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Simplified bipartite concepts of functioning and disability recommended for interdisciplinary use of the ICF.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Anaesthetics, Operations and Specialty Surgery Center, Pain and Rehabilitation Center.
Uppsala University/County Council of Gävleborg, Ga¨vle,Jönköping University, Jönköpng Sweden,.
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medical and Health Sciences, Health and Society. Ersta Sköndal University Colege Stockholm .
2015 (English)In: Disability and Rehabilitation, ISSN 0963-8288, E-ISSN 1464-5165, Vol. 37, no 19, 1783-1792 p.Article in journal (Refereed) Published
Abstract [en]

PURPOSE: To argue for and propose bipartite concepts of functioning and disability, to tally with the structure of the ICF classification list, concepts of social models and clinical needs.

METHOD: The ICF concepts are discussed in relation to the history of ideas regarding disability concepts and the needs for such concepts in interdisciplinary rehabilitation.

RESULTS: Bipartite concepts are presented; they refer to actual functioning, simply body functions/structures and participation, including functioning in standardized environments. Participation refers to actually performed "activities", with "activities" simply denoting things that people may do. Bipartite concepts are congruent with the ICF classification and the structure of social models of disability, suitable for clinical and interdisciplinary use and easy to understand. The issue of standardized environments represents a methodological issue rather than the conceptual issue of defining functioning and disability. An individual perspective on activity and activity limitations, i.e. the middle part of the tripartite ICF concept, is somewhat similar to concepts of traditional language that were regarded as too generalizing already in 1912, when the interactional concept of "disability in a social sense" was introduced in rehabilitation practices.

CONCLUSION: Bipartite concepts of functioning and disability are recommended for interdisciplinary use of the ICF.

IMPLICATIONS FOR REHABILITATION: The ICF classification is useful, but the ICF concept of activities in an individual perspective is confusing. We suggest a use of the term "activities" simply to denote things that people may do and "participation" to denote actually performed activities. Estimations of ability should be explicit about how they are related to environmental factors.

Place, publisher, year, edition, pages
2015. Vol. 37, no 19, 1783-1792 p.
Keyword [en]
Activity limitation; ICF; interaction; interdisciplinary; participation; social model
National Category
Rheumatology and Autoimmunity
Identifiers
URN: urn:nbn:se:liu:diva-124397DOI: 10.3109/09638288.2014.978506PubMedID: 25365700OAI: oai:DiVA.org:liu-124397DiVA: diva2:898576
Available from: 2016-01-28 Created: 2016-01-28 Last updated: 2016-03-23

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Thyberg, MikaelThyberg, IngridNordenfelt, Lennart
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Division of Community MedicineFaculty of Medicine and Health SciencesPain and Rehabilitation CenterDivision of Neuro and Inflammation ScienceDepartment of RheumatologyFaculty of Health SciencesHealth and Society
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Disability and Rehabilitation
Rheumatology and Autoimmunity

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