The ICF-CY model as concept

for treatment
Eline Bolster MSc.
Pediatric physical therapist
PhD student
Teacher master pediatric physical therapy

Pediatric Rehabilitation
Model for treatment
Why do we need a model?
Medical model

•From a medical to a biopsychosocial view Disease

symptoms
Diagnosis cure
•From “cause” to consequences
•Description of how people deal with their health condition
•Broader scope than only looking at the disease Pathofysiology
•Uniformity in language

Etiology

Model for treatment

Aspects of health
Medical model
Cerebral Palsy
The medical diagnosis does not give information about the
health condition of a patient functions activity participation
The medical model does not give direction for treatment in
chronic conditions Muscle force Closing buttons Gymnastics
at school

External factors Personal factors

Helpful teacher at school Strong motivation
International Classification of Functioning,
Disability and Health for Children and Youth
(WHO, 2007)

1
 Examples
Goal setting
1. Jules plays footbal with his friends outside
2. Jules m.soleus length lies within a normal range § Main goal focus on activity / participation level
3. Jules walks 10 steps with his orthesis

need need need Activities

Example parents child team Participation

Principle problem: ability level! assessment

John can not walk without support outside (activity)

treatment goal Participation

Principle goal (long term): Activities

John walks to school independently (participation) treatment options Body functions

Participation
Treatment goals child short term (3-6 mth)
activities
treatment plan
John walks 20 steps outsides without support (activity)

Body functions
treatment Act/participation

Participation
Activities
evaluation
Body functions

Take home message

1. Use the ICF to structure information

2. Set treatment goals on activity / participation level