Projecting and programming rehabilitation based on ICF-CY format in a neuropediatric hospital unit.

ABSTRACT

OBJECTIVE: To follow-up the impact of a format based upon the International Classification of Functioning Disability and Health, version for children and youth (ICF-CY) as a roadmap for in-hospital pediatric neuro-rehabilitation. DESIGN: Longitudinal study in a single Centre testing with impact assessment. SUBJECTS/PATIENTS The team members of a tertiary care pediatric neuro-rehabilitation unit approaching 88 consecutive patients with various physical and/or neurological conditions. METHODS: A revised version of the protocol ICF-CY based format for rehabilitation projecting and programming was applied for 24 months. Impact on the rehabilitation team was assessed with an ad hoc questionnaire. RESULTS: Fifteen questionnaires were returned, all of them reporting strongly positive judgements. Time constraint was no longer considered the main problem, probably because of a learning effect. Ongoing utilization reduced the time needed and the problems perceived in completing the task. CONCLUSION: This application confirmed that ICF contribute to improve the quality of interdisciplinary work and to share the rehabilitation process between team members and family. Indeed ICF-CY works efficiently as a roadmap for in-hospital pediatric neuro-rehabilitation. Its implementation results in perceived improvements in the process, ongoing utilization reduces the time needed and the problems encountered in completing the task.