww.com/intjrehabilres/Fulltext/2002/06000/Is_global_outcome_predictable_in_the.4.aspx 0342-5282 / Wyller, Torgeir Bruun 1997^ Disability models in geriatrics: Comprehensive rather than competing models should be promoted 480 - 483 Disability & Rehabilitation 19 11y The usefulness of different models of disability is discussed. There is no clear-cut demarcation between ability and disability, and a person's functional abilities are highly dependent on societal as well as individual factors. One should not, however, promote models of disability that cover only the social aspects, but rather try to build comprehensive models including medical, psychological and social aspects of disability. The World Health Organization's International Classification of Impairments, Disabilities and Handicaps (ICIDH) provides a useful basis for such model building. The main weakness of the ICIDH is that it fails to take the subjective perceptions of the individual fully into account. Accordingly, it should be supplemented by some model of subjective well-being. Possible relationships between subjective well-being and the ICIDH concepts are discussed.6 http://www.informaworld.com/10.3109/09638289709166843 0963-8288
July 28, 2009 / v Wynia, Klaske
Middel, Berrie
Van Dijk, Jitse P.
De Ruiter, Han
Lok, Willem
De Keyser, Jacques Ha
Reijneveld, Sijmen A. 2006 Broadening the scope on health problems among the chronically neurologically ill with the International Classification of Functioning (ICF) 1445 - 1454 Disability & Rehabilitation 28 23 ICF; International Classification of Functioning; disability and health; multiple sclerosis; Parkinson's disease; neuromuscular diseases; rehabilitation = Purpose. The aim of this study was to determine ICF items indicating health problems for patients with a chronic neurological disorder such as multiple sclerosis, Parkinson's disease and neuromuscular disease.
Method. A Delphi study using three disease-specific panels composed of patients and proxies, medical and non-medical health professionals (N = 98). Panels were asked to select items from the International Classification of Functioning, Disability and Health (ICF) reflecting relevant disease-specific health problems. Items appraised as relevant by the panel members were compared with items in established measures namely: the Minimal Record of Disability (MRD) and the Disability and Impact Profile (DIP).
Results. Sixty-eight ICF items were considered to be the most relevant, and belonged to four ICF domains. No significant differences were found between the appraisal of items by patients/proxies and health professionals. Agreement across the disease panels appeared to be (very) strong. Differences between the three disease-specific panels were found for the 'Body Functions and Structures' domain: consensus was reached by extension of the inclusion criteria. The ICF-item selection covers almost all items of the established measures. The largest contrast was shown in the item selection for the 'participation' and 'environmental factors' domains.
Conclusions. Selected items indicate a broader scope in studying health problems compared with widely used health status measures in neurology, especially for the ICF domains 'Participation' and 'Environmental Factors'. 6 http://www.informaworld.com/10.1080/09638280600638356 0963-8288
July 28, 2009 j? Q Xiang, Huiyun
Stallones, Lorann
Chen, Guanmin
Hostetler, Sarah G.
Kelleher, Kelly 2005= Nonfatal Injuries Among US Children With Disabling Conditions 1970-1975 Am J Public Health 95 11 November 1, 20051 Objectives. We investigated the risk of nonfatal injury in US children with disabilities. Disability was defined as a long-term reduction in the ability to conduct social role activities, such as school or play, because of a chronic physical or mental condition. Methods. Among 57 909 children aged 5-17 years who participated in the 2000-2002 National Health Interview Survey, we identified 312 children with vision/hearing disabilities, 711 with mental retardation, 603 with attention-deficit/hyperactivity disorder (ADD/HD), and 403 with chronic asthma. We compared nonfatal injuries in the past 3 months between children with disabling conditions and those without using injury rates and logistic regression analyses. Results. Compared with children without a disability, a higher percentage of children with disabilities reported nonfatal injuries (4.2% for vision disability, 3.2% for mental retardation, 4.5% for attention-deficit/hyperactivity disorder, and 5.7% for asthma vs 2.5% for healthy children). After we controlled for confounding effects of sociodemographic variables, children with disabilities, with the exception of mental retardation, had a statistically significantly higher injury risk than those without disabling conditions. Conclusions. Children with a disabling condition from vision/hearing disability, ADD/HD, or chronic asthma had a significantly higher risk for nonfatal injuries compared with children without a disabling condition. These data underscore the need to promote injury control and prevention programs targeting children with disabilities.4 http://www.ajph.org/cgi/content/abstract/95/11/1970 10.2105/ajph.2004.057505 `? c Xie, Feng
Thumboo, Julian
Fong, Kok-Yong
Lo, Ngai-Nung
Yeo, Seng-Jin
Yang, Kuang-Ying
Li, Shu-Chuen 2006 Are They Relevant? A Critical Evaluation of the International Classification of Functioning, Disability and Health Core Sets for Osteoarthritis from the Perspective of Patients with Knee Osteoarthritis in Singapore ard.2005.043067
Ann Rheum Dis January 5, 2006 Objectives: To determine the extent to which health items identified from the perspective of patients with knee osteoarthritis can be linked with the ICF; and to critically evaluate content validity of ICF Comprehensive and Brief Core Sets for osteoarthritis. Methods: Items identified from a focus group study were linked independently by two researchers based on the 10 a priori linking rules. Both percentage agreement and kappa statistics were calculated to measure inter-observer agreement. Any disagreements were resolved by reaching a consensus among the researchers. The categories linked with all items were compared with the Comprehensive Core Set, while the categories linked with those items reported as important by over 30% of subjects within each of 3 local ethnic groups (Chinese, Malay, and Indian) were compared with the Brief Core Set. Both comparisons were made only at the second level of the ICF. Results: Totally 74 items were linked with 44 different ICF categories through 105 linkages with generally very good inter-observer agreement. The 69 items were linked with the ICF at the third or fourth levels. Both commonalities and disparities were found through comparison between the categories linked with these items and both Core Sets for osteoarthritis. Conclusions: All items could be successfully linked with the ICF. The Comprehensive Core Set demonstrated good content validity, while the Brief Core Set needs to be supported by more empirical evidence in various socio-cultural contexts. This study specifically complemented the development and refinement of both Core Sets from the perspective of patients with knee osteoarthritis.: http://ard.bmj.com/cgi/content/abstract/ard.2005.043067v1 10.1136/ard.2005.043067 ? Yaruss, J. S.
Quesal, R. W. 2004g Stuttering and the International Classification of Functioning, Disability, and Health (ICF): An update 35-52" Journal of Communication Disorders 37 13 Stuttering; ICIDH; ICF; Disablement; Communication Research The World Health Organization (WHO) recently presented a multidimensional classification scheme for describing health status and the experience of disablement. This new framework, the International Classification of Functioning, Disability, and Health (ICF; WHO, 2001), is a revision of WHO’s prior framework for describing the consequences of disorders, the International Classification of Impairments, Disabilities, and Handicaps (ICIDH; WHO, 1980). In previous papers, Yaruss [J. Speech Lang. Hear. Res. 41 (1998) 249; J. Commun. Disord. 34 (2001) 163] had shown how the original ICIDH could be adapted to describe the consequences of stuttering at several levels that are relevant to the communication and life experiences of the person who stutters. The current manuscript presents an update of the Yaruss (1998) model that accounts for the new structure of the ICF. A comparison of the WHO’s ICIDH and ICF frameworks is presented, followed by an analysis of how the ICF can be adapted to describe the speaker’s experience of the stuttering disorder. Emphasis is placed on the fact that stuttering involves more than just observable behaviors. Specifically, the speaker’s experience of stuttering can involve negative affective, behavioral, and cognitive reactions (both from the speaker and the environment), as well as significant limitations in the speaker’s ability to participate in daily activities and a negative impact on the speaker’s overall quality of life. http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T85-49321P5-1&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&_docanchor=&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=f4d35e91b76427283c8fc3f73cf52196% [1]
doi:10.1016/S0021-9924(03)00052-2 a. Department of Communication Science and Disorders, University of Pittsburgh, 4033 Forbes Tower, 15260, Pittsburgh, PA, USA
b. Western Illinois University, Macomb, IL, USA# DOI: 10.1016/S0021-9924(03)00052-2 7
Zaudig M,
2003 Oct 9a [New stipulations for rehabilitation of mentally ill. Will return to normal life be facilitated?] 32-5. MMW Fortschr Med. 145 41v Current changes in the laws pertaining to mental disorders are mainly concerned with the redefinition in the Sozialgesetzbuch IX (SGB IX) [Social Law] of the term "disability", and the forthcoming introduction of the International Classification of Functioning, Disability and Health (ICF). Accordingly, the rehabilitation of the mentally disturbed will be based on an integrative bio-psychosocial treatment concept, which--in parallel with curative therapy--right from the beginning envisages measures aimed at reintegration of the patient into daily/occupational life. On the basis of the ICF, all patients with mental disorders of more than 6 months' duration may be classified by the medical services of the health insurance carriers as being in need of rehabilitation. Appropriate care-related structures in psychiatric and psychosomatic areas are to some extent already available.+ http://www.infodoctor.org:8080/uid=14655478: Psychosomatischen Klinik Windach. zaudig@klinik-windach.de German
'
? A ZOCHLING J, GRILL E, SCHEURINGER M, LIMAN W, STUCKI G, BRAUN J, 2006 Identification of health problems in patients with acute inflammatory arthritis, using the International Classification of Functioning, Disability and Health (ICF) 239-246' Clinical and experimental rheumatology 6 Number 3] Cross sectional studies ; outcome assessment ; rheumatoid arthritis ; inflammatory arthritis ] Objectives To identify the most common health problems experienced by patients with acute inflammatory arthritis using the International Classification of Functioning, Disability and Health (ICF), and to provide empirical data for the development of an ICF Core Set for acute inflammatory arthritis. Methods Cross-sectional survey of patients with acute inflammatory arthritis of two or more joints requiring admission to an acute hospital. The second level categories of the ICF were used to collect information on patients'health problems. Relative frequencies of impairments, limitations and restrictions in the study population were reported for the ICF components Body Functions, Body Structures, and Activities and Participations. For the component Environmental Factors absolute and relative frequencies of perceived barriers or facilitators were reported. Results In total, 130 patients were included in the survey. The mean age of the population was 59.9 years (median age 63.0 years), 75% of the patients were female. Most had rheumatoid arthritis (57%) or early inflammatory polyarthritis (22%). Fifty-four second-level ICF categories had a prevalence of 30% or more: 3 (8%) belonged to the component Body Structures and 10 (13%) to the component Body Functions. Most categories were identified in the components Activities and Participation (19; 23%) and Environmental Factors (22; 56%). Conclusion Patients with acute inflammatory arthritis can be well described by ICF categories and components. This study is the first step towards the development of an ICF Core Set for patients with acute inflammatory arthritis.5 http://cat.inist.fr/?aModele=afficheN&cpsidt=18022336 0392-856X Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)
(1) Rheumazentrum-Ruhrgebiet, St. Josefs-Krankenhaus, Herne, ALLEMAGNE
(2) ICF Research Branch of the WHO FIC Collaborating Center (DIMDI), IHRS, Ludwig-Maximllians-University, Munich, ALLEMAGNE
(3) Department of Rheumatology, Evangelisches Krankenhaus Hagen-Haspe, Ludwig-Maximilians-University, Munich, ALLEMAGNE
(4) Department of Physical Medicine and Rehabilitation, Ludwig-Maximilians-University, Munich, ALLEMAGNE
L? [ Zochling, Jane
Bonjean, Monika
Grill, Eva
Scheuringer, Monika
Stucki, Gerold
Braun, Jürgen 2006 Systematic review of measures and their concepts used in published studies focusing on the treatment of acute inflammatory arthritis 807-813 Clinical Rheumatology 25 6- ICF - Outcome assessment - Systematic review Abstract To identify outcome measures and concepts cited in published studies focusing on the treatment of acute inflammatory arthritis, and to identify and quantify the concepts contained in these measures using the International Classification of Functioning, Disability and Health (ICF) as a reference. This ‘research perspective’ is part of the development process for an ICF core set in acute arthritis. Electronic searches of Medline, Embase, Cumulative Index to Nursing and Allied Health Literature, Pedro and the Cochrane Library from January 2000 to July 2004 were carried out. Data on the outcome measures and patient characteristics for the included studies were extracted. The items of the identified questionnaires and their underlying concepts were specified and then linked to ICF categories using standardized linkage rules. From the 401 abstracts retrieved, E104 studies met the inclusion criteria. From these studies, 38 formal assessment instruments, 62 single clinical measures, 66 technical measures and 14 clinical criteria were identified. A total of 966 concepts were extracted, and 84.7% of these concepts could be linked to ICF categories. The concepts contained in measures named in more than 5% of the studies were represented by 34 second-level ICF categories. Ten (30%) of the 34 categories belong to the component “Body Functions”, 3 (9%) to the component “Body Structures” and 21 (61%) to the component “Activities and Participation”. The ICF provides a valuable reference to identify and quantify the concepts of outcome measures focusing on the management of patients with acute inflammatory arthritis. Our findings indicate there is good agreement on ‘what should be measured’ in acute inflammatory arthritis to allow for a comparison of patient populations., http://dx.doi.org/10.1007/s10067-005-0156-3 10.1007/s10067-005-0156-3R (1) Rheumazentrum-Ruhrgebiet, Landgrafenstr. 15, 44652 Herne, Germany
(2) ICF Research Branch, WHO FIC Collaborating Center (DIMDI), Institute for Health and Rehabilitation Sciences, Ludwig Maximilians University, Munich, Germany
(3) Department of Physical Medicine and Rehabilitation, Ludwig Maximilians University, Munich, Germany U? 0 Zochling, J; van der Heijde, D; Burgos-Vargas, R; Collantes, E; Davis, J. C., Jr; Dijkmans, B; Dougados, M; Geher, P; Inman, R. D; Khan, M. A; Kvien, T. K; Leirisalo-Repo, M; Olivieri, I; Pavelka, K; Sieper, J; Stucki, G; Sturrock, R. D; van der Linden, S; Wendling, D; Bohm, H; van Royen B. J; Braun, J; 2006G ASAS/EULAR recommendations for the management of ankylosing spondylitis 442-452
Ann Rheum Dis 65 4
April 1, 2006B Objective: To develop evidence based recommendations for the management of ankylosing spondylitis (AS) as a combined effort of the ASsessment in AS' international working group and the European League Against Rheumatism. Methods: Each of the 22 participants was asked to contribute up to 15 propositions describing key clinical aspects of AS management. A Delphi process was used to select 10 final propositions. A systematic literature search was then performed to obtain scientific evidence for each proposition. Outcome data for efficacy, adverse effects, and cost effectiveness were abstracted. The effect size, relative risk, number needed to treat, and incremental cost effectiveness ratio were calculated. On the basis of the search results, 10 major recommendations for the management of AS were constructed. The strength of recommendation was assessed based on the strength of the literature evidence, risk-benefit trade-off, and clinical expertise. Results: The final recommendations considered the use of non-steroidal anti-inflammatory drugs (NSAIDs) (conventional NSAIDs, coxibs, and co-prescription of gastroprotective agents), disease modifying antirheumatic drugs, treatments with biological agents, simple analgesics, local and systemic steroids, non-pharmacological treatment (including education, exercise, and physiotherapy), and surgical interventions. Three general recommendations were also included. Research evidence (categories I-IV) supported 11 interventions in the treatment of AS. Strength of recommendation varied, depending on the category of evidence and expert opinion. Conclusion: Ten key recommendations for the treatment of AS were developed and assessed using a combination of research based evidence and expert consensus. Regular updating will be carried out to keep abreast of new developments in the management of AS.1 http://ard.bmj.com/cgi/content/abstract/65/4/442 10.1136/ard.2005.041137 8 ? [No Authors listed], 2005 Mar International classification of functioning, disability and health (ICF): crosscutting breakout session. Physical Disabilities through the Lifespan Conference. 61S-3S. Neurorehabil Neural Repair. 19 1 Suppl)+ http://www.ncbi.nlm.nih.gov/pubmed/15689475 24 4B Significant progress has been made in outcome measurement procedures for osteoarthritis (OA) clinical trials, and guidelines have been established by the US Food and Drug Administration, European League Against Rheumatism, the World Health Organization/International League of Associations for Rheumatology, and the Group for the Respect of Ethics and Excellence in Science. However, there remains a need for further international harmonization of measurement procedures used to establish beneficial effects in Phase III clinical trials. A key objective of the OMERACT III conference was to establish a core set of outcome measures for future phase III clinical trials. During the conference, using a combination of discussion and polling procedures, a consensus was reached by at least 90% of participants that the following 4 domains should be evaluated in future phase III trials of knee, hip, and hand OA: pain, physical function, patient global assessment, and, for studies of one year or longer, joint imaging (using standardized methods for taking and rating radiographs, or any demonstrably superior imaging technique). These evidence based preferences, achieved with a high degree of consensus, establish an international standard for future phase III trials and will also facilitate metaanalysis and Cochrane Collaborative Project goals* http://www.ncbi.nlm.nih.gov/pubmed/9101522& London Health Sciences Centre, Canada.
j
_ @~? " Bode, Rita, K.
Allen, W. Heinemann 2002] Course of functional improvement after stroke, spinal cord injury, and traumatic brain injury 100-1060 Archives of physical medicine and rehabilitation 83 1
W.B. SaundersZ Brain injuries
Length of stay
Rehabilitation
Stroke
Spinal cord injuries
Treatment outcome Bode RK, Heinemann AW. Course of functional improvement after stroke, spinal cord injury, and traumatic brain injury. Arch Phys Med Rehabil 2002;83:100-6. Objective: To examine functional improvement patterns of persons with stroke, traumatic brain injury (TBI), and spinal cord injury (SCI). Design: Statistical analysis of data from a multisite study evaluating rehabilitation outcomes. Setting: Eight inpatient rehabilitation facilities. Participants: A total of 314 consecutive admissions of persons with stroke, SCI, and TBI who received acute medical rehabilitation between 1994 and 1998. Intervention: Calibration of motor and cognitive items from the FIM™ instrument, grouping of cases by number of weeks of rehabilitation (length of stay [LOS] groups), and plotting of weekly averages across time. Main Outcome Measures: Weekly motor and cognitive functional status. Results: With the exception of cognitive functioning for persons with SCI, LOS was related to initial functional status, with patients with greater disability having longer LOS (eg, initial motor status for persons with stroke was 48.3 for those with a 2-week stay, 36.8 for a 6-week stay, with the averages between decreasing monotonically). With the exception of cognitive gains for person with TBIs, the amount of functional gain during rehabilitation was essentially the same for all LOS groups (eg, the overall average total motor gain for persons with SCI is 22.3, with no patterns of increase or decrease across LOS groups); however, the rate of improvement in motor (but not cognitive) functioning differed across LOS groups, with patients with shorter stays having the greater rates of improvement (eg, the overall average weekly motor gain for persons with SCI was 3.6, with the averages by LOS group monotonically decreasing from 6.4 for those with 4-week stays to 2.7 for those with 9-week stays). Conclusions: When examined separately for persons grouped by LOS, functional status improved linearly during the rehabilitation stay, with differences in rate of improvement depending on initial functional status. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation> http://linkinghub.elsevier.com/retrieve/pii/S0003999302370953 0003-9993 S0003-9993 (02)37095-3 Wssment, physical disability, swollen joints, tender joints, acute phase reactants, and physician global assessment; in studies of one or more years' duration, radiographs of joints should be performed.* http://www.ncbi.nlm.nih.gov/pubmed/7799394^ Department of Internal Medicine/Rheumatology, University Hospital Maastricht, The Netherlands. ? Bombardier, Claire 2000k Outcome Assessments in the Evaluation of Treatment of Spinal Disorders: Summary and General Recommendations 3100-3103 Spine 25 24u pain
spinal disorders
outcomes
back pain
health status
work disability
patient satisfaction
00007632-200012150-00003= Clinicians and researchers increasingly recognize the importance of the patient's perspective in the evaluations of the effectiveness of treatment. The rapid growth in the number and types of patient-based outcome measures can be confusing. This supplement provides a state-of-the-art review of the available tools. In this paper, the key recommendations from the participating authors are summarized. A core set of measures should include the following five domains: back specific function, generic health status, pain, work disability, and patient satisfaction. Two commonly used measures of back-specific function are recommended: the Roland-Morris Disability Questionnaire and the Oswestry Disability Index. Among the generic measures, the SF-36 strikes the best balance between length, reliability, validity, responsiveness, and experience in large populations of patients with back pain. Moreover, the SF-36 Bodily Pain Scale provides a brief measure of pain intensity and pain interference with activities. Health-related work disability should include at a minimum a measure of work status and work-time loss. For those who are still at work, new measures are being developed to measure health-related work limitations. No single measure of patient satisfaction is clearly preferred but guiding principles are provided to choose among available measures. In addition to the five recommended domains, preference-based health outcome measures, including patients utilities, may be useful when there is a need to value alternative health outcomes. (C) 2000 Lippincott Williams & Wilkins, Inc.s http://journals.lww.com/spinejournal/Fulltext/2000/12150/Outcome_Assessments_in_the_Evaluation_of_Treatment.3.aspx 0362-2436 (es of clinical trials on depressive disorders using the international classification of functioning, disability and health as a reference 49 - 55" Journal of Rehabilitation Medicine 36 4 supp 44B depressive disorders; outcome assessment; systematic review; ICF > Objectives: First, to systematically identify the concepts contained in outcome measures of trials on depressive disorders using the International Classification of Functioning, Disability and Health (ICF) as a reference. Secondly, to explore differences in the use of ICF categories across different intervention types. Thirdly, to examine which and how often health status measures have been applied in trials on depressive disorders.
Methods: Randomized controlled trials between 1991 and 2000 were located in MEDLINE and selected according to predefined criteria. The outcome measures were extracted and the concepts contained in the outcome measures were linked to the ICF.
Results: A random sample of 203 (50%) of 406 eligible studies were included. The 5 most used ICF categories (range 88-94%) were sleep functions (b134), emotional functions (b152), energy and drive functions (b130), thought functions (b160) and higher-level cognitive functions (b164), all belonging to the body functions component. The use of ICF categories did not vary across different intervention types. A total of 126 different health status measures were extracted. The Hamilton Rating Scale for Depression was the most used health status measure applied in 80% of the studies.
Conclusion: Concepts about execution of tasks/actions, participation in life situations, and the influence of the environment were under-represented in the outcome assessment of trials on depressive disorders. These observations indicate that most trials were limited in their ability to assess more global individual outcomes. 6 http://www.informaworld.com/10.1080/16501960410015380 1650-1977
July 28, 2009 %estionnaires) of arm/hand functioning in children with congenital transverse or longitudinal (radius dysplasia) reduction deficiencies of the upper limb.
Method. A PubMed Medline search was performed. Tests and questionnaires were evaluated according to three criteria: (1) items represent bimanual daily activities, (2a) quality of movement is scored (tests) or (2b) difficulty in performing a task (questionnaires), (3) instrument is attractive for children aged 4 - 12.
Results. We found 14 functional tests and nine questionnaires to measure arm/hand functioning. Three tests, the Assisting Hand Assessment (AHA), Unilateral Below Elbow Test (UBET) and University of New Brunswick Test of prosthetic function (UNB Test) and two questionnaires, the Prosthetic Upper limb Functional Index (PUFI) and the children's version of the ABILHAND (ABILHAND-Kids) met the criteria.
Conclusions. Two functional tests (AHA and UBET) and two questionnaires (ABILHAND-Kids and PUFI) were considered appropriate to assess arm/hand functioning in children with congenital reduction deficiencies of the upper limb, but require further study on psychometric properties for these patient groups. 6 http://www.informaworld.com/10.1080/09638280500158406 0963-8288
July 28, 2009 ? W Meester-Delver, Anke,
Anita, Beelen
Raoul, Hennekam
Mijna, Hadders-Algra
Frans, Nollet 2006o Predicting additional care in young children with neurodevelopmental disability: a systematic literature review 143-150( Developmental Medicine & Child Neurology 48 2~ Children with developmental disabilities often show a variety of associated impairments that lead to a lifelong need for additional care. Careful assessment of these impairments is required not only for diagnostic purposes but also to inform the parents about the expected additional care needs in the future. We present a systematic review of the literature to identify instruments that classify the type and amount of this care for the individual child. A literature search was performed in the Medline database (January 1966- June 2005) on instruments that classify the type and amount of expected additional care needs in the future. Seven standardized measurement instruments describing current additional care needs were identified, but none of these instruments was developed to provide information about the expected need for additional care in the future. For parents of young children with non-progressive developmental disorders it is essential to be informed on the expectations of required additional care in the future. However, comprehensive instruments providing such information are currently lacking and, thus, need to be developed., http://dx.doi.org/10.1017/S0012162206000314 10.1017/S0012162206000314 1469-8749 Department of Rehabilitation, Academic Medical Centre, Amsterdam, the Netherlands.; Department of Paediatrics, Academic Medical Centre, Amsterdam, the Netherlands; and Clinical and Molecular Genetics Unit, Institute of Child Health, Great Ormond Street Hospital for Sick Children, University College London, UK.; Department of Neurology-Developmental Neurology, University Medical Centre Groningen, Groningen; Department of Rehabilitation, Academic Medical Centre, Amsterdam, the Netherlands.
* Correspondence to first author at Department of Rehabilitation, Academic Medical Centre, Post Box 22660, 1100 DD Amsterdam, the Netherlands. E-mail: a.meester@amc.uva.nl 5 -dbarriers 1324-13350 Archives of physical medicine and rehabilitation 85 8
W.B. SaundersM Barriers, architectural, Disabled persons, Environment design, RehabilitationC To develop and test a new instrument to assess environmental barriers encountered by people with and without disabilities by using a questionnaire format. New instrument development. A rehabilitation hospital and community. Two convenience samples: (1) 97 subjects, 50 with disabilities and 47 without disability, and (2) 409 subjects with disabilities from spinal cord injury, traumatic brain injury, multiple sclerosis, amputation, or auditory or visual impairments. In addition, a population-based sample in Colorado of 2269 people (mean age, 44y; 57% men) with and without disabilities. Not applicable. Item development; factor structure; test-retest, subject-proxy and internal consistency reliability; content, construct, and discriminant validity; and subscale and abbreviated version development. Panels of experts on disability developed items for the Craig Hospital Inventory of Environmental Factors (CHIEF). The instrument measured the frequency and magnitude of environmental barriers reported by individuals. Five subscales were derived from factor analysis measuring (1) attitudes and support, (2) services and assistance, (3) physical and structural, (4) policy, and (5) work and school environmental barriers. The CHIEF total score had high test-retest reliability (intraclass correlation coefficient [ICC]=.93) and high internal consistency (Cronbach α=.93), but lower participant-proxy agreement (ICC=.62). Significant differences were found in CHIEF scores among groups of people with known differences in disability levels and disability categories. The CHIEF has good test-retest and internal consistency reliability with evidence of content, construct, and discriminant validity resulting from its development strategy and psychometric assessments in samples of the general population and among people with a variety of disabilities.> http://linkinghub.elsevier.com/retrieve/pii/S0003999304000073 0003-9993
1 1 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors(s) or upon any organization with which the author(s) is/are associated S0003-99
93(04)00007-3 .ce in the absence of heteroskedasticity, the two estimators will be approximately equal, but will generally diverge otherwise. The test has an appealing least squares interpretation. " http://ecsocman.edu.ru/db/msg/3970 doi:10.2307/19129349 http://econ.ucsd.edu/~mbacci/white/pub_files/hwcv-007.pdf ? D Singh-Manoux, Archana
Ferrie, Jane E.
Lynch, John W.
Marmot, Michael 2005 The Role of Cognitive Ability (Intelligence) in Explaining the Association between Socioeconomic Position and Health: Evidence from the Whitehall II Prospective Cohort Study 831-839 Am. J. Epidemiol. 161 9 May 1, 2005 Associations among cognitive ability, socioeconomic position, and health have been interpreted to imply that cognitive ability could explain social inequalities in health. The authors test this hypothesis by examining three questions: Is cognitive ability related to health? To what extent does it explain social inequalities in health? Do measures of socioeconomic position and cognitive ability have independent associations with health? Relative indices of inequality were used to estimate associations, using data from the Whitehall II study (baseline, 1985-1988), a British prospective cohort study (4,158 men and 1,680 women). Cognitive ability was significantly related to coronary heart disease, physical functioning, and self-rated health in both sexes and additionally to mental functioning in men. It explained some of the relation between socioeconomic position and health: 17% for coronary heart disease, 33% for physical functioning, 12% for mental functioning, and 39% for self-rated health. In analysis simultaneously adjusted for all measures of socioeconomic position, cognitive ability retained an independent association only with physical functioning in women. These results suggest that, although cognitive ability is related to health, it does not explain social inequalities in health.= http://aje.oxfordjournals.org/cgi/content/abstract/161/9/831 10.1093/aje/kwi109 / g%udies on whiplash using an ICF framework 943 - 957 Disability & Rehabilitation 31 12 Whiplash; recovery; review; ICF rpose. The purpose of this article is to review the various definitions of recovery used in the prognostic whiplash literature to date, and to evaluate them from the framework of the International Classification of Functioning, Disability and Health (ICF).
Methods. Reference lists of previous systematic reviews and meta-analyses on the topic were reviewed and citations were retrieved. An updated Medline search was performed. Recovery rates and the method for operationalising recovery were extracted and evaluated for their fit within the ICF model of health. Descriptive statistics were calculated and presented.
Results. Thirty-one independent cohorts were identified. In total, 30 different primary methods for defining recovery were described in the sample of literature. Eighty-three percent of the primary outcomes fit within the body structure and function domain of the ICF. Restricted participation was the second most common domain represented, followed by activity limitations. Even within each domain, there is wide variability in the cut-off values for dichotomising a group as recovered or not.
Conclusions. The wide range of recovery rates reported in the literature can be at least partly accounted for by the lack of a standardised definition of recovery after acute whiplash. The emphasis on symptoms in the current literature neglects other important aspects of health as described by the ICF. 6 http://www.informaworld.com/10.1080/09638280802404128 0963-8288
July 28, 2009 }genversion Hogrefe Verlag für PsychologieN http://edoc.hu-berlin.de/dissertationen/nocon-marc-2006-02-13/HTML/N1A2C7.html mal of Human Rights Debate, impairment,welfare; http://search2.austlii.edu.au/au/journals/AJHR/2003/21.htmlA/ j Cieza, Alarcos
Ewert, Thomas
Üstün, T. Berdirhan
Chatterji, Somnath
Kostanjsek, Nenad
Stucki, Gerold 2004A Development of ICF Core Sets for patients with chronic conditions 9 - 11" Journal of Rehabilitation Medicine 36 4 supp 44, health; rehabilitation; classification; ICF Objective: The objective of the ICF Core Sets project is the development of internationally agreed Brief ICF Core Sets and Comprehensive ICF Core Sets.
Methods: The methods to develop both ICF Core Sets, the Comprehensive ICF Core Set and the Brief ICF Core Set, involved a formal decision-making and consensus process integrating evidence gathered from preliminary studies and expert opinion.
Results: The results regarding the development of the ICF Core Sets for 12 health conditions (chronic widespread pain, low back pain, osteoarthritis, osteoporosis, rheumatoid arthritis, chronic ischemic heart disease, diabetes mellitus, obesity, obstructive pulmonary diseases, breast cancer, depression, and stroke) are presented in this supplement.
Conclusion: Both, the Brief ICF Core Sets and the Comprehensive ICF Core Sets are preliminary and need to be tested in the coming years based on a standardized protocol in close cooperation with the ICF research branch of the WHO FIC CC (DIMDI) in Munich and the CAS team at WHO. The final goals are valid and globally agreed tools to be used in clinical practice, research and health statistics.6 http://www.informaworld.com/10.1080/16501960410015353 1650-1977
July 28, 2009