Practical application of the International classification of functioning during medical and social expertise of a child with cerebral palsy

Authors

DOI:

https://doi.org/10.14739/2310-1210.2022.1.230309

Keywords:

children, cerebral palsy, IСF, assessment tools, medical and social examination

Abstract

The aim of the work is to assess the degree of dysfunction and limitation in daily life activities in a child with cerebral palsy, to provide an expert opinion for medical and social expertise by Medical Supervisory Committee (MSC) in accordance with the principles of the International Classification of Functioning, Disability and Health (ICF).

Materials and methods. A clinical example of measuring the degree of disability of the cerebral palsy child in accordance with the ICF principles using standardized tools for functional status assessment and the ICF Categorical Profile. International standardized scales recommended by the international expert group to be applied for cerebral palsy children were used at the State Institution “Ukrainian Medical Center for Rehabilitation of Children with Organic Nervous System Disorders of Ministry of Health”.

Results. During a comprehensive examination of the child with cerebral palsy, a multidisciplinary team of specialists determined the degree of body dysfunction and limitation in daily life activities as well as environmental effect influence on the level of functioning and social adjustment. Based on these findings, ICF Categorical Profile of the patient was formed capturing all spheres of his activity according to the functional state. Parents of the child received the medical conclusion based on the results of the examination for MSC expertise at the place of residence.

Conclusions. The IСF covers the whole complex of life activity and functioning of CP children and reflects all the changes associated with their growth, development and state of health, as distinct from the classical clinical examination of patients. Standardized tools for the assessment of the degree of dysfunction and life activity limitations in CP children allow to avoid controversies between specialists from different medical institutions during medical and social assessment and when making a rehabilitation diagnosis. Members of multidisciplinary rehabilitation team can timely identify and correct dysfunctions, provide early career guidance based on child functional capacity by using the IСF principles to assess life activity in CP children.

Author Biographies

O. V. Nazar, Shupyk National Healthcare University of Ukraine, Kyiv

MD, PhD, Associate Professor of the Department of Pediatric Neurology and Medical and Social Rehabilitation

O. V. Hdyria, Danylo Halytsky Lviv National Medical University, Ukraine

MD, PhD, Associate Professor of the Department of Rehabilitation and alternative Medicine

R. O. Moiseienko, Shupyk National Healthcare University of Ukraine, Kyiv

MD, PhD, DSc, Professor, Vice-Rector for Clinical Work, Professor of the Department of Pediatric Neurology and Medical and Social Rehabilitation

V. Yu. Martyniuk, Shupyk National Healthcare University of Ukraine, Kyiv

MD, PhD, Associate Professor, Head of the Department of Pediatric Neurology and Medical and Social Rehabilitation

O. A. Vladymyrov, Shupyk National Healthcare University of Ukraine, Kyiv

MD, PhD, DSc, Professor, Head of the Department of Physical and Rehabilitation Medicine and Sports Medicine

References

Bakalyuk, T. G., Golyachenko, A. O., Stelmakh, H. O., & Golyachenko, O. A. (2019). Mizhnarodna klasyfikatsiia funktsionuvannia, obmezhen zhyttiediialnosti ta zdorov’ia v upravlinni reabilitatsiieiu [International classification of functioning, disability and health in rehabilitation management]. Visnyk sotsialnoi hihiieny ta orhanizatsii okhorony zdorov’ia Ukrainy, (4), 36-39. https://doi.org/10.11603/1681-2786.2019.4.10946 [in Ukrainian].

Ipatov, A. V., Khaniukova, I. Ya., Panina, S. S., Sanina, N. A., & Hondulenko, N. O. (2018). Mizhnarodna klasyfikatsiia funktsionuvannia yak chastyna suchasnoi modeli nadannia medyko-sotsialnoi dopomohy [International classification of functioning as a part of the modern model of medical and social care]. Ukrainskyi visnyk medyko-sotsialnoi ekspertyzy, (1), 16-21. [in Ukrainian].

Vladimirov, O. A., & Golyk, V. A. (2017). Nova likarska spetsialnist v Ukraini - likar fizychnoi i reabilitatsiinoi medytsyny [New medicine specialty in Ukraine - physician of physical and rehabilitation medicine]. Ukrainskyi zhurnal fizychnoi i reabilitatsiinoi medytsyny, (1), 11-20. [in Ukrainian].

Osipov, V. (2019). Osoblyvosti pidhotovky maibutnikh fizychnykh terapevtiv do profesiinoi diialnosti v umovakh reformuvannia systemy medychnoi reabilitatsii v Ukraini [Features of future physical therapists’ training to professional activity in the conditions of medical rehabilitation system reform in Ukraine]. Naukovi zapysky Berdianskoho derzhavnoho pedahohichnoho universytetu. Seriia: Pedahohichni nauky, (2), 241-250. https://doi.org/10.31494/2412-9208-2019-1-2 [in Ukrainian].

Cabinet of Ministers of Ukraine. (2013, November 21). Deiaki pytannia vstanovlennia likarsko-konsultatyvnymy komisiiamy invalidnosti ditiam [Some issues of establishing disability for children by medical advisory commissions (No. 917)]. https://zakon.rada.gov.ua/laws/show/917-2013-%D0%BF#Text

Agency for Clinical Innovation. (2018, March 14). Management of Cerebral Palsy in Children: A Guide for Allied Health Professionals. https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/GL2018_006.pdf

Semenova, E. V., Klochkova, E. V., Korshikova-Morozova, A. E., Trukhacheva, A. V., & Zablotskis, E. Yu. (2018). Reabilitatsiya detei s DTsP: obzor sovremennykh podkhodov v pomoshch' reabilitatsionnym tsentram [Rehabilitation of children with infantile cerebral palsy: a review of modern approaches to help rehabilitation centers]. Lepta Kniga. [in Russian].

Martyniuk, V. Yu., & Nazar, O. V. (2016). Unifikovanyi klinichnyi protokol «Tserebralnyi paralich ta inshi orhanichni urazhennia holovnoho mozku u ditei, yaki suprovodzhuiutsia rukhovymy porushenniamy». Chastyna I [Unified Clinical Protocol «Cerebral palsy and other organic brain lesions in children, accompanied by movement disorders». Part I]. Sovremennaya pediatriya, (3), 100-105. https://doi.org/10.15574/SP.2016.75.100 [in Ukrainian].

Schiariti, V., Tatla, S., Sauve, K., & O'Donnell, M. (2017). Toolbox of multiple-item measures aligning with the ICF Core Sets for children and youth with cerebral palsy. European Journal of Paediatric Neurology, 21(2), 252-263. https://doi.org/10.1016/j.ejpn.2016.10.007

Mäenpää, H., Autti-Rämö, I., Varho, T., Forsten, W., & Haataja, L. (2017). Multiprofessional evaluation in clinical practice: establishing a core set of outcome measures for children with cerebral palsy. Developmental Medicine & Child Neurology, 59(3), 322-328. https://doi.org/10.1111/dmcn.13289

Schiariti, V., Selb, M., Cieza, A., & O'Donnell, M. (2015). International Classification of Functioning, Disability and Health Core Sets for children and youth with cerebral palsy: a consensus meeting. Developmental Medicine & Child Neurology, 57(2), 149-158. https://doi.org/10.1111/dmcn.12551

Bickenbach, J., Cieza, A., Selb, M., & Stucki, G. (Eds.). (2021). ICF Core Sets: Manual for Clinical Practice (2nd ed.). Hogrefe Publishing.

Published

2022-01-26

How to Cite

1.
Nazar OV, Hdyria OV, Moiseienko RO, Martyniuk VY, Vladymyrov OA. Practical application of the International classification of functioning during medical and social expertise of a child with cerebral palsy. Zaporozhye Medical Journal [Internet]. 2022Jan.26 [cited 2024Nov.24];24(1):132-7. Available from: http://zmj.zsmu.edu.ua/article/view/230309

Issue

Section

Case Reports