THE ROLE OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING IN SETTING REHABILITATION GOALS

Authors

  • D. V. Popovych I. Horbachevsky Ternopil National Medical University
  • U. P. Hevko I. Horbachevsky Ternopil National Medical University
  • A. V. Havrylenko I. Horbachevsky Ternopil National Medical University
  • V. I. Bondarchuk I. Horbachevsky Ternopil National Medical University
  • L. S. Onyskiv I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/1811-2471.2023.v.i2.13901

Keywords:

rehabilitation, ICF, clinic, physical therapist, multidisciplinary team

Abstract

SUMMARY. It is known that the International Classification of Functioning, Disability and Health (ICF) is a classification of components of functionality and limitations of life. It measures a person’s functioning in society, regardless of the causes of the damage. Important components of the use of ICF are that it strengthens the role of a person in society regardless of his physical capabilities. Quality of life reflects the patient’s functioning in society. The ICF also determines the influence of the environment and personal factors on human functioning.

The aim – is to analyze modern research and determine the features of the International Classification of Functioning, Life Limitations, and Health in setting goals for rehabilitation by a physical therapist.

Material and Methods. With the help of search databases of the "Internet" network, a bibliographic review of information sources and analysis of materials regarding the features of the application of the international classification of functioning, limitations of life activities in setting rehabilitation goals was carried out.

Results. The review analyzes modern research in the direction of the International Classification of Functioning, describes the role of the ICF in setting rehabilitation goals. The setting of rehabilitation goals and the distribution of responsibilities between different specialists of the rehabilitation team allow, on the one hand, to perform their duties independently of each other, on the other hand, to jointly contribute to the formation of a new functional status of the patient with precise coordination of their actions with other specialists. The multidisciplinary team forms a plan of rehabilitation measures (interventions) based on the ICF, which is a key tool for setting the goals of the rehabilitation process.

Conclusions. The International Classification of Functioning plays an important role in establishing rehabilitation goals, as it provides a systematic approach to assessing and categorizing the functioning of persons with disabilities, promotes standardization of the process, improved communication, and accurate determination of rehabilitation outcomes. When setting rehabilitation goals, they should be aimed at improving the quality of life and independence of persons with disabilities, taking into account their individual needs. Setting clear, realistic and individualized goals is a key element of successful rehabilitation. KEY WORDS: rehabilitation, ICF, goals, physical therapist, multidisciplinary team.

References

World Health Organization (2001). IFC: International Classification of Functioning, Disability and Health.

Cieza, A., Brockow, T., Ewert, T., Amman, E., Kollerits, B., Chatterji, S., & Stucki, G. (2002). Linking health-status measurements to the international classification of functioning, disability and health. Journal of Rehabilitation Medicine, 34(5), 205-210. DOI: https://doi.org/10.1080/165019702760279189

Schneidert, M., Hurst, R., Miller, J., & Üstün, B. (2003). The role of environment in the International Classification of Functioning, Disability and Health (ICF). Disability and Rehabilitation, 25(11-12), 588-595. DOI: https://doi.org/10.1080/0963828031000137090

Rapolienė, J., Endzelytė, E., Jasevičienė, I., & Savickas, R. (2018). Stroke patients motivation influence on the effectiveness of occupational therapy. Rehabilitation Research and Practice, 2018. DOI: https://doi.org/10.1155/2018/9367942

Nair, S. P., Panhale, V. P., & Nair, N. (2021). Perceived barriers to evidence-based practice among Physiotherapy students. Journal of Education and Health Promotion, 10. DOI: https://doi.org/10.4103/jehp.jehp_410_20

Maclean, N., Pound, P., Wolfe, C., & Rudd, A. (2000). A critical review of the concept of patient motivation in the literature on physical rehabilitation. Soc. Sci. Med, 50(4), 495-506.

Pound, P., Wolfe, C., & Rudd, A. (2002). The Concept of Patient Motivation: A Qualitative Analysis of Stroke Professionals’ Attitudes Niall Maclean. Stroke, 33, 444-448. DOI: https://doi.org/10.1161/hs0202.102367

Nair, K.S. (2003). Life goals: the concept and its relevance to rehabilitation. Clinical Rehabilitation, 17(2), 192-202. DOI: https://doi.org/10.1191/0269215503cr599oa

Locke, E.A., & Latham, G.P. (2002). Building a practically useful theory of goal setting and task motivation: A 35-year odyssey. American Psychologist, 57(9), 705. DOI: https://doi.org/10.1037/0003-066X.57.9.705

European Physical and Rehabilitation Medicine Bodies Alliance (2018). White book on physical and rehabilitation medicine in Europe. European Journal of Physical and Rehabilitation Medicine, 54(2), 125-321. DOI: https://doi.org/10.23736/S1973-9087.18.05143-2

Negrini, S., Kiekens, C., Zampolini, M., Wever, D., Varela Donoso, E., & Christodoulou, N. (2015). Methodology of “physical and rehabilitation medicine practice, evidence based position papers: the European position” produced by the UEMS-PRM Section. European Journal of Physical and Rehabilitation Medicine, 52(1), 134-141.

Olusanya, B.O., Davis, A.C., & Hoffman, H.J. (2019). Hearing loss grades and the International classification of functioning, disability and health. Bulletin of the World Health Organization, 97(10), 725. DOI: https://doi.org/10.2471/BLT.19.230367

Abdi, S., Spann, A., Borilovic, J., de Witte, L., & Hawley, M. (2019). Understanding the care and support needs of older people: a scoping review and categorisation using the WHO international classification of functioning, disability and health framework (ICF). BMC geriatrics, 19(1), 1-15. DOI: https://doi.org/10.1186/s12877-019-1189-9

Bölte, S., Mahdi, S., de Vries, P.J., Granlund, M., Robison, J.E., Shulman, C., & Selb, M. (2019). The Gestalt of functioning in autism spectrum disorder: Results of the international conference to develop final consensus International Classification of Functioning, Disability and Health core sets. Autism, 23(2), 449-467. DOI: https://doi.org/10.1177/1362361318755522

Cieza, A., Fayed, N., Bickenbach, J., & Prodinger, B. (2019). Refinements of the ICF Linking Rules to strengthen their potential for establishing comparability of health information. Disability and Rehabilitation, 41(5), 574-583. DOI: https://doi.org/10.3109/09638288.2016.1145258

Rose, A., Rosewilliam, S., & Soundy, A. (2017). Shared decision making within goal setting in rehabilitation settings: a systematic review. Patient Education and Counseling, 100(1), 65-75. DOI: https://doi.org/10.1016/j.pec.2016.07.030

Leonardi, M., & Fheodoroff, K. (2021). Goal setting with ICF (International Classification of Functioning, Disability and Health) and multidisciplinary team approach in stroke rehabilitation. Clinical Pathways in Stroke Rehabilitation: Evidence-based Clinical Practice Recommendations, 35-56. DOI: https://doi.org/10.1007/978-3-030-58505-1_3

Riis-Djernæs, L.M., Jensen, C.M., Madsen, E., & Maribo, T. (2021). Should rehabilitation goals reflect all aspects of functioning in relation to a biopsychosocial ICF perspective? Disability and Rehabilitation, 43(12), 1669-1674. DOI: https://doi.org/10.1080/09638288.2019.1672108

Feng, C., Liu, S.G., & Lin, F. (2023). Research Paradigm of the International Classification of Functioning, Disability and Health (ICF) with Item Response Theory: Clarification, Classification, and Challenge. medRxiv, 05. DOI: https://doi.org/10.1101/2023.05.14.23289950

Alians Yevropeiskykh orhaniv Fizychnoi ta Reabilitatsiinoi Medytsyny [European Physical and Rehabilitation Medicine Bodies Alliance]. (2018). White Book on Physical and Rehabilitation Medicine in Europe [Bila Knyha z Fizychnoi ta Reabilitatsiinoi Medytsyny (FRM) v Yevropi]. Ukrayinskyy zhurnal fizychnoyi ta reabilitatsiynoyi medytsyny – Ukrainian Journal of Physical and Rehabilitation Medicine, 2(2), 6-206 [in Ukrainian].

Published

2023-06-01

How to Cite

Popovych, D. V., Hevko, U. P., Havrylenko, A. V., Bondarchuk, V. I., & Onyskiv, L. S. (2023). THE ROLE OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING IN SETTING REHABILITATION GOALS. Achievements of Clinical and Experimental Medicine, (2), 118–123. https://doi.org/10.11603/1811-2471.2023.v.i2.13901

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Section

Оригінальні дослідження