The international classification of functioning, disability and health (ICF) and rehabilitation: what has been done?

Luciana Castaneda, Maria Beatriz Dutra, Fernanda Guimaraes, A. Bergmann
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Abstract

Background: rehabilitation has as its emphasis, not only the disease and your treatment, as well as improved Functioning. The International Classification of Functioning, Disability, and Health (ICF) is a classification system endorsed by the World Health Organization (WHO) since 2001. ICF brings a new paradigm by changing the focus on the consequences of the disease to highlight Functioning as a dynamic interaction between the biomedical and social model. Purpose: to conduct a brief description of ICF use in scientific movement of the ICF use in Rehabilitation. Methodology: The databases used were Medline, Scielo, Bireme, PEDro, and Scopus. The outcomes examined were ICF use and protocol, study design and expertise area. Results: 121 articles were included in this mapping. There was a predominance of ICF use in Neurology (n=52) and the most study design used was cross-sectional (n=55). Most of the studies used ICF to develop, validate or analyze functional assessments (n=52). Conclusion: the results indicate heterogeneity in the ICF diffusion in rehabilitation. The increase of ICF knowledge as a guiding model in Rehabilitation seems to be consolidating, however, intervention and longitudinal design studies still underrepresented. The ICF should be incorporated as a considerable framework to structure functional outcomes.
功能、残疾和健康以及康复的国际分类:已经做了什么?
背景:康复是它的重点,不仅是疾病和你的治疗,还有改善功能。国际功能、残疾和健康分类(ICF)是世界卫生组织(世界卫生组织)自2001年以来认可的分类系统。ICF通过改变对疾病后果的关注,强调功能是生物医学和社会模式之间的动态互动,从而带来了一种新的范式。目的:简要介绍ICF在康复医学运动中的应用。方法:使用的数据库有Medline、Scielo、Bireme、PEDro和Scopus。研究结果包括ICF的使用和方案、研究设计和专业领域。结果:共收录121篇文章。ICF在神经病学中的应用占主导地位(n=52),使用最多的研究设计是横断面设计(n=55)。大多数研究使用ICF来开发、验证或分析功能评估(n=52)。结论:结果表明ICF在康复过程中的扩散具有异质性。ICF知识作为康复指导模式的增加似乎正在巩固,然而,干预和纵向设计研究的代表性仍然不足。ICF应作为一个重要的框架纳入,以构建职能成果。
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