Introduction to the International Classification of Functioning, Disability and Health (ICF): Difference between revisions

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The following categories of impairments were listed in the manual: intellectual , other psychological, language, aural, ocular, visceral, skeletal, disfiguring, general, sensory and other.<ref name=":1" />
The following categories of impairments were listed in the manual: intellectual , other psychological, language, aural, ocular, visceral, skeletal, disfiguring, general, sensory and other.<ref name=":1" />


A disability is considered "any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being".<ref name=":1" />Classification of ''disabilities'' reflected:
A disability was considered "any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being".<ref name=":1" />Classification of ''disabilities'' reflected:


* individual's functional performance  
* individual's functional performance  
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Nine categories of disability included: behaviour, communication, personal care, locomotor, body disposition, dexterity, situational, particular skill, and other activity restrictions.
Nine categories of disability included: behaviour, communication, personal care, locomotor, body disposition, dexterity, situational, particular skill, and other activity restrictions.


''Handicaps'' was defined as "the disadvantages experienced by the individual as a result of impairments and disabilities (‎interaction of the individual with the environment)"‎.<ref name=":1">World Health Organization. [https://apps.who.int/iris/bitstream/handle/10665/41003/9241541261_eng.pdf?sequence=1&isAllowed=y International classification of impairments, disabilities, and handicaps: a manual of classification relating to the consequences of disease, published in accordance with resolution WHA29]. 35 of the Twenty-ninth World Health Assembly, May 1976. World Health Organization; 1980.</ref>
''Handicaps'' was defined as "the disadvantages experienced by the individual as a result of impairments and disabilities that limits or prevents the fulf1lment of a role that is normal (depending on age, sex, and social and cultural factors) for that individual"‎.<ref name=":1">World Health Organization. [https://apps.who.int/iris/bitstream/handle/10665/41003/9241541261_eng.pdf?sequence=1&isAllowed=y International classification of impairments, disabilities, and handicaps: a manual of classification relating to the consequences of disease, published in accordance with resolution WHA29]. 35 of the Twenty-ninth World Health Assembly, May 1976. World Health Organization; 1980.</ref>There were two dimensions of handicap listed in the manual: survival role, with six keys dimensions, and other.
 
Six major survival roles included: orientation, physical independence, mobility, occupation, social integration, and economic self-sufficiency.


=== ICIDH-2 ===
=== ICIDH-2 ===
The new factors in the ICIDH-2 include a dimension for participation in social activities and a listing of environmental factors that are important for understanding the complexity of disability.<ref>Gray DB, Hendershot GE. The ICIDH-2: developments for a new era of outcomes research. Arch Phys Med Rehabil. 2000 Dec;81(12 Suppl 2):S10-4.</ref>


== WHO-FIC ==
== WHO-FIC ==

Revision as of 23:18, 18 June 2022

This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (20/06/2022)

Original Editor - Ewa Jaraczewska based on the course by Patricia Saleeby

Top Contributors - Ewa Jaraczewska, Jess Bell, Kim Jackson, Tarina van der Stockt and Robin Tacchetti  

Introduction[edit | edit source]

Model of disability which has been systematically developed by The World Health Organization (WHO) is based on the ongoing interaction between ones health and contextual factors. This model acknowledges that disability is a universal human experience, is etiologically neutral, and it lies on a continuum from no disability to complete disability.[1]The contextual factors affecting person's health include real-life environment, social interactions, and social participations.[1]Every healthcare personel need to understand and appreciate that patient perceives his health through the lenses of his daily life impacted by the environment.[1]This course provides an introduction to the International Classification of Functioning, Disability, and Health (ICF) and review the changes and progress in conceptualising and measuring disability.

International Classification of Impairment, Disability and Handicaps (ICIDH)[edit | edit source]

International Classification of Impairment, Disability and Handicaps known as ICIDH, was published by the World Health Organization in 1980. It was a manual containing the classification related to the consequences of disease, injuries, and other disorders, as well as a framework for health-related information.[2]

According to ICIDH manual, "an impairment is any loss or abnormality of psychological, physiological, or anatomical structure or function". [3]Classification of impairments reflected:

  • abnormalities of body structure (temporary or parmanent)
  • appearance or disturbances at the level of the organ or system function resulting from any cause

The following categories of impairments were listed in the manual: intellectual , other psychological, language, aural, ocular, visceral, skeletal, disfiguring, general, sensory and other.[3]

A disability was considered "any restriction or lack (resulting from an impairment) of ability to perform an activity in the manner or within the range considered normal for a human being".[3]Classification of disabilities reflected:

  • individual's functional performance
  • activity by the individual

Nine categories of disability included: behaviour, communication, personal care, locomotor, body disposition, dexterity, situational, particular skill, and other activity restrictions.

Handicaps was defined as "the disadvantages experienced by the individual as a result of impairments and disabilities that limits or prevents the fulf1lment of a role that is normal (depending on age, sex, and social and cultural factors) for that individual"‎.[3]There were two dimensions of handicap listed in the manual: survival role, with six keys dimensions, and other.

Six major survival roles included: orientation, physical independence, mobility, occupation, social integration, and economic self-sufficiency.

ICIDH-2[edit | edit source]

The new factors in the ICIDH-2 include a dimension for participation in social activities and a listing of environmental factors that are important for understanding the complexity of disability.[4]

WHO-FIC[edit | edit source]

International Classification of Disease (ICD-11)[edit | edit source]

International Classification of Functioning, Disability, and Health (ICF)[edit | edit source]

Components of ICF[edit | edit source]

Categories for Each Component[edit | edit source]

Resources[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 1.2 Cieza A, Sabariego C, Bickenbach J, Chatterji S. Rethinking disability. BMC medicine. 2018 Dec;16(1):1-5.
  2. Saleeby P. Introduction to Introduction to the International Classification of Functioning, Disability, and Health (ICF) Course. Physioplus 2022.
  3. 3.0 3.1 3.2 3.3 World Health Organization. International classification of impairments, disabilities, and handicaps: a manual of classification relating to the consequences of disease, published in accordance with resolution WHA29. 35 of the Twenty-ninth World Health Assembly, May 1976. World Health Organization; 1980.
  4. Gray DB, Hendershot GE. The ICIDH-2: developments for a new era of outcomes research. Arch Phys Med Rehabil. 2000 Dec;81(12 Suppl 2):S10-4.