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Published on: June 20, 2020
International Classification of Functioning, Disability and Health in children with cerebral palsy
Adriana Neves dos Santos1, Sílvia Leticia Pavão, Ana Carolina de Campos
1Department of Physiotherapy, Neuropediatrics Section, Universidade Federal de São Carlos, Rod. Washington Luis, São Carlos-SP, Brazil. drinsantos@yahoo.com.br
Insights
Recent models of disability inform the evaluation of children with cerebral palsy (CP). Environmental factors significantly impact participation, necessitating tailored rehabilitation for improved quality of life.
Area of Science:
- Pediatrics
- Rehabilitation Medicine
- Disability Studies
Background:
- Cerebral palsy (CP) significantly impacts children's functioning and participation.
- Recent disability models offer new perspectives on evaluating children with CP.
Purpose of the Study:
- To review how recent disability models are applied in the evaluation of children with CP.
- To explore the clinical implications of these evaluation approaches.
Main Methods:
- Systematic review of studies focusing on the International Classification of Functioning, Disability and Health (ICF) framework.
- Analysis of research concerning children with CP and their functional domains.
Main Results:
- Children with CP show impairments in body functions/structures and activity limitations.
- Participation outcomes are poorer in children with CP compared to typically developing peers.
- Environmental factors demonstrably influence participation in children with CP.
Conclusions:
- Evaluation and rehabilitation should prioritize quality of life by focusing on a child's capabilities and environmental context.
- Minimizing environmental barriers and implementing adaptations are crucial.
- Further research is needed to understand the interplay between contextual factors and functioning/disability in CP to develop targeted interventions.
Purpose:
We intended to describe how concepts from recent models of disability have been studied for evaluation of children with cerebral palsy (CP) and their clinical implications.
Method:
We revised studies that focused on the components of the International Classification of Functioning, Disability and Health (ICF) in children with CP.
Results:
Researchers have reported that children with CP exhibit impairments in various body functions/structures, limitations in functional activities performance and experience poorer participation outcomes than their typical peers. Moreover, it has been showed that participation of children with CP was affected by environmental factors.
Conclusion:
Therefore, evaluation and rehabilitation processes should be focused on the quality of life improvement by emphasizing what a child can and wants to execute within the environment. Also, environmental factors should be recognized so that barriers could be minimized and adaptations to the environment achieved. However, few studies have verified the interrelationship between contextual factors and the functioning and disability domains in children with CP. This would allow us to know about approaches specifically designed for these children's needs.
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