International Classification of Functioning, Disability and Health (ICF) as an assessment, outcome measure and goal setting tool in spina bifida: a case report
DOI:
https://doi.org/10.54646/IFNR.2025.12Keywords:
International Classification of Functioning, Disability and Health (ICF), Spina Bifida, Outcome measure, Assessment tool, Multidisciplinary TeamAbstract
Background: This case report documents the rehabilitation of a one-year-old male with spina bifida meningomyelocele using the International Classification of Functioning, Disability, and Health (ICF) as a framework for assessment and intervention. The ICF was used to document his rehabilitation and guide therapeutic interventions based on specific physical, functional, and environmental factors.
Case Presentation: The subject had meningomyelocele and Chiari II malformation following a full-term C-section birth and a 40-day neurointensive care unit (NICU) stay. He exhibited significant motor and sensory impairments below the D10 level, including reduced muscle power and absent sensation. Comprehensive assessments were conducted using ICF core sets and additional body function codes, and specific, measurable goals were set.
Intervention and Outcomes: A multidisciplinary team of healthcare professionals pursued interventions, including tactile stimulation, ergometer training, strength training, and therapeutic games. Physical and occupational therapies using assistive technologies improved muscle strength, partially independent transfers, and basic activities. Despite progress, the patient continued to rely on caregivers for complex tasks.
Discussion: The integration of ICF-based documentation tools proved beneficial in providing a structured, holistic approach to the child’s care. The report highlights the need for further research into optimizing assistive technology and advanced rehabilitation techniques to improve functional outcomes for children with spina bifida.
Conclusion: The case demonstrates the effectiveness of a structured, individualized approach using the ICF to manage spina bifida, though gaps remain in achieving full autonomy. Future directions should focus on enhancing interventions and support systems to maximize independence and quality of life.
