scholarly journals Development of a framework to define the functional goals and outcomes of botulinum toxin A spasticity treatment relevant to the child and family living with cerebral palsy using the International Classification of Functioning, Disability and Health for Children and Youth

2011 ◽  
Vol 43 (11) ◽  
pp. 1010-1015 ◽  
Author(s):  
N Preston ◽  
M Clarke ◽  
B Bhakta
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Toxin ◽  
Botulinum Toxin A ◽  
International Classification ◽  
Children And Youth ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Toxin A ◽  
Family Living

scholarly journals Application of the International Classification of Functioning, Disability and Health (Children and Youth Version) in the Evaluation of Rehabilitation Measures of Patients with Cerebral Palsy

2020 ◽  
Vol 99 (5) ◽  
pp. 38-45
Author(s):  
G.E. Sheiko ◽  
A.N. Belova ◽  
A.N. Kuznetsov ◽  
Y.A. Israelyan ◽  
A.V. Dmitrochenkov ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
International Classification ◽  
Medical Rehabilitation ◽  
Children And Youth ◽  
International Classification Of Functioning ◽  
Personal Factors ◽  
Disability And Health ◽  
Clinical Neurological Examination ◽  
General Physical

Rehabilitation of children with cerebral palsy (CP) requires a systematic approach and dynamic evaluation of results. The International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) is used to describe and measure the extent ofhealth disorders in children with CP. This classification allows to unify of identification of an individual profile of functioning of the child taking into account environmental and personal factors, to estimate changes of disorders of health in the course of rehabilitation. However, at the moment there are no clear quantitative criteria that allow using ICF-CY to determine the effectiveness of medical rehabilitation of patients with CP, which is relevant in clinical practice and research. The aim is to develop a criterion for evaluating the effectiveness of medical rehabilitation of children with CP based on the use of ICF-CY. Materials and methods. The study included 29 patients (mean age 5.4±1.05) with various forms of CP, who received medical rehabilitation courses in the hospital and polyclinic for 12 months. All patients, in addition to general physical and clinical neurological examination, were tested before and after rehabilitation courses using specialized questionnaires and scales, as well as evaluated using a brief core set of ICF-CY for children/youth with CP. Groups of patients with and without improvement in the first stage of the study were identified using expert evaluation. The sensitivity and specificity of the proposed criterion for assessing the effectiveness of rehabilitation are calculated at the second stage. The degree of consistency of experts‘ opinions and the developed evaluation criterion is analyzed. Results. The rehabilitation effect was determined on the basis of the dynamics of domain assessments on the components of the ICF-CY “functions”, “activities and participation” 12 months after the beginning of rehabilitation. The criterion of improvement is the positive dynamics of the child’s condition in at least 3 domains with a change in the assessment, at least 1 point. Improvement was achieved in 18 patients with CP 12 months after rehabilitation, according to the expert method. Improvement was observed in 16 patients with CP according to our criterion for evaluating the effectiveness of medical rehabilitation. Improvement was observed in 16 patients with CP according to our criterion for evaluating the effectiveness of medical rehabilitation. The sensitivity of our criterion for assessing the effectiveness of medical rehabilitation of patients with cerebral palsy was 89%, the specificity of 91%, which allows us to recommend the use of this criterion to assess the improvement of the effectiveness of medical rehabilitation of children with CP.

scholarly journals Implementation of the International Classification of Functioning, Disability, and Health (ICF) Core Sets for Children and Youth with Cerebral Palsy: Global Initiatives Promoting Optimal Functioning

2018 ◽  
Vol 15 (9) ◽  
pp. 1899 ◽  
Author(s):  
Verónica Schiariti ◽  
Egmar Longo ◽  
Alexander Shoshmin ◽  
Ludmila Kozhushko ◽  
Yanina Besstrashnova ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Service Providers ◽  
International Classification ◽  
Children And Youth ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Core Sets ◽  
Icf Core Sets ◽  
Global Initiatives

Background: The International Classification of Functioning, Disability, and Health (ICF) Core Sets for children and youth with cerebral palsy (CP) offer service providers and stakeholders a specific framework to explore functioning and disability for assessment, treatment, evaluation, and policy purposes in a global context. Objective: Describe global initiatives applying the ICF Core Sets for children and youth with CP, with a focus on contributions to clinical practice and challenges in their implementation. Methods: This is a descriptive cross-sectional study. Ongoing initiatives applying the ICF Core Sets for CP in Russia, Poland, Malawi, and Brazil are included. Results: The main contributions of applying the ICF Core Sets for children and youth with CP include: (1) an objective description of abilities and limitations in everyday activities; (2) a consistent identification of facilitators and barriers influencing functioning; (3) a practical communication tool promoting client-centered care and multidisciplinary teamwork; and, (4) a useful guideline for measurement selection. The main challenges of adopting the ICF Core Sets are related to lack of ICF knowledge requiring intense training and translating results from standardized measures into the ICF qualifiers in a consistent way. Conclusions: Global initiatives include research and clinical applications at the program, service and system levels. The ICF Core Sets for CP are useful tools to guide service provision and build profiles of functioning and disability. Global interprofessional collaboration, capacity training, and informatics (e-records) will maximize their applications and accelerate adoption.

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