Documentation

in
Physiotherapy
 OUTLINE
OVERVIEW OF DISABLEMENT

DISABLEMENT AND PHYSIOTHERAPY

DISABLEMENT AND DOCUMENTATION

PHYSIOTHERAPY
 WHAT’S HEALTH?

• State of complete physical, mental,

social well-being, and not merely
the absence of disease.

HEAL
THPHYSIOTHERAPY
 DISABLEMENT
• The consequences of disease are Disablement.

• ICF – International classification of functioning, disability and health Is

a Disablement’s Framework.

• Based on BIOPSYCHOSOCIAL MODEL.

• ANATOMICAL AND PHYSIOLOGICAL IMPAIRMENTS, Physical

functioning (task and social roles) and contextual factors (individual and
external factors).
PHYSIOTHERAPY
Definitions by ICF
ACTIV
ITY
COMPLETION OF A Functioning
TASK
BY AN INDIVIDUAL. Encompasses body
functions, activities
and participation
Participation

INVOLVEMENT IN
LIFE SITUATIONS.

PHYSIOTHERAPY
 IMPAIRMENT
• CAN BE PERMANENT OR
• A problem with the body function TEMPORARY;
(Physiology or psychological).
• PROGRESSIVE, REGRESSIVE OR
STATIC;
• A structure (limb or organ) such as
deviation from the normal
• INTERMITTENT OR CONTINOUS;

• May be directly related to health • SLIGHT OR SEVERE;

conditions or any impairments
(Postural abnormalities due to muscle • FLUNCTUATING.
imbalance)
PHYSIOTHERAPY
 ACIVITITY PARTICIPATION
LIMITATIONS RESTRICTIONS

• DIFFICULTES THAT MIGHT BE

ENCOUNTERED BY AN • Problems an individual
INDIVIDUAL WHO IS ATTEMPTING might face while involved
TO COMPLETE A TASK OR CARRY in a life situation.
OUT AN ACTIVITY

PHYSIOTHERAPY
DISABILITY

• Encompasses impairments,

• Activity limitations,

• and Participation restrictions.

PHYSIOTHERAPY
 INTEGRATION DISABLEMENT INTO
PHYSIOTHERAPY DOCUMENTATION
• Document tests and measures to identify impairments, activity
limitations and participation restrictions.

• Describes how the impairment(s) are contributing to activity

limitation(s) and participation restriction(s).

• Describes how intervention bring about change(s) in activity

limitation(s) and participation restriction(s).

PHYSIOTHERAPY
 DISABLEMENT AND DOCUMENTATION

• Examination must go beyond impairment level to identify the consequences of

disease,

• And therapist must appreciate how the patient’s ability to function have been
compromised.

PHYSIOTHERAPY