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Anwendung der ICF in der rheumatologischen Rehabilitation

Using the International Classification of Functioning, Disability, and Health in rheumatologic rehabilitation

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Zusammenfassung

Die von der WHO entwickelte Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) bietet einen Rahmen und eine Klassifikation zur umfassenden Beschreibung von Funktionsfähigkeit und Behinderung bei rheumatologischen Patienten. Sie kann als gemeinsame Sprache die Kommunikation zwischen Ärzten, Therapeuten, Wissenschaftlern, Patienten und weiteren Personengruppen verbessern. Die ICF basiert auf einem integrativen bio-psycho-sozialen Modell der Funktionsfähigkeit. Zur Implementierung der ICF in der Rheumatologie und in der Medizin im Allgemeinen sind praktikable ICF-basierte Instrumente wie die ICF Core Sets notwendig. Die in einem standardisierten wissenschaftlichen Prozess entwickelten ICF Core Sets umfassen die Kategorien der ICF, welche für eine bestimmte Patientengruppe im chronischen Stadium, z. B. für Patienten mit rheumatoider Arthritis, besonders relevant sind. In der rheumatologischen Rehabilitation können durch Verwendung der ICF, der ICF Core Sets und eines ICF-Assessment-Blattes Patientenprobleme, Befunde, Therapieziele und Therapiekonzeption einheitlich strukturiert werden. In der Ergebnisforschung erlauben die ICF Core Sets eine Orientierung bei der Festlegung relevanter Zielparameter.

Abstract

The International Classification of Functioning, Disability, and Health (ICF) created by the World Health Organization provides both a framework and a classification comprehensively covering domains of function and disability in rheumatologic patients. The ICF can be used as a universal language understood by medical doctors, health professionals, researchers, patients, and other groups. It is based on an integrative biopsychosocial model of functioning. For its implementation in rheumatology and medicine in general, practical ICF-based tools such as the ICF Core Sets are necessary. These Sets, which were developed in a standardized scientific process, consist of the ICF categories that are most relevant for a specific group of patients, e.g. chronic patients with rheumatoid arthritis. In rheumatologic rehabilitation, patient problems, medical findings, treatment goals, and treatment concepts can be structured by applying the ICF, ICF Core Sets, and an ICF assessment sheet to patients. In outcomes research, ICF Core Sets can support the selection of relevant outcome domains.

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Authors and Affiliations

  1. Klinik und Poliklinik für Physikalische Medizin und Rehabilitation, Klinikum der Universität München, Marchioninistr. 15, 81377, München, Deutschland

    M. Weigl & G. Stucki

  2. Institut für Gesundheits- und Rehabilitationswissenschaften, Ludwig-Maximilians-Universität München, München, Deutschland

    S.R. Schwarzkopf & G. Stucki

  3. Schweizer Paraplegiker Forschung, Nottwil, Schweiz

    G. Stucki

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  1. M. Weigl
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  2. S.R. Schwarzkopf
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  3. G. Stucki
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Correspondence to G. Stucki.

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Weigl, M., Schwarzkopf, S. & Stucki, G. Anwendung der ICF in der rheumatologischen Rehabilitation. Z. Rheumatol. 67, 565–574 (2008). https://doi.org/10.1007/s00393-008-0320-7

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  • DOI: https://doi.org/10.1007/s00393-008-0320-7

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