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APTA Endorses World Health Organization's ICF Model


The American Physical Therapy Association (APTA) has joined international organizations in endorsing the World Health Organization (WHO) International Classification of Functioning, Disability, and Health (ICF) model. The model acknowledges that every human being can experience some level of “disability” and views functioning and disability as an interaction between health, the environment, personal, and social factors.

Organizations involved include World Confederation for Physical Therapy, the American Therapeutic Recreation Association, and other international organizations.

APTA’s House of Delegates voted unanimously during its annual meeting, June 9-11 in San Antonio, Texas, to endorse the model, which puts the concepts of “health” and “disability” in a new light.

As mentioned above, the model acknowledges that every human being can experience some level of “disability,” and views functioning and disability as an interaction between health, the environment, personal and social factors.  The ICF includes a "robust and rich taxonomy that describes, rather than classifies, individuals according to their functioning and provides a standard language that includes positive and negative aspects of functioning."

“Physical therapists understand that the term ‘disability’ means different things to different patients,” commented APTA President R. Scott Ward, PT, PhD.  “As we know, what might seem like a relatively minor condition to a patient who is economically secure and has strong support from family and friends can feel like a devastating and life-altering circumstance to a person with little financial or social support.  The ICF model allows physical therapists and other health care providers to more accurately record and consider the many factors that contribute to a patient’s treatment and recovery.”

As a result of the House of Delegates’ action, ICF language will be incorporated into all relevant association publications, documents, and communications through existing planned review and revision cycles.

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