Luca is a 7-year-old boy with Duchenne Muscular Dystrophy. As his physical therapist, you are wondering about tests and measures that fit into the activity section of the ICF. Thinking of how to quantify his activity, you decide to use the North Star Ambulatory Assessment (NSAA) to measure transitions and mobility, the Timed Floor to Stand-Natural (TFTS-N) to time his rise from the floor, and the Six Minute Walk Test (6MWT) to measure distance walking.
There are hundreds of medical reports in Kiyoshi’s file. In addition to oligoarticular juvenile idiopathic arthritis (JIA) he has uveitis and a seizure disorder. Kiyoshi has severe pain, joint contractures and difficulty moving around. Medications are not controlling the inflammation, there have been more seizures lately and his foot orthotics are too small. How do you begin physical therapy decision-making with a child this complex?
The International Classification of Functioning (ICF) conceptual framework allows you to apply your knowledge and skills to challenging situations. It will take a while to sort information into proper categories and edit. However, once this is complete, connections become clear and sound clinical decision-making will follow. The question I get asked most often about the ICF is , “where do you start?”. This post will guide you as you fill in the ICF/NDTA Enablement Model categories for the first time. Continue reading “10 Strategies For Filling In the ICF-CY/ NDTA Enablement Model”
The International Classification of Functioning, Disability and Health-Children & Youth (ICF-CY) is a framework for describing and organizing information on functioning and disability. The ICF is a useful tool in the field of pediatric physical therapy, where the child defines how they want to use their function within the context of their own life.
In my opinion, the Participation category is the most fun part of the ICF! This is really where we begin to see the whole child, their likes and their interests and well as what they want to do with their skills. Participation is using an activity to interact with others or with the environment. When the activity is walking, participation is walking on the beach with friends, or walking in the grocery store to help with the shopping. Participation is one of the most motivating and satisfying levels of functioning. New activities should be put into participation as soon as possible to build motor control. These happen in many different environments: Home, friends’ homes, schools, libraries and parks. Continue reading “Exploring the ICF-CY: What is Participation?”
In this post we explore another category of the ICF-CY….activity! This is the heart and soul of physical therapy, at least in the clinic or during a home visit. The activity section of the ICF-CY describes what a person can do in a standard environment or their regular environment. Activity is defined as the execution of a task or action. The activity section includes the following:
- developmental skills that babies learn in the first year of life,
- gross motor skills at any age
- fine motor skills at any age
- activities of daily living/self-care
This post will be focusing on body structures and body function. This portion of the ICF-CY describes what is happening at the structural level of a person’s body. Often when reviewing a chart one sees that hearing and vision have been screened and passed. This is an example of functioning. Although the ICF-CY is designed to be as neutral as possible, physical therapists and medical teams must also discuss impairments which often relate to disability. Impairment is the description of body structures that are diminished, weakened or damaged. Management often involves a full medical team. For instance, a team consisting of an orthopedist, a physiatrist and a physical therapist (and parents) will all coordinate different aspects of care for a child with with hip subluxation.
Here is a list of body structures and body functions that are often discussed within the ICF framework. especially as they relate to children and youth:
Continue reading “Exploring the ICF-CY: Identifying Body Structures & Body Functions”
The International Classification of Functioning, Disability and Health (ICF) is a framework for describing and organizing information on functioning and disability. It works particularly well in the field of pediatric physical therapy, where we are increasingly moving away from the medical model and beginning to think of the whole child in terms of functioning (health) and disability.
In a recent Neuro-Developmental Treatment Association Network article, Danielle Heider, CRC, MRC wrote:
As a certified rehabilitation counselor specializing in working with transitioning youth, it is my job to help young adults begin to think about what they want to do for a job, consider if there are any accommodations needed, and help them understand how to ask an employer for accommodations. This can seem like a daunting task for some young people, especially if they are accustomed to hearing others talk about everything they can’t do.
Ezekiel is a adventurous 10-year old boy who is integrated into regular education and living in a large city. His diagnosed health condition ICD-10 code is G80.9: Cerebral palsy, unspecified. The ICF describes his hip migration status, his range of motion, balance and endurance. We learn of his recreational interests, his home and school environment, his family, and the equipment that supports his movement and communication. Through the ICF, we can begin to see Ezekiel as a complex and unique person functioning with the health condition of cerebral palsy.
The International Classification of Functioning, Disability and Health (ICF) is a framework for describing and organizing information on functioning and disability. In this post, we will be looking at the domains that are components of the ICF. As you can see from the above diagram, the domains of body structure and function, activity, participation, environmental factors and personal factors each interact with one another, creating unique combinations of functioning and disability. The ICF is composed of the following domains: Continue reading “Exploring the ICF: The Domains”