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Use of the ICF Model as a Clinical Problem-Solving Tool in Physical Therapy and Rehabilitation Medicine

WA Steiner, PhD, is Scientific Collaborator, Department of Rheumatology and Institute of Physical Medicine, University Hospital Zurich, Gloriastrasse 25, CH-8091 Zurich, Switzerland (wsteiner{at}rehabnet.ch).
L Ryser, lic phil, is Psychologist, Department of Rheumatology and Institute of Physical Medicine, University Hospital, Zurich, Switzerland
E Huber, MHSA, is Clinical Leader of Physiotherapy and Occupational Therapy, Department of Rheumatology and Institute of Physical Medicine, University Hospital, Zurich, Switzerland
D Uebelhart is Privatdozent, University of Geneva, and Leading Physician, Department of Rheumatology and Institute of Physical Medicine, University Hospital, Zurich, Switzerland
A Aeschlimann, is Professor, Rheumatology and Rehabilitation Clinic, Zurzach, Switzerland
G Stucki, is Professor, Department of Physical Medicine and Rehabilitation, University of Munich, Munich, Germany

Address all correspondence to Dr Steiner

The authors developed an instrument called the "Rehabilitation Problem-Solving Form" (RPS-Form), which allows health care professionals analyze patient problems, to focus on specific targets, and to relate the salient disabilities to relevant and modifiable variables. In particular, the RPS-Form was designed to address the patients' perspectives and enhance their participation in the decision-making process. Because the RPS-Form is based on the International Classification of Functioning, Disability, and Health (ICF) Model of Functioning and Disability, it could provide a common language for the description of human functioning and therefore facilitates multidisciplinary responsibility and coordination of interventions. The use of the RPS-Form in clinical practice is demonstrated by presenting an application case of a patient with a chronic pain syndrome.

Key Words: Communications • ICF • International Classification of Functioning Disability, and Health • Interprofessional relations • Patient-centered care • Problem solving

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