Comprehensive Environmental Intervention for Cerebral Palsy Based on the International Classification of Functioning, Disability and Health

Abstract

The International Classification of Functioning, Disability and Health provides a useful model to guide the complex aspects of assessment for Assistive Technology. Evaluations based on the ICF help professionals to comprehend the patient’s needs and prioritize goals for intervention. The aim of this study was to demonstrate how to incorporate the ICF framework in the treatment of a patient with severe Cerebral Palsy, with particular focus on Environment Factors, mainly Assistive Technologies to achieve optimal functioning. The study design was single-case interventional type. The study variables were the Environmental Factors included in the ICF Core Sets for children with CP. These factors were evaluated with the ICF-based tools and other standardized measures. After the assessment, the rehabilitation team designed a Comprehensive Environmental Intervention, which consisted in Assistive Technologies implementation and environmental modifications. At the end of intervention, the patient’s achievements were considerable, with improvements on six ICF Categories related to environmental factors.