Stucki Gerold, Cieza Alarcos, Melvin John
Department of Physical Medicine and Rehabilitation, Ludwig-Maximilian University, Munich, Germany.
J Rehabil Med. 2007 May;39(4):279-85. doi: 10.2340/16501977-0041.
An important basis for the successful development of rehabilitation practice and research is a conceptually sound description of rehabilitation understood as a health strategy based on a universally accepted conceptual model and taxonomy of human functioning. With the approval of the International Classification of Functioning, Disability and Health (ICF) by the World Health Assembly in 2001 and the reference to the ICF in the World Health Assembly's resolution on "Disability, including prevention, management and rehabilitation" in 2005, we can now rely on a universally accepted conceptual model. It is thus time to initiate the process of evolving an ICF-based conceptual description that can serve as a basis for similar conceptual descriptions and according definitions of the professions applying the rehabilitation strategy and of distinct scientific fields of human functioning and rehabilitation research. In co-operation with the Physical and Rehabilitation Medicine (PRM) section of the European Union of Medical Specialists (UEMS) and its professional practice committee, we present a first tentative version of an ICF-based conceptual description in this paper. A brief definition describes rehabilitation as the health strategy applied by PRM and professionals in the health sector and across other sectors that aims to enable people with health conditions experiencing or likely to experience disability to achieve and maintain optimal functioning in interaction with the environment. Readers of the Journal of Rehabilitation Medicine are invited to contribute towards achieving an internationally accepted ICF-based conceptual description of rehabilitation by submitting commentaries to the Editor of this journal.
康复实践与研究成功开展的一个重要基础,是对康复进行概念清晰的描述,这种描述将康复理解为一种基于被普遍接受的人类功能概念模型和分类法的健康策略。随着世界卫生大会于2001年批准《国际功能、残疾和健康分类》(ICF),以及在2005年世界卫生大会关于“残疾,包括预防、管理和康复”的决议中提及ICF,我们现在可以依赖一个被普遍接受的概念模型。因此,现在是时候启动一个基于ICF的概念描述的演变过程了,这种描述可以作为类似概念描述以及应用康复策略的专业和人类功能及康复研究不同科学领域的相应定义的基础。我们与欧洲医学专家联盟(UEMS)的物理与康复医学(PRM)部门及其专业实践委员会合作,在本文中呈现了一个基于ICF的概念描述的初步试行版本。一个简要的定义将康复描述为PRM以及卫生部门和其他部门的专业人员所应用的健康策略,其目的是使患有或可能患有残疾的健康状况者在与环境的互动中实现并保持最佳功能。《康复医学杂志》的读者被邀请通过向该杂志编辑提交评论,为实现基于ICF的国际公认的康复概念描述做出贡献。