Relevant areas of functioning in children with cerebral palsy based on the international classification of
Veronica Schiariti1, Louise C Mâsse2
1Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada vschiariti@cw.bc.ca.
Insights
This study highlights the clinical perspective
Area of Science:
- Rehabilitation Medicine
- Pediatric Physical Therapy
- Disability Studies
Background:
- The International Classification of Functioning, Disability and Health (ICF) provides a standardized framework for describing health and functioning.
- Developing ICF Core Sets for specific pediatric populations, like cerebral palsy, is crucial for consistent assessment and goal setting.
- The clinical perspective is vital in ensuring the relevance and applicability of ICF categories in real-world practice.
Purpose of the Study:
- To describe the contribution of clinical data to the selection of ICF functioning categories for children and youth with cerebral palsy.
- To identify the most frequently encountered ICF categories during clinical assessments of pediatric cerebral palsy.
- To inform the development of evidence-based ICF Core Sets for this population.
Main Methods:
- A chart review methodology was employed, analyzing clinical assessments of children and youth (0-18 years) with cerebral palsy.
- The study focused on identifying and categorizing the International Classification of Functioning, Disability and Health (ICF) components addressed in clinical encounters.
- Data were collected from a tertiary-level care center.
Main Results:
- A total of 129 ICF categories were identified within the clinical encounters.
- The distribution included 19% body structures, 33% body functions, 37% activity and participation, and 11% environmental factors.
- Activity and participation domains were most frequently represented in clinical assessments.
Conclusions:
- Clinical data reveal a significant focus on activity and participation in the assessment of children and youth with cerebral palsy.
- These findings underscore the importance of the clinical perspective in refining ICF Core Sets for pediatric cerebral palsy.
- The results can guide clinical practice, enhance goal setting, and inform the development of targeted ICF Core Sets.
Abstract:
In the context of the development of the International Classification of Functioning, Disability and Health Core Sets for children and youth with cerebral palsy, an evidence-based methodology was implemented to select the most relevant categories out of the entire classification. The aim of this study was to describe the contribution of the clinical perspective to select categories of functioning in children and youth with cerebral palsy. We conducted a chart review of clinical assessments of children and youth with cerebral palsy aged 0 to 18 years in a tertiary level center. In total, 129 International Classification of Functioning categories were covered in clinical encounters: representing 19% body structures, 33% body functions, 37% activity and participation, and 11% environmental factors. Our findings can guide clinical assessments and goal-setting of this population. This important perspective will inform the development of the International Classification of Functioning, Disability and Health Core Sets for children and youth with cerebral palsy.
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