Pediatric neurorehabilitation and the ICF

Andrea Martinuzzi1, Gianni De Polo1, Sonia Bortolot1

  • 1"E. Medea-La Nostra Famiglia" Institute, Conegliano Research Centre, Conegliano, Italy.

Neurorehabilitation
|December 31, 2014
PubMed

Insights

Implementing the International Classification of Functioning, Disability and Health - Children and Youth version (ICF-CY) in pediatric neurorehabilitation positively impacted clinicians and families. This bio-psycho-social approach proved feasible and well-received in a cerebral palsy clinic.

Area of Science:

  • Rehabilitation Medicine
  • Developmental Pediatrics
  • Health Classification Systems

Background:

  • The International Classification of Functioning, Disability and Health (ICF) is intended for clinical rehabilitation.
  • The ICF-CY is particularly suited for pediatric neurorehabilitation due to its comprehensive nature.
  • Cerebral palsy in adolescents presents complex needs requiring a holistic approach.

Purpose of the Study:

  • To evaluate the impact of implementing the ICF-CY framework in a pediatric outpatient clinic.
  • To assess the effect of ICF-CY on rehabilitation project structure for adolescents with cerebral palsy.
  • To gauge the perceptions of team members and families regarding the ICF-CY implementation.

Main Methods:

  • A two-year implementation of the ICF-CY as a guiding structure for rehabilitation projects.
  • Utilized an ad-hoc questionnaire to collect feedback from team members and families.
  • Focused on adolescents with cerebral palsy and complex needs in a pediatric outpatient setting.

Main Results:

  • The two-year experience with ICF-CY implementation was positive.
  • Questionnaire responses from team members and families indicated very positive remarks.
  • Stakeholders responded favorably to the introduction of the ICF-CY language and bio-psycho-social model.

Conclusions:

  • The introduction of ICF-CY language and the bio-psycho-social model is feasible in pediatric neurorehabilitation settings.
  • The implementation of ICF-CY yielded a positive response from both clinical teams and families.
  • ICF-CY serves as an effective framework for structuring complex pediatric rehabilitation projects.
Abstract

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