Process for Applying the International Classification of Functioning, Disability and Health Model to a Patient With Patellar Dislocation

Abstract

The ICF model has been proposed as a framework for developing diagnostic classifications for rehabilitation professionals. The ICF model also should be assessed with regard to whether it provides a useful process for clinical decision making. The ICF model directs practitioners to address patients' problems at the level of the whole person, with modifications made on the basis of health conditions and personal and environmental factors.

Operative versus non-operative management of patellar dislocation. A meta-analysis

“…The literature poorly described the non‐operative management strategies used to treat patients following a patellar dislocation. Whilst authors appropriately discussed immobilisation methods and duration, they only reported that patients were rehabilitated with either thigh strengthening exercises or VMO rehabilitation, whereas the inclusion of glutei and core stability muscle control, muscle flexibility and proprioception exercises may be anticipated in a conservative treatment programme [22, 32, 38, 42]. This is a recurrent limitation in the patellar instability evidence‐base [48].…”

Clinical Case Reporting in the Peer‐Reviewed Physical Therapy Literature: Time to Move Toward Functioning

“…Over the past 10 years, the ICF model has emerged as a popular way to characterize patient functioning in physical therapy (Jette, 2006). The feasibility of using the ICF model in physical therapy case reporting is supported by several examples in the peer reviewed literature (Helgeson and Smith, 2008;Rundell et al, 2009;Rundell and Davenport, 2010;Atkinson and Nixon-Cave, 2011;Furze et al, 2012), as well the existence of an ICF use case manual (Bickenbach et al, 2012). Similar to the adoption of other frameworks for ensuring uniform reporting standards, the ICF model should be explicitly adopted by physical therapy journals as the recommended framework for discussing patient functioning in case reports.…”

“…A few examples are available in the physical therapy case literature, in which the ICF model has been used as a common language for describing patient disablement. For example, Helgeson and colleagues (Helgeson and Smith, ) first described the application of the ICF model to the physical therapy management of an individual with patellar dislocation. However, ICF qualifiers were not present in this paper.…”

“…In the physical therapy case literature, few case reports have utilized the ICF model to structure the discussion of clinical reasoning. The case report by Helgeson and colleagues (Helgeson and Smith, ) initially described how physical therapy interventions for an individual with patellar dislocation could follow from an ICF‐based classification of patient functioning. Rundell and colleagues (Rundell et al ., ) and Rundell and Davenport (Rundell and Davenport, ) then used the ICF model to prioritize clinical interventions based on a determination of potential causes for activity limitations in two different individuals with persistent low back pain (Figure ).…”