Occupational performance and application of the International Classification of Functioning (ICF) in a rehabilitation service

• Published in: Revista de salud pública (Bogotá, Colombia) Colombia), 2019-05, Vol.21 (3), p.307-316
• Main Authors: Alves, Mariana Thereza, Cavalcanti, Alessandra, Garavello, Ivânia, Kososki, Edinara, Martins Silva E Dutra, Fabiana Caetano
• Format: Article
• Language: Portuguese
• Subjects: Activities of Daily Living; Adolescent; Adult; Aged; Aged, 80 and over; Canada; Disability Evaluation; Disabled Persons - rehabilitation; Female; Humans; International Classification of Functioning, Disability and Health; Male; Middle Aged; Self Care; Young Adult
• ISSN: 0124-0064
• DOI: 10.15446/rsap.V21n3.76011

To describe the socio-demographic profile and analyze the occupational performance of users of a specialized rehabilitation service according to the International Classification of Functioning, Disability, and Health (ICF) model. Documentary and exploratory study, in which the medical records from 97 patients treated between 2013 and 2015, were assessed using the Canadian Occupational Performance Measure (COPM). The age range of the patients was 14-83 years (average of 48.4 years), the majority being women (57.7%), married (43.3%), and retired (39.2%). Most patients had less than eight years of schooling (42.3%); 80.4% were sedentary; 12.4% smokers and 19.6% regularly consumed alcoholic beverages. Rotator cuff syndrome, stroke, and upper limb fracture were the most frequent diagnoses. The mean of occupational performance was 4.28 points (SD=1.84), and performance satisfaction was 4.43 points (SD=2.41). There were difficulties in self-care activities, functional mobility, productive activities and leisure and recreational activities. Regarding the components of the ICF, the Mobility domain obtained the highest number of categories cited by the users. In contrast, the Personal Care domain received the highest number of complaints. The occupational performance of the patients presented more limitations in self-care and productive activities. The application of ICF to classify activities identified specific demands in five domains, Mobility, and Personal care being the most frequent. These results allow directing health actions towards the real needs of the patients and structuring professional practice.