Validation of the Comprehensive ICF Core Set for Multiple Sclerosis From the Perspective of Physical Therapists

2012 ◽  
Vol 92 (6) ◽  
pp. 799-820 ◽  
Author(s):  
Andrea Conrad ◽  
Michaela Coenen ◽  
Henriette Schmalz ◽  
Jürg Kesselring ◽  
Alarcos Cieza

BackgroundThe Comprehensive ICF Core Set for Multiple Sclerosis (MS) is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in the functioning of people with MS.ObjectivesThe objective of this study was to validate the Comprehensive ICF Core Set for MS from the perspective of physical therapists.DesignA 3-round survey based on the Delphi technique was used.MethodsPhysical therapists experienced in the management of MS were asked about problems and resources of people with MS as well as environmental aspects treated by physical therapists (eg, use of assistive devices, support). Statements were linked to the ICF and compared with the Comprehensive ICF Core Set for MS.ResultsEighty physical therapists from 23 countries mentioned 2,133 issues that covered all of the ICF components. Two hundred thirty-eight ICF categories were linked to the statements. Forty-six categories in the Comprehensive ICF Core Set for MS were confirmed by physical therapists at the same level or a more specific level of classification. Nineteen additional ICF categories were reported by at least 75% of the participants.ConclusionsThe results of this study support the content and face validity of the Comprehensive ICF Core Set for MS. Areas of functioning and health that physical therapists believe should be assessed were identified. The findings of this study as well as the results of completed and ongoing validation studies will further elucidate the validity of the Comprehensive ICF Core Set for MS from different perspectives.

2007 ◽  
Vol 87 (4) ◽  
pp. 368-384 ◽  
Author(s):  
Inge Kirchberger ◽  
Andrea Glaessel ◽  
Gerold Stucki ◽  
Alarcos Cieza

Background and PurposeThe Comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for Rheumatoid Arthritis (RA) represents the typical spectrum of problems in the functioning of patients with RA. The objective of this study was to validate this ICF Core Set from the perspective of physical therapists.MethodsPhysical therapists were asked about their intervention goals in a 3-round Delphi survey. Intervention goals were compiled, and the physical therapists were asked whether they considered the goal classes to be relevant. The goal classes then were linked to the ICF.ResultsA total of 82 physical therapists in 12 countries named 562 intervention goals. A total of 45 goal classes covering all ICF components were identified. The goal classes addressing muscle tone, balance and coordination, and psychological distress were not represented in the ICF Core Set for RA.Discussion and ConclusionThe validity of the ICF Core Set for RA was largely supported. However, some categories currently not covered by the ICF Core Set for RA will need to be investigated further.


Author(s):  
Shih-Wei Huang ◽  
Yi-Wen Chen ◽  
Reuben Escorpizo ◽  
Chun-De Liao ◽  
Tsan-Hon Liou

Osteoarthritis is one of the leading causes of disability. Total knee arthroplasty (TKA) is a surgical intervention for patients with severe osteoarthritis. Post TKA rehabilitation is crucial for improving patient’s quality of life. However, traditional rehabilitation has only focused on physical function; a systemic analysis of other dimensions such as social participation and environmental factors of post TKA rehabilitation is lacking. The aim of this study was to develop a core set from the International Classification of Functioning, Disability and Health (ICF) to create a comprehensive rehabilitation program for patients with osteoarthritis post TKA. Before the Delphi-based consensus process, a literature review process was performed for related ICF categories selection. We used a three-round Delphi-based consensus among 20 physical therapists with orthopedic rehabilitation expertise in a university-based hospital. A five-point Likert scale was used to rate the importance of each item. The consensus of ratings was analyzed using Spearman’s rho and semi-interquartile range indices. The ICF core set for post TKA rehabilitation was determined based on a high level of consensus and a mean score of ≥4.0 in the third Delphi-based consensus round. The ICF core set comprised 32 categories, with 13 regarding body function, four regarding body structures, nine regarding activities and participation, four regarding environmental factors, and two regarding personal factors. Our ICF core set for post TKA rehabilitation can provide information on effective rehabilitation strategies and goal setting for patients post TKA. However, further validation and feasibility assessments are warranted.


Hand Therapy ◽  
2011 ◽  
Vol 16 (3) ◽  
pp. 58-66 ◽  
Author(s):  
Sandra Kus ◽  
Caroline Dereskewitz ◽  
Maryam Wickert ◽  
Martina Schwab ◽  
Andreas Eisenschenk ◽  
...  

2019 ◽  
Vol 86 (4) ◽  
pp. 289-298
Author(s):  
Parvin Raji ◽  
Afsoon Hassani Mehraban ◽  
Maryam Ahmadi ◽  
Veronica Schiariti

Background. International Classification of Functioning, Disability and Health (ICF) core set for cerebral palsy allows for the description of the levels of functioning in cerebral palsy. It is not exactly clear which of these levels is more important for evaluation from the perspective of occupational therapists in Iran. By identifying these priorities, we can establish a better plan for intervention. Purpose. This study defines assessment priorities in children with cerebral palsy (<6 years). Method. Sixty-two Iranian occupational therapists studied the priorities of assessment based on the Iranian ICF core set. The therapists were asked to rate the code categories from 1 to 3. The results are presented as mean values. Findings. Occupational therapists first focus on body functions assessment, then activities/participation, and ultimately, environmental factors. Implications. Occupational therapists in Iran have a bottom-up approach toward clients with cerebral palsy. It may be necessary to revise the educational curriculum, prepare a training course, and provide more supervision for practising occupational therapists.


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