Advertisement

Journal of Occupational Rehabilitation

, Volume 23, Issue 1, pp 106–114 | Cite as

Vocational Rehabilitation Evaluation and the International Classification of Functioning, Disability, and Health (ICF)

  • Mikhail SaltychevEmail author
  • Aila Kinnunen
  • Katri Laimi
Article

Abstract

Purpose To identify the most frequent functional limitations according to the International Classification of Functioning, Disability, and Health (ICF) obtained by unstandardised clinical assessment of patients with chronic musculoskeletal disorders who underwent vocational rehabilitation evaluation; and to compare the obtained list with simplified versions of ICF. Methods The descriptions of functional limitations were retrospectively identified for 32 patients. The original vocational rehabilitation evaluation was conducted by a multi-professional team in an out-patient clinic of a university hospital. The obtained descriptions were converted to ICF codes, the most frequent being compared with the ICF Checklist of the World Health Organization (WHO) and the ICF Comprehensive and Brief Core Sets suggested by the ICF Research Branch. Results In the study population (53 % women), 141 ICF codes were identified with a preciseness of three or more digits, the average being 21 codes/subject (median 20.0, range 9–40). When truncated to three digits, 84 ICF codes remained (average 18 codes/subject, range 9–25), 45 of which appeared in over 10 % of the study population, 24 also being found in the ICF Comprehensive, 5 in the ICF Brief Core Sets, and 33 in the WHO ICF Checklist. Conclusions The list of most frequent ICF codes retrospectively obtained in this study from unstandardised records showed a similarity with ICF Comprehensive and Brief Core Sets by ICF Research Branch and the ICF Checklist by WHO, but with a bias towards the identification of body structures and functions. The results support the use of ICF in vocational rehabilitation evaluation to ensure comprehensiveness of evaluation. The ICF Comprehensive Core Set seems to be the most useful for the needs of multiprofessional team when assessing functioning of patients.

Keywords

Occupational rehabilitation Rehabilitation assessment Work ability Work capacity 

Notes

Acknowledgments

None.

Conflict of interest

None declared.

References

  1. 1.
    Chamberlain MA. Fialka Moser V, Schuldt Ekholm K, O’Connor RJ, Herceg M, Ekholm J. Vocational rehabilitation: an educational review. J Rehabil Med. 2009;41:856–69.PubMedCrossRefGoogle Scholar
  2. 2.
    Kuoppala J, Lamminpää A. Rehabilitation and work ability: a systematic literature review. J Rehabil Med. 2008;40:796–804.PubMedGoogle Scholar
  3. 3.
    OECD. Transforming disability into ability: policies to promote work and income security for disabled people. Paris: OECD Publication Service; 2003.Google Scholar
  4. 4.
    Ekholm J, Ekholm KS. Vocational rehabilitation. J Rehabil Med. 2009;41:113–4.PubMedCrossRefGoogle Scholar
  5. 5.
    ICF Research Branch in cooperation with the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI) [Internet]. [Updated 2012, cited 2012 July 30] Available from: ICF Research Branch homepage. http://www.icf-research-branch.org/.
  6. 6.
    World Health Organization (WHO). International classification of functioning, disability and health (ICF) [Internet]. Geneva: WHO; 2012 [cited 2012 July 30]. Available from: http://www.who.int/classifications/icf/en/.
  7. 7.
    World Health Organization (WHO). International classification of functioning, disability and health. Geneve: World Health Organisation; 2008.Google Scholar
  8. 8.
    Escorpizo R, Finger ME, Glassel A, Gradinger F, Luckenkemper M, Cieza A. A systematic review of functioning in vocational rehabilitation using the International Classification of Functioning, Disability and Health. J Occup Rehabil. 2011;21:134–46.PubMedCrossRefGoogle Scholar
  9. 9.
    Barnes C, Mercer G. Competing models and approaches. Exploring disability. 2nd ed. Cambridge: Polity Press; 2010. p. 14–42.Google Scholar
  10. 10.
    Oliver M, Barnes C. The importance of definitions in the disability debate. The new politics of disablement. 2nd ed. Basingstoke: Palgrave Macmillan; 2012. p. 11–31.Google Scholar
  11. 11.
    Peterson DB. International Classification of Functioning, Disability and Health: an Introduction for Rehabilitation Psychologists. Rehabilitation Psychology. 2005;50:105–12.CrossRefGoogle Scholar
  12. 12.
    Schuntermann MF. The implementation of the International Classification of Functioning, Disability and Health in Germany: experiences and problems. Int J Rehabil Res. 2005;28(2):93–102.PubMedCrossRefGoogle Scholar
  13. 13.
    Boonen A, Stucki G, Maksymowych W, Rat AC, Escorpizo R, Boers M. The OMERACT-ICF Reference Group: integrating the ICF into the OMERACT process: opportunities and challenges. J Rheumatol. 2009;36:2057–60.PubMedCrossRefGoogle Scholar
  14. 14.
    Helander E. A critical review of the “International Classification of Functioning, Disability and Health (ICF)”. Conference; Bucharest, Romania. 2003[Internet]. [cited 2012 July 2012]. Available from: http://www.einarhelander.com/critical-review-ICF.pdf.
  15. 15.
    World Health Organization (WHO). International classification of functioning, disability and health: short version: ICF (Who). Geneve: World Health Organization; 2001.Google Scholar
  16. 16.
    World Health Organization (WHO). ICF Checklist, version 2.1a, clinician form for international classification of functioning, disability and health. 2003 [Internet]. [cited 2012 July 2012]. Available from: http://www.who.int/classifications/icf/training/icfchecklist.pdf.
  17. 17.
    Roland M, Fairbank J. The Roland-Morris disability questionnaire and the oswestry disability questionnaire. Spine. 2000;25(Phila Pa 1976):3115–24.PubMedCrossRefGoogle Scholar
  18. 18.
    MacDermid JC, Walton DM, Avery S, Blanchard A, Etruw E, McAlpine C, et al. Measurement properties of the neck disability index: a systematic review. J Orthop Sports Phys Ther. 2009;39:400–17.PubMedGoogle Scholar
  19. 19.
    Wolfe F, Which HAQ. is best? A comparison of the HAQ, MHAQ and RA-HAQ, a difficult 8 item HAQ (DHAQ), and a rescored 20 item HAQ (HAQ20): analyses in 2,491 rheumatoid arthritis patients following leflunomide initiation. J Rheumatol. 2001;28:982–9.PubMedGoogle Scholar
  20. 20.
    Cooper RL, Taylor NF, Feller JA. A randomised controlled trial of proprioceptive and balance training after surgical reconstruction of the anterior cruciate ligament. Res Sports Med. 2005;13:217–30.PubMedCrossRefGoogle Scholar
  21. 21.
    Escorpizo R, Finger ME, Glassel A, Cieza A. An international expert survey on functioning in vocational rehabilitation using the International Classification of Functioning. Disability and Health. J Occup Rehabil. 2011;21:147–55.CrossRefGoogle Scholar
  22. 22.
    Escorpizo R, Gmunder HP, Stucki G. Introduction to special section: advancing the field of vocational rehabilitation with the International Classification of Functioning, Disability and Health (ICF). J Occup Rehabil. 2011;21:121–5.PubMedCrossRefGoogle Scholar
  23. 23.
    Finger ME, Escorpizo R, Glassel A, Gmunder HP, Luckenkemper M, Chan C, et al. ICF Core Set for vocational rehabilitation: results of an international consensus conference. Disabil Rehabil. 2012;34:429–38.PubMedCrossRefGoogle Scholar
  24. 24.
    Finger ME, Glassel A, Erhart P, Gradinger F, Klipstein A, Rivier G, et al. Identification of relevant ICF categories in vocational rehabilitation: a cross sectional study evaluating the clinical perspective. J Occup Rehabil. 2011;21:156–66.PubMedCrossRefGoogle Scholar
  25. 25.
    Pransky GS, Loisel P, Anema JR. Work disability prevention research: current and future prospects. J Occup Rehabil. 2011;21:287–92.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Mikhail Saltychev
    • 1
    • 2
    Email author
  • Aila Kinnunen
    • 2
  • Katri Laimi
    • 1
  1. 1.Department of Physical and Rehabilitation MedicineTurku University HospitalTurkuFinland
  2. 2.Department of RehabilitationTurku University HospitalTurkuFinland

Personalised recommendations