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A Journal on Physical Medicine and Rehabilitation after Pathological Events

Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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Europa Medicophysica 2002 September;38(3):123-9

language: English

The β-2 draft of the international classification of impairment, disabilities and handicap. Application to communication disorders

Schindler A. 1, Manassero A. 2, Dao M. 2, Giraudo E. 2, Grosso E. 2, Tiddia C. 2, Schindler O. 2

1 4th Department of Otorhinolaryngology, «L. ­Sacco» Hospital, University of Milan, Milan, Italy
2 Audiology and Phoniatrics Chair «S. Gio­vanni Bat­tista» Hospital, University of Turin, Turin, Italy


Back­ground. In 1980 the ­World ­Health Organ­iza­tion (WHO) pub­lished the ­ICIDH, Inter­na­tional Clas­sifi­ca­tion of Impair­ments, Dis­abil­ities and Hand­icap. The ­ICIDH is con­sid­ered as a pre­cise ­coding of impair­ments, dis­abil­ities and hand­i­caps and/or as a con­cep­tual frame­work for under­standing dis­able­ment. ­Despite its accep­tance, the ­ICIDH ­model and clas­sifi­ca­tion ­scheme has ­received its ­share of crit­i­cism. In 1993 a revi­sion pro­cess of the 1980 ­ICIDH was ­begun by WHO and in 1999 a “β-2” ­draft of the ­ICDH-2 has ­been com­pleted. Aim of our ­study is to ­verify the appli­cability of ­ICIDH-2 in the ­field of Com­mu­ni­ca­tion Dis­or­ders in devel­op­mental and ­adult pop­u­la­tions.
­Methods. A pros­pec­tive ­study was con­ducted. ­Patients ­were inter­viewed and clin­i­cally exam­ined as out-­patient at the “S. Gio­vanni Bat­tista” Hos­pital of ­Turin. Ten ­adults and 10 chil­dren, ­with com­mu­ni­ca­tion dis­or­ders of dif­ferent ­kind ­took ­part in the ­study. ­Time ­needed to ­code ­each sub­ject, ­intra-­rater and ­inter-­rater agree­ment ­were cal­cu­lated. Easi­ness and per­ti­nence of the clas­sifi­ca­tion ­were sub­jec­tively ­judged.
­Results. ­Mean ­time ­used in ­coding was 48 min in ­adult pop­u­la­tion and 67 min in chil­dren pop­u­la­tion. ­Overall ­inter-­rater agree­ment was 70% and ­intra-­rater agree­ment 80%. Per­ti­nence and easi­ness ­were con­sid­ered ­medium.
Con­clu­sions. ­ICIDH-2 it is not ­only a clin­ical ­tool, but ­also a com­mu­ni­ca­tion ­tool ­between ­health ­care ­workers and ­health ­care admin­is­tra­tors; its appli­cability to out­come ­research ­makes it ­useful for dif­ferent pro­fes­sions of the reha­bil­i­ta­tion ­world. Our ­study ­shows ­that ­ICIDH-2 is a ­useful ­tool for ­research pur­poses, but ­cannot be ­used as ­such in clin­ical prac­tice ­because of the ­amount of ­time ­needed in ­coding. The con­cep­tual frame­work is ­highly appre­ciated ­because of the ­holistic ­view it ­gives.

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