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Physical therapy diagnosis and the relationship between impairments and function.

A A Guccione1

  • 1Arthritis Center, Boston University School of Medicine, MA 02118.

Physical Therapy
|July 1, 1991
PubMed
Summary

This study reviews physical therapy diagnosis, evaluating the International Classification of Impairments, Disabilities, and Handicaps (ICIDH). It suggests Nagi

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Area of Science:

  • Physical Therapy
  • Medical Classification Systems
  • Rehabilitation Medicine

Background:

  • Physical therapy diagnosis is a complex process and classification label.
  • Existing classification systems like the International Classification of Impairments, Disabilities, and Handicaps (ICIDH) have limitations for physical therapy.

Purpose of the Study:

  • To review the evolution of the concept of diagnosis in physical therapy.
  • To evaluate the clinical utility of the ICIDH as a physical therapy taxonomy.
  • To propose an alternative model for physical therapy diagnosis.

Main Methods:

  • Literature review of the development of physical therapy diagnosis.
  • Critical evaluation of the ICIDH for physical therapy applications.
  • Proposal and justification of the Nagi model for physical therapy.

Main Results:

  • The ICIDH presents challenges for direct application in physical therapy.
  • The Nagi model offers a more suitable framework for physical therapy diagnosis.
  • The relationship between impairments and functional limitations is identified as the core diagnostic focus in physical therapy.

Conclusions:

  • The Nagi model, focusing on impairments and functional limitations, is recommended over the ICIDH for physical therapy diagnosis.
  • Further development and expansion of the Nagi model can enhance a dedicated classification scheme for physical therapy.

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