The role of the ICF in physical therapy and vocational rehabilitation: contributing to developments in occupational health

Abstract

Background: Vocational rehabilitation is implemented to ensure and sustain return to work. Different healthcare professionals are involved in the process of vocational rehabilitation and physical therapists are in the forefront of providing vocational rehabilitation services. A comprehensive conceptual framework is required, so appropriate and adequate vocational rehabilitation can be provided by physical therapists. The international classification of functioning, disability, and health (ICF) by the World Health Organization can provide such a framework.

Objective: This paper will discuss recent developments in the field where the ICF has been used in vocational rehabilitation, how such usage will benefit physical therapy practice, and priority areas that need to be addressed in the near future.

Discussion: The ICF has been used in multiple ways in vocational rehabilitation in which physical therapists can play a major role. To better understand and measure work disability, the ICF can be used as a basis for a conceptual definition of vocational rehabilitation and as a tool to develop or select functioning domains and measurement instruments relevant to vocational rehabilitation.

Conclusion: The ICF is a viable option for physical therapists to understand and facilitate the process of vocational rehabilitation towards better return to work outcomes. Physical therapists, as one of the primary health professionals engaged in vocational rehabilitation, will benefit from using a reference framework like the ICF in their clinical practice and research.

Keywords:

• ICF
• Occupational rehabilitation
• Physical therapy
• Return to work
• Vocational rehabilitation

Acknowledgments

We would like to thank Monika Finger for her invaluable input to this manuscript prior to submission and our respective institutions for their kind support.