How, and to what end, is the WHO-ICF framework represented in physiotherapy? Insights from a qualitative research synthesis.

IF 1.6 4区医学 Q2 REHABILITATION

Physiotherapy Theory and Practice Pub Date : 2025-04-01 Epub Date: 2024-06-28 DOI:10.1080/09593985.2024.2370345

Sarah Barradell, Ingrid Scholten

{"title":"How, and to what end, is the WHO-ICF framework represented in physiotherapy? Insights from a qualitative research synthesis.","authors":"Sarah Barradell, Ingrid Scholten","doi":"10.1080/09593985.2024.2370345","DOIUrl":null,"url":null,"abstract":"Background: It has been two decades since the World Health Organization's endorsement of the International Classification of Functioning, Disability and Health (ICF). It is timely to undertake a rigorous search that analyzes the discourses around the ICF's conceptual framework within physiotherapy, the kinds of enquiry to date and the professional areas where this is happening and how.Purpose: The aim of this research is to synthesize the literature related to how the physiotherapy profession (practice, research and education) thinks about and puts to use the WHO ICF.Results: A final sample of 37 papers was agreed. Five overarching third-order interpretations were derived: (i) A way of thinking and practicing, (ii) Endorsed but not embedded, (iii) Striking a balance, (iv) Power of participation and (v) Moving forward. Together, these themes illustrate the evolving role of the ICF in physiotherapy over the previous two decades. They highlight the ICF's potential for shaping the future of physiotherapy practice, education and research.Conclusions: Work is needed to connect existing literature about the ICF and related models and embed the ICF, its language and philosophy across physiotherapy education and practice. Re-representation of the model might help address misinterpretation of the ICF, but fundamentally, embedding the ICF in entry-level curriculum is likely to be the most significant driver of change in practice.","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"792-809"},"PeriodicalIF":1.6000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2024.2370345","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/28 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Background: It has been two decades since the World Health Organization's endorsement of the International Classification of Functioning, Disability and Health (ICF). It is timely to undertake a rigorous search that analyzes the discourses around the ICF's conceptual framework within physiotherapy, the kinds of enquiry to date and the professional areas where this is happening and how.

Purpose: The aim of this research is to synthesize the literature related to how the physiotherapy profession (practice, research and education) thinks about and puts to use the WHO ICF.

Results: A final sample of 37 papers was agreed. Five overarching third-order interpretations were derived: (i) A way of thinking and practicing, (ii) Endorsed but not embedded, (iii) Striking a balance, (iv) Power of participation and (v) Moving forward. Together, these themes illustrate the evolving role of the ICF in physiotherapy over the previous two decades. They highlight the ICF's potential for shaping the future of physiotherapy practice, education and research.

Conclusions: Work is needed to connect existing literature about the ICF and related models and embed the ICF, its language and philosophy across physiotherapy education and practice. Re-representation of the model might help address misinterpretation of the ICF, but fundamentally, embedding the ICF in entry-level curriculum is likely to be the most significant driver of change in practice.

查看原文本刊更多论文

物理治疗中如何体现世界卫生组织-国际功能、残疾和健康分类框架？定性研究综述的启示。

背景：世界卫生组织批准《国际功能、残疾和健康分类》（ICF）至今已有二十年。现在是时候进行一次严格的检索，分析物理治疗领域围绕 ICF 概念框架的论述、迄今为止的调查类型以及正在进行调查的专业领域和调查方式：最后商定了 37 篇论文样本。得出了五个重要的三阶解释：(i) 一种思考和实践方式，(ii) 已获认可但尚未嵌入，(iii) 取得平衡，(iv) 参与的力量和 (v) 向前迈进。这些主题共同说明了《国际功能、残疾和健康分类》在过去二十年中在物理治疗中不断演变的作用。它们强调了《国际功能、残疾和健康分类》在塑造未来物理治疗实践、教育和研究方面的潜力：需要努力将现有的有关 ICF 和相关模型的文献联系起来，并将 ICF、其语言和理念融入物理治疗教育和实践中。对模型的重新表述可能有助于解决对《国际功能、残疾和健康分类》的误读，但从根本上说，将《国际功能、残疾和健康分类》纳入入门级课程可能是推动实践变革的最重要因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Physiotherapy Theory and Practice REHABILITATION-

CiteScore

3.40

自引率

10.00%

发文量

300

期刊介绍： The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.