International Classification of Functioning, Disability and Health (ICF): Difference between revisions

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The International Classification of Functioning, Disability and Health (ICF) is a framework for describing functioning and disability in relation to a health condition. It provides a common language and framework for documenting information on the level of function and functional change of a person within their own environment, as opposed to classifying the person him or herself.(WCPT keynote). The&nbsp;World Confederation of Physical Therapy (WCPT) adopted a motion supporting the implementation of the ICF in physical therapy in 2003.<ref>Escorpizo R, Stucki G, Cieza A, Davis K, Stumbo T, Riddle DL. Creating an interface between the International Classification of Functioning, Disability and Health and physical therapist practice. Phys Ther. 2010;90:1053-63.</ref>   
The International Classification of Functioning, Disability and Health (ICF) is a framework for describing functioning and disability in relation to a health condition. It provides a common language and framework for documenting information on the level of function and functional change of a person within their own environment, as opposed to classifying the person him or herself.(WCPT keynote). The&nbsp;World Confederation of Physical Therapy (WCPT) adopted a motion supporting the implementation of the ICF in physical therapy in 2003.<ref>Escorpizo R, Stucki G, Cieza A, Davis K, Stumbo T, Riddle DL. Creating an interface between the International Classification of Functioning, Disability and Health and physical therapist practice. Phys Ther. 2010;90:1053-63.</ref>   


The ICF is a framework to approach patient care that shifts the conceptual emphasis away from negative connotations such as disability and places focus on the positive abilities of the individual at the patient level rather than the systems level. The ICF framework is a classification of the health components of functioning and disability and focuses on three perspectives: body, individual and societal. These three perspectives underscore the importance of the interplay and influence of both internal and external factors to each individual’s condition of health. 
The ICF is a framework to approach patient care that shifts the conceptual emphasis away from negative connotations such as disability and places focus on the positive abilities of the individual at the patient level rather than the systems level.    


== Components of the ICF ==
== Components of the ICF ==
The ICF focuses on three components: body, activities/participation (at individual and societal levels) and contextual (personal and environmental).(keynote 1) These three components underscore the importance of the interplay and influence of both internal and external factors to each individual’s health status.
=== Body Functions and Structures ===
Definitions:
* Body functions: The physiological functions of body systems (including psychological functions) (ICF overview doc https://www.wcpt.org/sites/wcpt.org/files/files/GH-ICF_overview_FINAL_for_WHO.pdf)
* Body structures: Anatomical parts of the body such as organs, limbs and their components (ICF overview doc)
* Impairments: Problems in body function and structure such as significant deviation or loss
=== Activities ===
Definitions:
* Activity: The execution of a task or action by an individual
* Activity limitations: Difficulties an individual may have in executing activities
=== Participation ===
Definitions:
* Participation: Involvement in a life situation
* Participation restrictions: Problems an individual may experience in involvement in life situations
=== Environmental Factors ===
Definition: The physical, social and attitudinal environment in which people live and conduct their lives. These are either barriers to or facilitators of the person's functioning
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== Contents of ICF Components ==
Domains


== Core Sets ==
== Core Sets ==
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* Rheumatoid arthritis  
* Rheumatoid arthritis  
* Stroke  
* Stroke  
== Measurement ==


== Resources  ==
== Resources  ==

Revision as of 05:01, 29 May 2018

Introduction[edit | edit source]

The International Classification of Functioning, Disability and Health (ICF) is a framework for describing functioning and disability in relation to a health condition. It provides a common language and framework for documenting information on the level of function and functional change of a person within their own environment, as opposed to classifying the person him or herself.(WCPT keynote). The World Confederation of Physical Therapy (WCPT) adopted a motion supporting the implementation of the ICF in physical therapy in 2003.[1]

The ICF is a framework to approach patient care that shifts the conceptual emphasis away from negative connotations such as disability and places focus on the positive abilities of the individual at the patient level rather than the systems level.

Components of the ICF[edit | edit source]

The ICF focuses on three components: body, activities/participation (at individual and societal levels) and contextual (personal and environmental).(keynote 1) These three components underscore the importance of the interplay and influence of both internal and external factors to each individual’s health status.

Body Functions and Structures[edit | edit source]

Definitions:

  • Body structures: Anatomical parts of the body such as organs, limbs and their components (ICF overview doc)
  • Impairments: Problems in body function and structure such as significant deviation or loss

Activities[edit | edit source]

Definitions:

  • Activity: The execution of a task or action by an individual
  • Activity limitations: Difficulties an individual may have in executing activities

Participation[edit | edit source]

Definitions:

  • Participation: Involvement in a life situation
  • Participation restrictions: Problems an individual may experience in involvement in life situations

Environmental Factors[edit | edit source]

Definition: The physical, social and attitudinal environment in which people live and conduct their lives. These are either barriers to or facilitators of the person's functioning

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Contents of ICF Components[edit | edit source]

Domains

Core Sets[edit | edit source]

The ICF Core Sets were developed as a practical tool to facilitate the systematic and comprehensive description of functioning in clinical practice.[2][3] Twelve chronic diseases were the focus of the development of these core sets because of their prevalence and the significant impact on function they can cause.(WCPT keynote 2) These twelve diseases are;(WCPT keynote 2)

  • Breast cancer
  • Chronic ischaemic heart disease
  • Chroni widespread pain
  • Depression
  • Diabetes mellitus
  • Low back pain
  • Obesity
  • Obstructive pulmonary diseases
  • Osteoarthritis
  • Osteoporosis
  • Rheumatoid arthritis
  • Stroke

Measurement[edit | edit source]

Resources[edit | edit source]

An introduction to the International Classification of Functioning, Disability and Health (ICF) from the WCPT

Using the ICF in clinical practice from the WCPT

World Health Organization ICF resources, a summary from the WCPT

ICF Core Sets

References[edit | edit source]

  1. Escorpizo R, Stucki G, Cieza A, Davis K, Stumbo T, Riddle DL. Creating an interface between the International Classification of Functioning, Disability and Health and physical therapist practice. Phys Ther. 2010;90:1053-63.
  2. Kesselring J, Coenen M, Cieza A, Thompson A, Kostanjsek N, Stucki G. Developing the ICF Core Sets for multiple sclerosis to specify functioning. Mult Scler. 2008;14:252-4.
  3. Rauch A, Cieza A, Stucki G. How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. Eur J Phys Rehabil. 2008;44(3):329-42.