Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
OF FUNCTIONING, DISABILITY
AND HEALTH
Sakshi Sadhu P.T
Assistant Professor
M.P.T Sports, PG Dip. Yoga
Introduction
• The International Classification of
Functioning, Disability and Health (ICF) is
a classification of the health components of
functioning and disability.
• It is a framework for describing and organizing
information on functioning and disability.
Origin of ICF
• The ICF received approval from all 191 World Health
Organization (WHO) member states on May 22, 2001, during the
54th World Health Assembly.
• The ICD and ICF constitute the core classifications in the WHO Family of
International Classifications (WHO-FIC).
Aims
• The ICF is a multipurpose classification system
designed to serve various disciplines and sectors
— for example in education and transportation
as well as in health and community services —
and across different countries and cultures.
• Provide a scientific basis for understanding and
studying health and health-related states, outcomes,
determinants, and changes in health status and
functioning.
• Establish a common language for describing health
and health-related states in order to improve
communication between different users, such as
health care workers, researchers, policy-makers and
the public, including people with disabilities.
• Permit comparison of data across countries, health
care disciplines, services and time.
• Provide a systematic coding scheme for health
information systems
Underlying principles
Four general principles guided the development of the
ICF and are essential to its application:
• Universality. A classification of functioning and
disability should be applicable to all people
irrespective of health condition and in all physical,
social and cultural contexts. The ICF achieves this
and acknowledges that anyone can experience some
disability. It concerns everyone’s functioning and
disability, and was not designed, nor should be used,
to label persons with disabilities as a separate social
group.
• Parity and aetiological neutrality: In classifying
functioning and disability, there is not an
explicit or implicit distinction between different
health conditions, whether ‘mental’ or 'physical'.
In other words, disability is not differentiated by
aetiology. By shifting the focus from health
condition to functioning, it places all health
conditions on an equal footing, allowing them to
be compared using a common metric. Further, it
clarifies that we cannot infer participation in
everyday life from diagnosis alone
• Neutrality. Domain definitions are worded in
neutral language, wherever possible, so that the
classification can be used to record both the
positive and negative aspects of functioning and
disability.
• Environmental Influence. The ICF includes
environmental factors in recognition of the
important role of environment in people’s
functioning. These factors range from physical
factors (such as climate, terrain or building design)
to social factors (such as attitudes, institutions, and
laws). Interaction with environmental factors is an
essential aspect of the scientific understanding of
'functioning and disability'.
Application of ICF
Statistical
tool
Application
of ICF
Research
Clinical tool
tool
Properties of ICF
A classification should be clear about what it classifies:
• Its universe
• Its scope
• Its units of classification
• Its organization
• How these elements are structured in terms of their
relation to each other.
Universe of ICF
• ICF encompasses all aspects of human health and some
health-relevant components of well-being and describes
them in terms of health domains and health-related
domains. The classification remains in the broad
context of health and does not cover circumstances that
are not health-related, such as those brought about by
socioeconomic factors. For example, because of their
race, gender, religion or other socioeconomic
characteristics people may be restricted in their
execution of a task in their current environment, but
these are not health related restrictions of participation
as classified in ICF.
• There is a widely held misunderstanding that ICF is only
about people with disabilities; in fact, it is about all
people. The health and health-related states associated
with all health conditions can be described using ICF. In
other words, ICF has universal application
Scope of ICF
• ICF has two parts, each with two components:
Part 1. Functioning and Disability
• (a) Body Functions and Structures
• (b) Activities and Participation
Part 2. Contextual Factors
• (c) Environmental Factors
• (d) Personal Factors
Unit of classification
• ICF classifies health and health-related states.
The unit of classification is, therefore, categories
within health and health-related domains. It is
important to note, therefore, that in ICF persons
are not the units of classification; that is, ICF
does not classify people, but describes the
situation of each person within an array of
health or health-related domains. Moreover, the
description is always made within the context of
environmental and personal factors.
Presentation of ICF
• ICF is presented in two versions in order to meet
the needs of different users for varying levels of
detail.
• The full version of ICF, provides classification
at four levels of detail. The two level system is
also available as a short version of ICF
Interactions between the
components of ICF
DEFINITIONS
• Body functions are the physiological functions of body systems
(including psychological functions).
• Body structures are anatomical parts of the body such as organs, limbs
and their components.
1 Mild problem
2 Moderate problem
3 Severe problem
4 Complete problem
8 Not specified
9 Not applicable
• Qualifier for Environmental factors:
.0 No barrier +0 No facilitator