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It is the involvement in
life situation
CATEGORIES of ACTIVITIES &
PARTICIPATION
1. Learning and applying knowledge
2. General tasks and demands
3. Communication
4. Mobility
5. Self-care
6. Domestic life
7. Interpersonal interactions & relationships
8. Major life areas
9. Community, social and civic life
7. ACTIVITY LIMITATIONS
• Are difficulties an individual may have in
executing activities
8. PARTICIPATION RESTRICTIONS
• Are problems an individual may have in
executing activities
9. Contextual Factors
• Represent the entire background of an
individual’s life and living situations
a. Environmental Factors
- Make up the physical, social, & attitudinal
environment in which people live & conduct
their lives
- Including social attitudes, architectural
characteristics, legal & social structures
CATEGORIES
ENVIRONMENTAL FACTORS
1. Products & Technology
2. Natural environment and human-made
changes to environment
3. Support and relationships
4. Attitudes
5. Services, systems, policies
CASE EXAMPLE
A pt. s/p motor vehicle accident diagnosed
C6 complete tetraplegia is w/c dependent for
mobility and resides in a town public
transportation.
He was very active in his church choir & taught
Sunday school prior to his mva.
Answers
• Health condition:
- Complete SCI- Tetraplegia
• Impairment:
-Paralysis
• Activity Limitation
- Incapable of using public transportation
• Participation Restriction
- Lack of accomodations in public
transportation leads to no participation in religious
activities
b. Personal Factors
- Are the particular background of an individual’s
life
- Including gender, age, coping styles, social
background, education, profession, past &
current experience, overall behavior pattern,
character
- Other factors that influence how disability is
experienced by an individual
10. PERFORMANCE
• Describes what an individual does in his or her
current environment
11. CAPACITY
• Describes an individual’s ability to execute a
task or an action (highest probable level of
functioning in a given domain at given
moment)
EXAMPLE OF THE ICF in relation to
children with motor impairments and
participation in playing ball games
(WHO 2001)
HEALTH CONDITION (DIAGNOSIS)
BODY STRUCTURE/FXN
ACTIVITY PARTICIPATION
IMPARIMENT (Activity Limitation) (Participation restriction)
Control arm movements Play ball games
Catch & throw a ball
ENVIRONMENT
Support & Expectations from others regarding
playing ball games
PERSONAL FACTORS
Child’s motivation and confidence towards the
activity and participation in it
INTERACTION OF ICF COMPONENTS
POSITIVE TERM NEGATIVE TERM
OVERALL HEALTH Function Disability
CONDITION
BODY FUNCTIONS AND Functional & Structural Impairment
STRUCTURES
ACTIVITIES Activities participation Activity limitation,
Participation Restriction
ENVIRONMENTAL FACTORS Facilitators Barriers
(fixed or modifiable) (fixed or modifiable)
PERSONAL FACTORS N/A N/A