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Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
Content identification of the interdisciplinary assessment of cerebral palsy using the International Classification
P M O Andrade1, Fernanda Oliveira Ferreira, Ana Paula Mendonça
1Federal University of Minas Gerais, Programa de Pós Graduação em Neurociências, Belo Horizonte, Brazil. petersonmarco@yahoo.com.br
Insights
This study identified key functioning and disability items in pediatric cerebral palsy (CP) rehabilitation records. Findings suggest a need for standardized International Classification of Functioning, Disability and Health, Children and Youth Version (ICF-CY) use for consistent documentation.
Area of Science:
- Pediatric Rehabilitation
- Child Development
- Disability Studies
Background:
- Cerebral palsy (CP) significantly impacts child development and requires interdisciplinary rehabilitation.
- Standardized documentation is crucial for effective patient care and research in pediatric rehabilitation.
Purpose of the Study:
- To identify frequently documented functioning and disability-related items by rehabilitation professionals for children with CP.
- To evaluate the completeness and consistency of patient records using the International Classification of Functioning, Disability and Health, Children and Youth Version (ICF-CY).
Main Methods:
- A retrospective cross-sectional study analyzed medical documents from 40 children with CP (aged 10 months–17 years).
- Two raters extracted data using 27 ICF-CY items to assess functioning, disability, and environmental factors.
- Records from physicians, physiotherapists, occupational therapists, speech therapists, social workers, psychologists, and dieticians were reviewed.
Main Results:
- Eighty-one items related to functioning and disability were identified across body structures, functions, activities, and environmental factors.
- Physiotherapy and occupational therapy records were the most comprehensive.
- Fourteen ICF-CY categories met a minimum frequency of 40% in documentation.
Conclusions:
- Rehabilitation records for children with CP contain heterogeneous information on functioning and disability.
- The most frequent items identified could form a basis for CP triage codes.
- Establishing interdisciplinary consensus on ICF-CY use is essential for systematic record-keeping.
Purpose:
To identify relevant items and most frequents categories related to functioning and disability recorded by professionals involved in rehabilitation of children with cerebral palsy (CP) and to assess the filling of the records.
Methods:
A retrospective cross-sectional study based on the written documents provided by an interdisciplinary rehabilitation team. Participated in the study 40 patients with CP, aged 10 months to 17 years. Two raters extracted information from the patients' medical documents as recorded by physicians, physiotherapists, occupational therapists, speech therapists, social workers, psychologists and dieticians using the ICF-CY. Patients' records were scored (+functioning, -disability and *environmental factors) using 27 ICF-CY items to assess the filling of the records.
Results:
Eighty-one items in the medical records [body structure(15), bodily functions(32), activity(24) and environmental factors(10)] were identified as related to the evaluation of the different professions involved with neuro-rehabilitation. Physiotherapy and occupational therapy provided the most comprehensive assessments performed. Fourteen categories had a minimum frequency of 40% during the registration process.
Conclusions:
The content of the information involves categories related to the structures and body functions, activities and environmental factors. The information follows a heterogeneous pattern in content and number of categories. The most frequent items can comprise a set of codes for triage of CP. It is necessary to establish an interdisciplinary consensus based on ICF-CY for systematize the information's record.
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