The document discusses the International Classification of Functioning, Disability, and Health (ICF) as a framework for measuring health and disability at both individual and population levels. It emphasizes the complexity of disability, the need for a shift from hospital care to community-based services, and defines key terms related to body structure, function, activity, and participation. Additionally, it highlights contextual factors that influence health outcomes, such as environmental and personal factors.

1. Introduction
about
International Classification of
Functioning, Disability and
Health
Suvarna Ganvir
Professor
DVVPF’s College of Physiotherapy,
Ahmednagar

2. Contents
• Why ICF
• Application of ICF
• Definition of terms used in ICF along with
examples

3. ICF
What
Why ?
How
Where
Who

4. Without ICF
• Assessment/ Examination
• Of different systems –
Musculoskeletal/Neuromuscular /
Cardiovascular/Community
• Where is the patient?

5. What does ICF do
Different
Systems
Patient as
a whole

6. Shoulder
flexion ,
Abduction
Elbow
flexion
Combing
the hairs.

7. What is ICF?
• WHO framework for measuring health and
disability at both individual and population
levels.
• Provides a standard language and framework for
the description of health and health-related
states.

8. • Disability is a complex phenomena that is both a
problem at the level of a person's body, and a
complex and primarily social phenomena.
• Shift in the focus from hospital-based acute care
to community-based long-term services for
chronic conditions.

9. • Diagnosis alone does not predict service needs,
length of hospitalization, level of care or
functional outcomes.
• Hence other aspects needs to be considered.

10. • The units of ICF classification are categories
within health and health-related domains.
• The ICF classifies physiological (including
psychological) functions, anatomical structures,
actions, tasks, areas of life, and external
influences.

11. • ICF provides a framework for the description of
human functioning and disability and for the
documentation, organisation and analysis of this
information.

13. Body structure
• Body Structures are anatomical parts of the body
such as organs, limbs and their components.

14. Body function
• Body Functions are physiological functions of body
systems (including psychological functions).

15. • Impairments are problems in body function or
structure such as a significant deviation or loss.
• Impairments of structure – anomaly, defect, loss
or significant deviation
• Impairments of function – deviation form
physiological function of the body.

16. • Impairments –
• Temporary or permanent, progressive,
regressive or static, intermittent or continuous.
• Cause of impairment itsself may not explain the
extent of impairment in certain situations.

17. Activity
• Activity is the execution of a task or action by an
individual.
• Activity Limitations are difficulties an individual
may have in executing activities.

18. Participation
• Participation is involvement in a life situation.
• Participation Restrictions are problems an
individual may experience in involvement in life
situations.

19. Contextual factors
• Environmental Factors make up the physical,
social and attitudinal environment in which people
live and conduct their lives.
• Personal factors – individual characteristics that
may not be a direct part of the disease process.

20. • Environmental factors
• Individual – immediate environment : home ,
workplace and school.
• Societal – formal and informal societal
structures, health system approaches, health
systems in the community.

25. •Thank you!!
•suvarna.ganvir@gmail.com