Base de dados : MEDLINE
Pesquisa : L01.453.245.945.450 [Categoria DeCS]
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[PMID]:29267414
[Au] Autor:Zanon D; Merceron K
[Ad] Endereço:Centre de Postcure Psychiatrique de l'association Psy'Activ, service Briords, Carquefou (44).
[Ti] Título:[Cognitive Functioning and Work Outcome Among People with Schizophrenia Spectrum Disorder: The Contribution of the International Classification of Functioning].
[Ti] Título:Le fonctionnement cognitif et le travail chez les personnes souffrant de troubles du spectre schizophrénique : l'apport de la Classification internationale du fonctionnement..
[So] Source:Sante Ment Que;42(2):71-85, 2017.
[Is] ISSN:0383-6320
[Cp] País de publicação:Canada
[La] Idioma:fre
[Ab] Resumo:Objectives Cognitive impairment can be a barrier to employment of people with a schizophrenia spectrum disorder (SSD). However, other factors have also been identified as potentially hindering work integration and job tenure. But the links between all these factors remain unknown. The objective of this article is to propound an integrative model, using the International Classification of Functioning (ICF), of how cognitive impairment associated with SSD is related to other factors involved in difficulties in work integration and job tenure.Methods The description of the theoretical framework of the ICF enables to organize these factors in a comprehensive model. Then, a review of recent literature allows us to identify factors associated with employment of people with SSD, and to see the link between cognitive functioning and other factors.Results Most of reviewed studies find moderate correlations or no correlation between cognitive impairments and work integration or job tenure. Stronger correlations were nevertheless found between cognitive factors and work behavior or performance. Considering other factors, like personal or environmental factors, and the framework of the ICF, a comprehensive view of the vocational rehabilitation for people with SSD is developed. Interactions between some personal (e.g. self-efficacy or self esteem) and environmental (e.g. job coach or layout of workstation) factors may influence the translation of cognitive difficulties into work participation restrictions.Conclusion Vocational rehabilitation programs should further consider the complexity of interactions between cognitive, personal and environmental factors, and how they impact work functioning. As defined in ICF, activity limitations may represent an interesting mediator between cognitive variables and work functioning. Future research should be conducted to bring a better understanding of these patterns of interactions.
[Mh] Termos MeSH primário: Cognição/classificação
Emprego
Reabilitação Vocacional
Esquizofrenia/classificação
Esquizofrenia/reabilitação
[Mh] Termos MeSH secundário: Seres Humanos
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171222
[St] Status:MEDLINE


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[PMID]:29173712
[Au] Autor:McNeilly LG
[Ad] Endereço:Speech-Language Pathology, American Speech-Language-Hearing Association, 2200 Research Boulevard, #229, Rockville, MD 20850-3289, USA. Electronic address: Lmcneilly@asha.org.
[Ti] Título:Using the International Classification of Functioning, Disability and Health Framework to Achieve Interprofessional Functional Outcomes for Young Children: A Speech-Language Pathology Perspective.
[So] Source:Pediatr Clin North Am;65(1):125-134, 2018 Feb.
[Is] ISSN:1557-8240
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The International Classification of Functioning, Disability and Health (ICF) framework is an excellent tool to facilitate the writing of functional goals for children who exhibit communication disorders and other developmental problems that require services from professionals in multiple therapeutic areas. The holistic view of children provides each professional with an approach that integrates how one's specific health conditions and contextual factors influence a child's functioning and participation in daily activities. This allows the interprofessional team to view the child as a person, recognizing how one need influences another within his or her environment.
[Mh] Termos MeSH primário: Transtornos da Comunicação/diagnóstico
Transtornos da Comunicação/terapia
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
Relações Interprofissionais
Equipe de Assistência ao Paciente
Patologia da Fala e Linguagem
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Transtornos da Comunicação/classificação
Metas
Seres Humanos
Avaliação de Resultados (Cuidados de Saúde)/métodos
Planejamento de Assistência ao Paciente
Pediatria
Fisioterapia
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171129
[Lr] Data última revisão:
171129
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


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[PMID]:28819494
[Au] Autor:Ray M; Wallace L; Mbuagbaw L; Cockburn L
[Ad] Endereço:University of Toronto, Department of Occupational Science & Occupational Therapy, Toronto, Canada.
[Ti] Título:Functioning and disability in recent research from Cameroon: a narrative synthesis.
[So] Source:Pan Afr Med J;27:73, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: People living with disabilities in Cameroon face many barriers to daily functioning and social participation. However, there is limited research on disabilities and their impact. We sought to examine the research related to disability from Cameroon. METHODS: We conducted a systematic review, bibliometric analysis, and narrative synthesis of research related to disability, functioning, and social participation from Cameroon published during 2005-2014. The articles were screened in duplicate to identify articles addressing impacts of disability on functioning. Disability was contextualized using the International Classification of Functioning, Disability and Health (ICF) framework. Data were analyzed narratively per identified themes using an inductive data-driven approach. RESULTS: A total of 46 studies were included following full-text review of which 36 addressed non-communicable diseases and conditions, 7 addressed infectious diseases and 3 addressed neglected tropical diseases. Among ICF Activity and Participation Restrictions, work and employment was the highest reported category (19 studies), followed by intimate relationships (14 studies), and looking after one's health (8 studies). Among ICF Environmental Factors, societal attitudes were the highest reported category (21 studies), followed by health services, systems and policies (14 studies) and support and relationships (11 studies). Among other common themes, knowledge and awareness was the highest reported category (22 studies), closely followed by traditional beliefs (20 studies) and financial barriers (9 studies). CONCLUSION: There is a small body of primary research from Cameroon on disability. The main themes related to disability are stigma, limited knowledge and awareness, poor quality of care and hindered employment opportunities. Further efforts are required to investigate the complexities of living with a disability in Cameroon and strategies to enhance adequate participation in activities of daily life.
[Mh] Termos MeSH primário: Avaliação da Deficiência
Pessoas com Deficiência
Projetos de Pesquisa
[Mh] Termos MeSH secundário: Atividades Cotidianas
Camarões
Emprego
Seres Humanos
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
Participação Social
Estigma Social
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170904
[Lr] Data última revisão:
170904
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170819
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.73.12167


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[PMID]:28579189
[Au] Autor:Güeita-Rodríguez J; García-Muro F; Cano-Díez B; Rodríguez-Fernández ÁL; Lambeck J; Palacios-Ceña D
[Ad] Endereço:Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Rey Juan Carlos University, Alcorcón, Madrid, Spain. Electronic address: javier.gueita@urjc.es.
[Ti] Título:Identification of intervention categories for aquatic physical therapy in pediatrics using the International Classification of Functioning, Disability and Health-Children and Youth: a global expert survey.
[So] Source:Braz J Phys Ther;21(4):287-295, 2017 Jul - Aug.
[Is] ISSN:1809-9246
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To identify intervention categories encountered by physical therapists working in aquatic therapy with disabled children, using the International Classification of Functioning, Disability and Health-Children and Youth (ICF-CY). METHODS: Aquatic physical therapists were asked to describe concepts related to the functioning of disabled children and their contextual factors. Data were collected in three rounds using the Delphi technique. All answers were translated ('linked') to the ICF-CY and analyzed to determine the degree of consensus. RESULTS: Answers were linked and organized into four diagnostic groups. Overall, in the four groups, 41 Body Functions, 8 Body Structures, 36 Activities and Participation, and 6 Environmental Factors categories were identified as intervention targets. In addition, 8 Environmental Factors that influence aquatic physical therapy were identified. CONCLUSIONS: This study highlights the variety of intervention categories available to aquatic physical therapists when treating children in the water.
[Mh] Termos MeSH primário: Crianças com Deficiência/reabilitação
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
Fisioterapeutas/normas
Modalidades de Fisioterapia/normas
Água/fisiologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Seres Humanos
Pediatria
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
059QF0KO0R (Water)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171020
[Lr] Data última revisão:
171020
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170606
[St] Status:MEDLINE


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Zanolli, Maria de Lurdes
[PMID]:28538828
[Au] Autor:Ostroschi DT; Zanolli ML; Chun RYS
[Ad] Endereço:Universidade Estadual de Campinas - UNICAMP - Campinas (SP), Brasil.
[Ti] Título:Families' perception of children / adolescents with language impairment through the International Classification of Functioning, Disability, and Health (ICF-CY).
[Ti] Título:Percepção de familiares de crianças e adolescentes com alteração de linguagem utilizando a Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF-CJ)..
[So] Source:Codas;29(3):e20160096, 2017 May 22.
[Is] ISSN:2317-1782
[Cp] País de publicação:Brazil
[La] Idioma:por; eng
[Ab] Resumo:Purpose: To investigate the perception of family members regarding linguistic conditions and social participation of children and adolescents with speech and language impairments using the International Classification of Functioning, Disability and Health - Children and Youth Version (ICF-CY). Methods: Quali-quantitative approach research, in which a survey of medical records of 24 children/adolescents undergoing speech-language therapy and interviews with their family members was conducted. A descriptive analysis of the participants' profiles was performed, followed by a categorization of responses using the ICF-CY. Results: All family members mentioned various aspects of speech/language categorized by the ICF-CY. Initially, they approached it as an organic issue, categorized under the component of Body Functions and Structures. Most reported different repercussions of the speech-language impairments on the domains, such as dealing with stress and speaking, qualified from mild to severe. Participants reported Environmental Factors categorized as facilitators in the immediate family's attitudes and as barriers in the social attitudes. Conclusion: These findings, according to the use of the ICF-CY, demonstrate that the children/adolescents' speech-language impairments, from the families' perception, are primarily understood in the body dimension. However, guided by a broader approach to health, the findings in the Activities and Participation and Environmental Factors demonstrate a broader understanding of the participants of the speech-language impairments. The results corroborate the importance of using the ICF-CY as a health care analysis tool, by incorporating functionality and participation aspects and providing subsidies for the construction of unique therapeutic projects in a broader approach to the health of the group studied.
[Mh] Termos MeSH primário: Avaliação da Deficiência
Crianças com Deficiência/classificação
Classificação Internacional de Funcionalidade, Incapacidade e Saúde/instrumentação
Transtornos da Linguagem/classificação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Criança
Feminino
Seres Humanos
Entrevistas como Assunto
Transtornos da Linguagem/terapia
Masculino
Percepção
Relações Profissional-Família
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170630
[Lr] Data última revisão:
170630
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE


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[PMID]:28427359
[Au] Autor:Kong KA; Khang YH; Cho HJ; Jang SM; Jung-Choi K
[Ad] Endereço:Department of Preventive Medicine, Ewha Womans University School of Medicine, Seoul, Korea.
[Ti] Título:Neo-Marxian social class inequalities in self-rated health among the employed in South Korea: the role of material, behavioral, psychosocial, and workplace environmental factors.
[So] Source:BMC Public Health;17(1):345, 2017 Apr 20.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of this study was to examine the pattern of social inequality in self-rated health among the employed using the Wright's social class location indicator, and to assess the roles of material, behavioral, psychosocial, and workplace environmental factors as mediating factors in explaining the social class inequality in self-rated health in South Korea. METHODS: This study used data from the 4th Korea National Health and Nutrition Examination Survey from 2007 to 2009. Study subjects included the employed population of 4392 men and 3309 women aged 19-64 years. Subjects were classified into twelve social class positions based on the Wright's social class map. The health outcome was self-rated health. Material, psychosocial, behavioral, and workplace environmental factors were considered as potential mediators in explaining social class health inequality. We calculated prevalence ratios of poor self-rated health according to social class, adjusted for age and mediating factors using Poisson regression models. RESULTS: Nonskilled workers and petty bourgeoisie reported worse self-rated health than other social classes among men. The age-adjusted prevalence of petty bourgeoisie and nonskilled workers were about four-fold greater than that of managers. Expert supervisors in the contradictory class location had a greater prevalence of poor self-rated health than experts in men. In women, the prevalence of poor self-rated health was greater in most social classes than their male counterparts, while the differences among social classes within women were not statistically significant. Workplace environmental factors explained the social class inequality by from 24 to 31% in nonskilled and skilled workers and nonskilled supervisors, respectively, and material factors showed an explanatory ability of about 8% for both nonskilled workers and petty bourgeoisie in men. CONCLUSIONS: We showed the inequality in self-rated health according to the Wright's social class in an industrialized Asian country. Policy efforts to improve workplace environments in nonskilled and skilled workers and nonskilled supervisors would have a moderate effect on reducing the magnitude of social class inequality in self-rated health. Furthermore, the means to improve power relations in the workplace should be devised to further reduce the social class inequalities in health.
[Mh] Termos MeSH primário: Emprego/psicologia
Emprego/estatística & dados numéricos
Disparidades nos Níveis de Saúde
Classe Social
Fatores Socioeconômicos
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
Masculino
Meia-Idade
Inquéritos Nutricionais
Prevalência
República da Coreia/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170422
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4269-9


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[PMID]:28395672
[Au] Autor:Chudyk AM; McKay HA; Winters M; Sims-Gould J; Ashe MC
[Ad] Endereço:Centre for Hip Health and Mobility, 7th floor-2635 Laurel Street, Vancouver, BC, V5Z 1M9, Canada. anna.chudyk@hiphealth.ca.
[Ti] Título:Neighborhood walkability, physical activity, and walking for transportation: A cross-sectional study of older adults living on low income.
[So] Source:BMC Geriatr;17(1):82, 2017 Apr 10.
[Is] ISSN:1471-2318
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Walking, and in particular, outdoor walking, is the most common form of physical activity for older adults. To date, no study investigated the association between the neighborhood built environment and physical activity habits of older adults of low SES. Thus, our overarching aim was to examine the association between the neighborhood built environment and the spectrum of physical activity and walking for transportation in older adults of low socioeconomic status. METHODS: Cross-sectional data were from the Walk the Talk Study, collected in 2012. Participants (n = 161, mean age = 74 years) were in receipt of a rental subsidy for low income individuals and resided in neighbourhoods across Metro Vancouver, Canada. We used the Street Smart Walk Score to objectively characterize the built environment main effect (walkability), accelerometry for objective physical activity, and the Community Healthy Activities Model Program for Seniors (CHAMPS) questionnaire to measure walking for transportation. We used regression analyses to examine associations of objectively measured physical activity [total volume, light intensity and moderate intensity physical activity (MVPA)] and self-reported walking for transportation (any, frequency, duration) with walkability. We adjusted analyses for person- and environment-level factors associated with older adult physical activity. RESULTS: Neighbourhood walkability was not associated with physical activity volume or intensity and self-reported walking for transportation, with one exception. Each 10-point increase in Street Smart Walk Score was associated with a 45% greater odds of any walking for transportation (compared with none; OR = 1.45, 95% confidence interval = 1.18, 1.78). Sociodemographic, physical function and attitudinal factors were significant predictors of physical activity across our models. CONCLUSIONS: The lack of associations between most of the explored outcomes may be due to the complexity of the relation between the person and environment. Given that this is the first study to explore these associations specifically in older adults living on low income, this study should be replicated in other settings.
[Mh] Termos MeSH primário: Planejamento Ambiental
Exercício
Pobreza/estatística & dados numéricos
Transportes
Caminhada
[Mh] Termos MeSH secundário: Acelerometria/métodos
Idoso
Canadá/epidemiologia
Estudos Transversais
Planejamento Ambiental/normas
Planejamento Ambiental/estatística & dados numéricos
Feminino
Seres Humanos
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
Masculino
Limitação da Mobilidade
Distribuição Espacial da População/estatística & dados numéricos
Autorrelato
Inquéritos e Questionários
Transportes/métodos
Transportes/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170601
[Lr] Data última revisão:
170601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170412
[St] Status:MEDLINE
[do] DOI:10.1186/s12877-017-0469-5


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[PMID]:28300953
[Au] Autor:Santana MT; Chun RY
[Ad] Endereço:Universidade Federal de Sergipe - UFS - Sergipe (SE), Brasil.
[Ti] Título:Language and functionality of post-stroke adults: evaluation based on International Classification of Functioning, Disability and Health (ICF).
[Ti] Título:Linguagem e funcionalidade de adultos pós-Acidente Vascular Encefálico (AVE): avaliação baseada na Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF)..
[So] Source:Codas;29(1):e20150284, 2017 Mar 09.
[Is] ISSN:2317-1782
[Cp] País de publicação:Brazil
[La] Idioma:por; eng
[Ab] Resumo:Purpose: Cerebrovascular accident is an important Public Health problem because of the high rates of mortality and sequelae such as language disorders. The conceptual health changes have led to the incorporation of functional and social aspects in the assessments as proposed by the World Health Organization in the International Classification of Functioning, Disability and Health. The purpose was to evaluate and classify language aspects, functionality and participation of post-stroke individuals based on the concepts of the International Classification of Functioning, Disability and Health and characterize the sociodemographic profile of participants. Methods: Data collection was carried out through the application of a clinical instrument to evaluate language, participation and functionality in fifty individuals based on the International Classification of Functioning, Disability and Health. Results: The age of the participants varied between 32 and 88 years, and the majority were elderly men. Among body functions, the participants reported more difficulties in "memory functions". As for activity and participation, more difficulties were reported in "recreation and leisure". As for environmental factors, the component "healthcare professionals" was indicated as a facilitator by the majority of participants. Conclusion: The results show the impact of language difficulties in the lives of post-stroke adults and reinforce the applicability of the International Classification of Functioning, Disability and Health as an important complementary tool for assessing language, functionality and participation in a comprehensive and humane approach, towards the improvement of health assistance in ambulatory care.
[Mh] Termos MeSH primário: Atividades Cotidianas
Avaliação da Deficiência
Classificação Internacional de Funcionalidade, Incapacidade e Saúde
Transtornos da Linguagem/etiologia
Acidente Vascular Cerebral/complicações
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Índice de Gravidade de Doença
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170705
[Lr] Data última revisão:
170705
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170317
[St] Status:MEDLINE


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[PMID]:28197665
[Au] Autor:Wenzel TR; Morfeld M
[Ad] Endereço:Hochschule Magdeburg-Stendal, Osterburger Str. 25, 39576, Stendal, Deutschland.
[Ti] Título:[Use of the ICF in medical rehabilitation in Germany: claims and reality].
[Ti] Título:Nutzung der ICF in der medizinischen Rehabilitation in Deutschland: Anspruch und Wirklichkeit..
[So] Source:Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz;60(4):386-393, 2017 Apr.
[Is] ISSN:1437-1588
[Cp] País de publicação:Germany
[La] Idioma:ger
[Ab] Resumo:BACKGROUND: The International Classification of Functioning, Disability and Health (ICF) is being used in the medical rehabilitation practice in different ways. The World Health Organization (WHO) and many other stakeholders have formulated claims and expectations for its use. OBJECTIVES: A comparative presentation of the claims of various stakeholders for the use of the ICF with examples in current practice. MATERIALS AND METHODS: Database searches (PubMed, REHADAT, and Google Scholar) were conducted for studies concerning claims and the current use of the ICF in practice. RESULTS: There are different requirements regarding the use of the ICF. While lawmakers and social insurance agencies remain very cautious and vague, other stakeholders (research institutions, organizations, stakeholders, service providers) formulate higher expectations and call for greater use of the ICF. In practice, the ICF is used in the form of a bio-psycho-social model, a common language and many different adaptations. CONCLUSIONS: The different requirements for the use of ICF demonstrate the motivations and interests of the stakeholders. Signals must now be sent both by politics and by social insurance agencies that go far beyond non-binding declarations. Furthermore it is necessary to systematize and evaluate the many use adaptations that are primarily being used by service providers. Research is needed on the concrete use of ICF-based instruments and its intended and unintended effects.
[Mh] Termos MeSH primário: Avaliação da Deficiência
Pessoas com Deficiência/classificação
Pessoas com Deficiência/reabilitação
Classificação Internacional de Funcionalidade, Incapacidade e Saúde/utilização
Reabilitação/classificação
Reabilitação/estatística & dados numéricos
[Mh] Termos MeSH secundário: Medicina Baseada em Evidências
Alemanha
Padrões de Prática Médica/classificação
Padrões de Prática Médica/utilização
Revisão da Utilização de Recursos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170216
[St] Status:MEDLINE
[do] DOI:10.1007/s00103-017-2517-x


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[PMID]:28187353
[Au] Autor:Vaz DV; Silva PL; Mancini MC; Carello C; Kinsella-Shaw J
[Ad] Endereço:Departament of Physical Therapy, EEFFTO, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos, 6627 Campus - Pampulha, Belo Horizonte, MG CEP 31270-901, Brazil. Electronic address: danielavvaz@gmail.com.
[Ti] Título:Towards an ecologically grounded functional practice in rehabilitation.
[So] Source:Hum Mov Sci;52:117-132, 2017 Apr.
[Is] ISSN:1872-7646
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:According to the International Classification of Functioning, Disability and Health, effective rehabilitation requires interventions that go beyond minimizing pathological conditions and associated symptoms. The scope of practice must include promoting an individual's activity within relevant contexts. We argue that best practice requires decisions that are not only evidence-based but also theory-based. Perception and action theories are essential for interpreting evidence and clinical phenomena as well as for developing new interventions. It is our contention that rehabilitation goals can best be achieved if inspired by the ecological approach to perception and action, an approach that focuses on the dynamics of interacting constraints of performer, task and environment. This contrasts with organism-limited motor control theories that have important influence in clinical practice. Parallels between such theories and the medical model of care highlight their fundamental inconsistency with the current understanding of functioning. We contend that incorporating ecological principles into rehabilitation research and practice can help advance our understanding of the complexity of action and provide better grounding for the development of effective functional practice. Implications and initial suggestions for an ecologically grounded functional practice are outlined.
[Mh] Termos MeSH primário: Classificação Internacional de Funcionalidade, Incapacidade e Saúde
Prática (Psicologia)
Reabilitação/métodos
Reabilitação/psicologia
[Mh] Termos MeSH secundário: Pessoas com Deficiência/reabilitação
Prática Clínica Baseada em Evidências
Metas
Seres Humanos
Percepção
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170522
[Lr] Data última revisão:
170522
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170211
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde