AN ATTEMPT TO OBJECTIFY PAEDIATRIC PHYSIOTHERAPEUTIC DIAGNOSTICS BASED ON ICF

A. Szczygielska-Babiuch^1,2,3, M. Hagner - Derengowska^4,4, K. Makulec⁵, I. Głowacka - Mrotek⁶, M. Domagalska - Szopa⁷

¹Specialist Hospital. J. Dietl, Clinc of Rehabilitation, Cracov, Poland, ²Krakow Early Rehabilitation Center, Cracov, Poland, ³University of Health Promotion in Cracov, Cracov, Poland, ⁴Univerity of Nicolaus Copernicus, Toruń, Poland, ⁵Andrzej Frycz Modrzewski Krakow University, Cracov, Poland, ⁶Collegium Medicum in Bydgoszcz University of Nicolaus Copernicus in Toruń, Department of Rehabilitation, Bydgoszcz, Poland, ⁷Medical University of Silesia, Department of Developmental Age Physiotherapy Faculty of Health Sciences, Katowice, Poland

Background: The Polish Chamber of Physiotherapists, through the activities of the National Council of Physiotherapists, adopted Resolution No. 386 / I KRF of May 14, 2019 on guidelines for recording pediatric examination and therapy in medical records. The guidelines for the use of the International Classification of Functioning, Disability and Health (ICF), recommended by the World Health Organization, in the process of conducting and documenting diagnostics and describing the effects of therapeutic therapy used by a physiotherapist were adopted. This takes into account all three levels that allow you to create a complete picture of the patient and assess the extent to which there is functional limitation. By definition, the ICF model is universal and should be suitable for everyone, regardless of the disease, age, gender or culture, however, the authors themselves drew attention to its weakness. The classification problem concerns mainly children and adolescents aged 0 to 17, where ICF-CY (International Classification of Functioning, Disability and Health - Children and Youth) is used. Although the created classification is directed in particular to children and adolescents, it focuses in more detail on aspects of growth and development, it has surveys tailored to specific age groups (0-2 years, 3-6 years, 7-12, 13- 17 years), it is suggested to use other methods of functional assessment in children during the analysis.

Purpose: The aim of study is to assess the occurrence of developmental disorders based on the motor skills and self-service assessment index according to ICF, in infants up to 12 months of age based on the results of the Vojta methods diagnostic.

Methods: At the Krakow Development Center Rehabilitation Center, an attempt was made to assess the effectiveness of the ICF classification based on neurodevelopmental diagnostics according to the Vojta method, which is standardized at the center in every child admitted to treatment. The study included a group of 100 infants up to 12 months of age (average 5 month).

Results: Most of the children under study were born on time, the pregnancies were smooth, and in the Vojtowski study the most frequent psychomotor disorder was muscle tone asymmetry. The highest index by activity according to The ICF is 4 points, it was about self-service. The lowest one concerned postural control, it amounted to 3 and 4 points.

Conclusions: The higher the fitness level index, the less developmental disorders are observed in children. The postural control index turned out to be low in children with developmental disorders, contrary to the research hypothesis.

Implications: It should be checked whether diagnostics from other neurodevelopmental methods can also be translated into the ICF concept in order to standardize the record of the diagnostic system.

Funding acknowledgements: No direct funding was received for this study

Keywords:
ICF in paediatrics
psychomotor development
Vojta's diagnostics

Topics:
Paediatrics
Disability & rehabilitation
Education: clinical

Did this work require ethics approval? No

Reason: The correctness of the assumptions of a new type of functional diagnostics was assessed, which does not require any intervention, but is only a written assessment of the study. In Poland, bioethical committees do not issue an opinion on the lack of the need to consent to the study.