The ICIDH-2: Developments for a new era of outcomes research

Gray, David B.; Hendershot, Gerry E.

doi:10.1053/apmr.2000.20616

Cited by 160 publications

(61 citation statements)

References 7 publications

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“…For individual's with high cervical lesions it is the ability to articulate one's own needs and achieve`verbal independence' in areas of knowledge such as dressing the lower body, and managing the bladder and bowels that is the primary rehabilitation goal. According to the International Classi®cation of Function and Disability, 26 disablement should be conceptualised as a dynamic process. Individuals should not be described as static, or progressing along a unidirectional disablement process.…”

Section: Introductionmentioning

confidence: 99%

“…Clinical audit on the NAC has also revealed promising results. In a review of 82 patients examining rehabilitation outcome at the NSIC, Kennedy and Hamilton 26 found that the Needs Assessment and Goal Planning Programme was successful in establishing greater client independence, whether assessed at a verbal or physical level. A 78% goal achievement rate was recorded and patients maintained their level of independence, in the majority of areas, 2 years after discharge.…”

Section: Introductionmentioning

confidence: 99%

“…30 The needs of this patient group are signi®cantly lower after rehabilitation. 26 The Needs Assessment Programme has also been shown to be successful in terms of its usefulness to sta , and in focusing the di erent team members on speci®c goals. 31 Sixty per cent of patients felt that their achievements had been good or very good, while 80% felt that this system was bene®cial to their rehabilitation.…”

Section: Introductionmentioning

confidence: 99%

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Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury

et al. 2002

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Objective: To evaluate rehabilitation outcome in a representative sample of older and younger SCI patients. Design: Case series, consecutive sample, survey. Setting: Tertiary care, spinal cord injury unit (National Spinal Injuries Centre), Stoke Mandeville Hospital. Participants: One hundred and forty-seven male and 45 female newly injured in-patients (consisting of 152 younger adults, age range=16 to 54, and 40 older adults, age range=55 to 85) admitted between 1995 and 1999. Intervention: All patients were actively participating in a comprehensive, multidisciplinary Goal Planning and Needs Assessment rehabilitation programme. Main outcome measure: The Needs Assessment Checklist. Speci®cally designed and developed for the spinal cord injured population, this clinical assessment tool provides a way of assessing and ensuring that rehabilitation programmes are geared toward each patient's individual needs, providing the patient with the skills appropriate to their level of lesion. As part of ongoing psychometric analyses of the Needs Assessment Checklist, internal consistency reliability coe cients are reported for this measure. Results: The type and cause of injury for the older adult group in this study was comparable with previous research. Older adults' rehabilitation gains were comparable to those of the younger age group. Younger adults were more mobile initially after their injury. However, when the two groups were matched for injury characteristics etc. the only di erences in ®nal outcome between older and younger adults were in skin management ability. Both groups showed signi®cant improvements in all areas of need in the period between mobilisation and entering the pre-discharge ward. Conclusion: These results highlight important considerations for the rehabilitation of older adults and emphasise the need for active, individually tailored rehabilitation programmes. There are speci®c areas of need (i.e. skin management) where older adults do not achieve comparable levels of independence. Special attention needs to be paid to the problems presented by SCI older adults and e orts should be made to better prepare rehabilitation professionals to adapt to age speci®c di erences.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury

et al. 2002

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“…The questionnaires were also examined according to the concepts promulgated by the ICF classification [10,22,26]. Some basic concepts are set out below.…”

Section: Methodsmentioning

confidence: 99%

Condition-specific outcome measures for low back pain

Müller

Roeder²,

Dubs³

et al. 2004

Eur Spine J

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IntroductionIn part I of the study, the nine most commonly used questionnaires specifically for low back pain were subjected to a complete validation process. The validation procedure examined reliability, responsiveness and minimum clinically important difference, external validity and floor and ceiling effects. This article will study a number of different aspects of questionnaire composition, content, and understandability. The first of these aspects is the relationship between the questionnaire and the modern concepts of disability, activity limitation, handicap and restrictions in society.The 1980 WHO International Classification of Impairments, Disabilities and Handicaps (ICIDH) [27] considered the manifestations of a disease in three domains: (1) impairment which is related to loss or abnormality of body structures or function (e.g. liver damage, knee damage, sensory impairment, pain [17]), (2) disability related to the individual (e.g. disabilities in activities of daily living, domestic tasks, communication) and (3) handicap related to society (e.g. employment, social integration, sport).Pathologies express their manifestations in all three ICIDH dimensions but (depending on the individuality of the patient) the values of the three dimensions are expressed individually. The values of each of the three dimensions are correlated (low or high correlation) but there is no causality between them. Thus some patients with slight impairments of body structures (e.g. minimal contusion in the low back) can present major disability and handicap after one year, and others with major impairment (e.g. severe lumbar fracture) can present only minor disability or handicap after three months. That is why each of the three dimensions must be assessed individually.Abstract A literature review of the most widely used, condition-specific, self-administered assessment questionnaires for low back pain has been undertaken. In part I, technical issues such as validity, reliability, availability and comparability were analyzed for the nine most widely used outcome tools. This second part focuses on the content and wording of questions and answers in each of the nine questionnaires, and an analysis of the different score results is performed. The issue of score bias is discussed and suggestions are given in order to increase the construct validity in the practical use of the individual questionnaires.

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“…Ela pode ser usada em muitos setores que incluem a saúde, educação, previdência social, medicina do trabalho, estatísticas, políticas públicas. Sua importância pode ser colocada para as práticas clínicas, ensino e pesquisa 6,10 .…”

Section: Os Usos Da Cifunclassified

A classificação internacional de funcionalidade, incapacidade e saúde da organização mundial da saúde: conceitos, usos e perspectivas

Farias

Buchalla

2005

Rev. bras. epidemiol.

291

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ResumoO objetivo do presente artigo é apresentar a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF), que faz parte da "família" de classificações desenvolvida pela Organização Mundial da Saúde (OMS). São apresentados o histórico e o processo de revisão da classificação anteriorClassificação Internacional de Deficiências, Incapacidades e Desvantagens (CIDID)-que deram origem à atual classificação -CIF. O modelo da CIF substitui o enfoque negativo da deficiência e da incapacidade por uma perspectiva positiva, considerando as atividades que um indivíduo que apresenta alterações de função e/ou da estrutura do corpo pode desempenhar, assim como sua participação social. A funcionalidade e a incapacidade dos indivíduos são determinadas pelo contexto ambiental onde as pessoas vivem. A CIF representa uma mudança de paradigma para se pensar e trabalhar a deficiência e a incapacidade, constituindo um instrumento importante para avaliação das condições de vida e para a promoção de políticas de inclusão social. A classificação vem sendo incorporada e utilizada em diversos setores da saúde e equipes multidisciplinares. No entanto, será mais adequada à medida que for utilizada por um número maior de profissionais, em locais diversos e a partir de pessoas e realidades diferentes.Palavras-chave: Palavras-chave: Palavras-chave: Palavras-chave: Palavras-chave: Classificação Internacional de Funcionalidade, Incapacidade e Saú-de. Organização Mundial da Saúde. Pessoas com deficiência.

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The ICIDH-2: Developments for a new era of outcomes research

Cited by 160 publications

References 7 publications

Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury

Comparative analysis of goal achievement during rehabilitation for older and younger adults with spinal cord injury

Condition-specific outcome measures for low back pain

A classificação internacional de funcionalidade, incapacidade e saúde da organização mundial da saúde: conceitos, usos e perspectivas

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