Identifying assessment measures and interventions reported for Thai children with cerebral palsy using the ICF-CY framework

Abstract

Background: Cerebral palsy (CP) is the most common disability in childhood. The International Classification of Functioning, Disability and Health (ICF) provides a standard framework for classifying performance in people with disability, including children with CP. Linking measures actually reported with the ICF classification promotes best practice, especially pertinent in developing countries such as Thailand. This study aimed to explore the charted demographic data, assessment and intervention measures reported for children with CP in Central region of Thailand using the ICF for children and youths (ICF-CY) framework to clarify the scope of actual management practice in this population. Methods: Charts of children admitted to four public hospitals and two schools in 2007–2009 were age stratified, and approximately 48% audited (n = 269). Results: Contextual information was clearly reported, and measures could be classified across all components of the ICF, being mainly classified in Body Structures and Functions and to a lesser degree, in Activities and Participation. Our ability to compare across cultures was affected by poor recording practices limiting the amount and quality of data available. Conclusions: Classifying measures of children with CP in Thailand in terms of the ICF-CY framework demonstrates their holistic management as well as where gaps need to be addressed, and thus contributes to best practice.

Implications for Rehabilitation

• Assessments and interventions reported for children with CP in Central region, Thailand cover all components of the ICF-CY, and describe the individual roles of the Inter-professional team members.

• Local health practitioners should consistently conform with internationally practice by using Standardized tools assessing all components of the ICF

• Consistent and uniform charting practices should be used to provide accurate interpretation of actual practice, as well as a clear pathway from assessment to intervention.

Keywords::

• ICF-CY
• cerebral palsy
• Thailand

Acknowledgements

The authors would like to sincerely thank all persons involved (registry persons and health professionals) at Thammasat University hospital, Sirindhorn National Medical Rehabilitation Center (SNMRC), Rajanukul Institute, Saraburi hospital, Special Education Center under Special Education Division, Department of General Education, and Srisangwan school under foundation for Welfare of Crippled Children for their great cooperation and generosity throughout the study.

Declaration of Interest: The authors report no declarations of interest.