We describe the case of a 73-year-old man with left shoulder paresis caused by a herpes zoster infection of the left C5 dermatomes. The patient had been affected by pain for 10 days, a skin rash on his left shoulder a...We describe the case of a 73-year-old man with left shoulder paresis caused by a herpes zoster infection of the left C5 dermatomes. The patient had been affected by pain for 10 days, a skin rash on his left shoulder and back for 5 days, and weakness of his left shoulder for 2 days before admission. Eiectromyography revealed denervation discharges from the left supraspinatus, infraspinatus and deltoid muscles, which was compatible with radiculopathy showing after zoster infection. The patient was examined in accordance with the International Classification of Functioning, Disability and Health, and treated with range-of-movement and strengthening exercises as well as activities of daily living and social participation. At 14 months after the onset of the condition, muscle strength had returned to normal. Electromyography revealed that motor unit action potentials were largely normal. These results indicate that the rehabilitation of paresis caused by herpes zoster can obtain positive results with suitable movement training.展开更多
The increase in chronic diseases in childhood highlights the need for a biopsychosocial approach to deal with the complexity of these health conditions. The International Classification of Functioning, Disability, and...The increase in chronic diseases in childhood highlights the need for a biopsychosocial approach to deal with the complexity of these health conditions. The International Classification of Functioning, Disability, and Health (ICF) results from the need to implement new explanatory evaluative and therapeutic models. Thus, the present systematic review aims to identify published studies on the use of the ICF in chronic childhood diseases. As a secondary objective, to map the themes that have already been studied in the area to support the discussion on the expansion of the use of this classification in health services. The systematic review followed the PRISMA protocol, and the model was the PICO acronym, where Population was children and adolescents with chronic diseases, Intervention/Exposure was evaluation based on ICF concepts, Comparator was any tool, instrument, or intervention, and outcome was direct or indirect use of the ICF. We selected eight articles, five of which used the ICF as a conceptual tool and three as a classification system, divided into the following themes: quality of life, evaluation of patients (without using coding) and mapping the inclusion of the activity’s results and participation in clinical trials. Thus, use of the ICF in clinical practice is still incipient, although it has been recommended in guidelines. Further studies are necessary to expand the number of contributions by the ICF and to develop the necessary approaches for understanding the classification’s use.展开更多
Implementation of the International Classification of Functioning, Disability and Health （ICF） started in 2001 with the unanimous endorsement of the classification by the 54th World Health Organization （WHO） as a ...Implementation of the International Classification of Functioning, Disability and Health （ICF） started in 2001 with the unanimous endorsement of the classification by the 54th World Health Organization （WHO） as a framework for describing and measuring health and disability. In recent years, the ICF has been increasingly applied to research and development in China, and has influenced the policies of the Chinese Disabled Person Enterprise and Chinese Rehabilitation Career. This paper introduces the translation, training and spread of ICF and its application in the fields of medicine, society and education in China.展开更多
AIM To identify the outcome measures that have been used in randomized controlled trials(RCTs) of exercise training in solid organ transplant(SOT) recipients and to link these outcomes to the International Classificat...AIM To identify the outcome measures that have been used in randomized controlled trials(RCTs) of exercise training in solid organ transplant(SOT) recipients and to link these outcomes to the International Classification of Functioning, Disability and Health(ICF) framework.METHODS Electronic literature searches of MEDLINE, EMBASE, CINAHL, Cochrane, Scopus, and Web of Science were performed. We sought RCTs that investigated the effect of exercise training in SOT recipients. Reference lists of all eligible publications were searched for other appropriate studies not identified by the electronic search. A complete list of outcome measures used in the RCTs was generated and each of these was linked to an ICF category.RESULTS Four hundred and thirteen articles were retrieved, of which 35 met our inclusion criteria. The studies included were designed to compare the effects of exercise training programs to usual care or to another exercise training program and reported on recipients of heart(n = 21), kidney(n = 9), lung(n = 3) or liver(n = 2) transplant. Of the 126 outcome measures identified, 62 were used as primary outcome measures. The most commonly occurring primary outcomes were aerobic capacity using the peak VO2(n = 13), quality of life using the shortform-36(n = 8), and muscle strength(n = 7). Theseoutcome measures were linked to 113 ICF categories and the majority of outcomes fall into the body function domain(n = 93). CONCLUSION There is little standardization in outcome measures used in RCTs of exercise interventions in SOT recipients. The ICF framework can be used to select a core set of outcomes that cross all domains of ICF and that would be appropriate to all SOT recipients.展开更多
Attention Deficit Hyperactivity Disorder (ADHD) is considered a major public health problem, not only for its high prevalence but also because the symptoms have an impact on activities in daily life at both familial a...Attention Deficit Hyperactivity Disorder (ADHD) is considered a major public health problem, not only for its high prevalence but also because the symptoms have an impact on activities in daily life at both familial and school levels as well as on a general social level. Clinical evaluation of ADHD was based on the diagnostic criteria of the International Classification of Diseases ICD 10, Diagnostic and Statistical Manual of Mental Disorders DSM IV and comorbidity phenomena. Therefore, it has not yet developed into evaluations any more comprehensive than activity limitations and participation restrictions from a biopsychosocial model of disability, as proposed by the International Classification of Functioning, Disability and Health ICF. Thus, it is necessary to start assessment processes of children with ADHD using the functionality and performance components proposed by the ICF, allowing a new approach and a greater understanding of the health status of this population from a more holistic perspective in relation to the disability. Objective: To identify the theoretical elements that justify the importance of addressing ADHD from a biopsychosocial perspective as proposed by the evaluation of the ICF model, ensuring comprehensive assessment processes. This article is the result of a theoretical review addressed in research projects around the design, validity and reliability of assessment instruments of activity limitations and participation restrictions in children with ADHD.展开更多
目的:筛选出脊髓损伤患者神经源性膀胱的国际功能、残疾、健康分类核心类目。方法:通过ISCOS提供的开放脊髓损伤数据库(international SCI data sets)筛选出和神经源性膀胱相关的基础数据库,整理出这些数据库的每个变量。利用WHO-FIC合...目的:筛选出脊髓损伤患者神经源性膀胱的国际功能、残疾、健康分类核心类目。方法:通过ISCOS提供的开放脊髓损伤数据库(international SCI data sets)筛选出和神经源性膀胱相关的基础数据库,整理出这些数据库的每个变量。利用WHO-FIC合作中心ICF研究组开发的ICF与结局测量工具间联系和匹配的原则,采用专业人员对内容定性联系和匹配的方法,将针对筛选出的变量与ICF综合版测量项目进行联系和匹配。整理匹配的ICF项目生成神经源性膀胱ICF核心要素。结果:通过对比2名研究者筛选相同变量,合并相近的变量,剔除与神经源性膀胱不相关的变量,最终纳入85项。共提取有明确意义的概念60个,可与ICF联系、匹配的概念46个。与ICF联系、匹配后共得出神经源性膀胱ICF核心类目40项,其中身体功能16项、身体结构8项、活动和参与9项、环境因素与个人因素7项。结论:系统回顾研究法初步筛选出脊髓损伤患者神经源性膀胱ICF核心类目,为神经源性膀胱评估、治疗提供了更全面的框架。展开更多
文摘We describe the case of a 73-year-old man with left shoulder paresis caused by a herpes zoster infection of the left C5 dermatomes. The patient had been affected by pain for 10 days, a skin rash on his left shoulder and back for 5 days, and weakness of his left shoulder for 2 days before admission. Eiectromyography revealed denervation discharges from the left supraspinatus, infraspinatus and deltoid muscles, which was compatible with radiculopathy showing after zoster infection. The patient was examined in accordance with the International Classification of Functioning, Disability and Health, and treated with range-of-movement and strengthening exercises as well as activities of daily living and social participation. At 14 months after the onset of the condition, muscle strength had returned to normal. Electromyography revealed that motor unit action potentials were largely normal. These results indicate that the rehabilitation of paresis caused by herpes zoster can obtain positive results with suitable movement training.
文摘The increase in chronic diseases in childhood highlights the need for a biopsychosocial approach to deal with the complexity of these health conditions. The International Classification of Functioning, Disability, and Health (ICF) results from the need to implement new explanatory evaluative and therapeutic models. Thus, the present systematic review aims to identify published studies on the use of the ICF in chronic childhood diseases. As a secondary objective, to map the themes that have already been studied in the area to support the discussion on the expansion of the use of this classification in health services. The systematic review followed the PRISMA protocol, and the model was the PICO acronym, where Population was children and adolescents with chronic diseases, Intervention/Exposure was evaluation based on ICF concepts, Comparator was any tool, instrument, or intervention, and outcome was direct or indirect use of the ICF. We selected eight articles, five of which used the ICF as a conceptual tool and three as a classification system, divided into the following themes: quality of life, evaluation of patients (without using coding) and mapping the inclusion of the activity’s results and participation in clinical trials. Thus, use of the ICF in clinical practice is still incipient, although it has been recommended in guidelines. Further studies are necessary to expand the number of contributions by the ICF and to develop the necessary approaches for understanding the classification’s use.
文摘Implementation of the International Classification of Functioning, Disability and Health （ICF） started in 2001 with the unanimous endorsement of the classification by the 54th World Health Organization （WHO） as a framework for describing and measuring health and disability. In recent years, the ICF has been increasingly applied to research and development in China, and has influenced the policies of the Chinese Disabled Person Enterprise and Chinese Rehabilitation Career. This paper introduces the translation, training and spread of ICF and its application in the fields of medicine, society and education in China.
文摘AIM To identify the outcome measures that have been used in randomized controlled trials(RCTs) of exercise training in solid organ transplant(SOT) recipients and to link these outcomes to the International Classification of Functioning, Disability and Health(ICF) framework.METHODS Electronic literature searches of MEDLINE, EMBASE, CINAHL, Cochrane, Scopus, and Web of Science were performed. We sought RCTs that investigated the effect of exercise training in SOT recipients. Reference lists of all eligible publications were searched for other appropriate studies not identified by the electronic search. A complete list of outcome measures used in the RCTs was generated and each of these was linked to an ICF category.RESULTS Four hundred and thirteen articles were retrieved, of which 35 met our inclusion criteria. The studies included were designed to compare the effects of exercise training programs to usual care or to another exercise training program and reported on recipients of heart(n = 21), kidney(n = 9), lung(n = 3) or liver(n = 2) transplant. Of the 126 outcome measures identified, 62 were used as primary outcome measures. The most commonly occurring primary outcomes were aerobic capacity using the peak VO2(n = 13), quality of life using the shortform-36(n = 8), and muscle strength(n = 7). Theseoutcome measures were linked to 113 ICF categories and the majority of outcomes fall into the body function domain(n = 93). CONCLUSION There is little standardization in outcome measures used in RCTs of exercise interventions in SOT recipients. The ICF framework can be used to select a core set of outcomes that cross all domains of ICF and that would be appropriate to all SOT recipients.
文摘Attention Deficit Hyperactivity Disorder (ADHD) is considered a major public health problem, not only for its high prevalence but also because the symptoms have an impact on activities in daily life at both familial and school levels as well as on a general social level. Clinical evaluation of ADHD was based on the diagnostic criteria of the International Classification of Diseases ICD 10, Diagnostic and Statistical Manual of Mental Disorders DSM IV and comorbidity phenomena. Therefore, it has not yet developed into evaluations any more comprehensive than activity limitations and participation restrictions from a biopsychosocial model of disability, as proposed by the International Classification of Functioning, Disability and Health ICF. Thus, it is necessary to start assessment processes of children with ADHD using the functionality and performance components proposed by the ICF, allowing a new approach and a greater understanding of the health status of this population from a more holistic perspective in relation to the disability. Objective: To identify the theoretical elements that justify the importance of addressing ADHD from a biopsychosocial perspective as proposed by the evaluation of the ICF model, ensuring comprehensive assessment processes. This article is the result of a theoretical review addressed in research projects around the design, validity and reliability of assessment instruments of activity limitations and participation restrictions in children with ADHD.
文摘目的:筛选出脊髓损伤患者神经源性膀胱的国际功能、残疾、健康分类核心类目。方法:通过ISCOS提供的开放脊髓损伤数据库(international SCI data sets)筛选出和神经源性膀胱相关的基础数据库,整理出这些数据库的每个变量。利用WHO-FIC合作中心ICF研究组开发的ICF与结局测量工具间联系和匹配的原则,采用专业人员对内容定性联系和匹配的方法,将针对筛选出的变量与ICF综合版测量项目进行联系和匹配。整理匹配的ICF项目生成神经源性膀胱ICF核心要素。结果:通过对比2名研究者筛选相同变量,合并相近的变量,剔除与神经源性膀胱不相关的变量,最终纳入85项。共提取有明确意义的概念60个,可与ICF联系、匹配的概念46个。与ICF联系、匹配后共得出神经源性膀胱ICF核心类目40项,其中身体功能16项、身体结构8项、活动和参与9项、环境因素与个人因素7项。结论:系统回顾研究法初步筛选出脊髓损伤患者神经源性膀胱ICF核心类目,为神经源性膀胱评估、治疗提供了更全面的框架。
