ICF eLearning Tool

EXERCISE - TO CREATE AND ICF CATEGORICAL PROFILE

1. Please read the extraction from the assessment results of the patient
(clinical tests, examinations, observation or interview). (ICF categories
from the Brief ICF Core Set for SCI in the chronic context and additional
ICF categories)

2. Rate these results within the ICF Qualifiers based on the given
information. Complete the ICF Code with the ICF Qualifier:
Example: b525.4 Defecation functions

3. Enter the assessment result into the ICF Categorical Profile by filling the
according fields of the ICF Qualifier

ICF category Assessment

b440.__ Respiration functions and structures Test: Peak volume: No problems in
respiration functions or the according
s430.__ body structures
b525.__ Defecation functions Test: Observation: Defecation functions
completely impaired
b620.__ Urination functions and structures Test: Urodynamic examination:
s610.__ Urination functions completely impaired
Medical doctor

s120.__ Spinal Cord MRI: Spinal Cord severly impaired at

the 3rd lumbal vertebra, mild impaired
at the level of the 6th cervical vertebra
d710.__ Basic interpersonal interactions Always very friendly and polite,
appropriate interactions
e310.__ Immediate family Interview and observation: Stefan has
maximum support from his family
(parents). Sometimes they probably
care too much
e340.__ Personal care providers and Interview: Stefan has no additional
personal assistents personal care providers
e355.__ Health professionals Interview: Stefan has regularly physical
therapy and is completely satisfied with
his health professionals
b280.__ Sensation of pain Test: VAS Scale: 4, Stefan is suffering
from moderate pain in his back and
neck, apparently related to movement
from Physical Therapist

b730.__ Muscle power functions Test: Manual muscle testing (MMT):

- No muscle power functions below the
level of 3rd lumbal vertebra MMT: 0
- Muscle power in the trunk is severely
impaired below the 6th cervical
Report

vertebra MMT: 1-2

- Mild to moderate impairment in the
muscle power functions in the
shoulder and arm muscles (MMT: 3-4)
b735.__ Muscle tone functions Test: Ashworth Scale: 2, Stefan has
moderate problems of spasticity in the
lower half of the body
d410.__ Changing basic body position Observation: Needs personal assistance
(one person) to sit up from lying
position and back

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d420.__ Transferring oneself Observation: Stefan needs manual

support by one person to transfer
himself from the wheelchair to the bed
and back.
d465.__ Moving around using equipment Not able to move the wheelchair fast.
Needs the Swiss Track (pulling machine)
for longer distances and to overcome
little obstacles. Difficulties to
concentrate in busy surroundings
d570.__ Looking after one’s health Interview and observation: has
moderate problems to find balance
between physical activity and relaxation
and to regularly release his buttock
d920.__ Recreation and leisure Does not participate in any kind of sport

b710.__ Mobility of joint functions Test: ROM (range of motion) upper

extremity: Severe limitation in the right
elbow joint. No limitation in any other
joint of the upper extremity
d420.__ Transferring oneself Test: Observation and SCIM: Severely
limited in transferring himself from the
wheelchair to the bed and back. Needs
partial assistance and at least
Report from Occupational Therapist

supervision, not able to transfer into a

car (SCIM: 1)
d440.__ Fine hand functions Severe problems with coordinated
movements such as grasping or
releasing small objects
d445.__ Hand and arm use Problems in carrying and handling heavy
objects, also due to muscle deficits in
the hand functions
d470.__ Using transportation Has severe problems in using public
transportations due to high time
consumption in moving the wheelchair,
in specific in stressful situation.
d920.__ Recreation and leisure Plays panpipe, no problems in
performing his hobbies (reading,
computer)
e115.__ Products and technology for Has several assistive devices, few have
personal use in daily living to be renewed (Assistive devices for
home)
e120.__ Products and technology for Observation: Two manual wheelchairs,
personal indoor and outdoor one Swiss Track (electric pulling
mobility and transportation machine). Stefan can’t handle the
attachement for the pulling machine,
needs to be renewed. Wheels are
outworn, sitting cushion as well.
b525.__ Defecation functions Defecation functions completely
Report from Nurse

impaired
b620.__ Urination functions Martin’s urination functions do not work
at all, he is completely incontinent
b810.__ Protective functions of the skin Inspection: Mild skin damage at the
buttock (skin is red, about 2 cm),
increased risk for pressure ulcers
s810.__ Structure of areas of the skin Inspection: Mild skin damage at the
buttock (skin is red, about 2 cm)
d410.__ Changing basic body position Observation: Needs personal assistance
to sit up from lying position and back

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d420.__ Transferring oneself Observation: Needs personal (one

person) assistance, depending on
spasticity and pain
d530.__ Toileting Observation and SCIM: Needs assistants
in dressing and Is not able to
catheterize himself independently
(SCIM: 2), but needs complete
assistance in regulating defecation
(manual evacuation) (SCIM: 0)
d550.__ Eating Observation: No problems

d710.__ Basic interpersonal interactions Observation: Interacts with people

adequately in different situations and
contexts
d720.__ Complex interpersonal interactions Observation: In situations with many
persons he withdraws and reduces his
interactions
b152.__ Emotional functions Interview and observation: Mild
problems, sometimes a little bit
Psychologist
Report from

frustrated about the situation. Has

problems to accept negative emotions
d710.__ Basic interpersonal interactions Completely adequate in relation to one
or few persons
d720.__ Complex interpersonal interactions Moderate problems with interacting with
many different persons at the same time

ICF Qualifiers

Body functions / Body structures / Activities and Participation

xxx.0 NO problem (none, absent, negligible,…) 0-4%

xxx.1 MILD problem (slight, low,…) 5-24%
xxx.2 MODERATE problem (medium, fair,…) 25-49%
xxx.3 SEVERE problem (high, extreme,…)
50-95%
xxx.4 COMPLETE problem (total,…) 96-100%

xxx.8 not specified

xxx.9 not applicable

Environmental factors

xxx.0 NO barrier xxx.+0 NO facilitator

xxx.1 MILD barrier xxx.+1MILD facilitator
xxx.2 MODERATE barrier xxx.+2 MODERATE facilitator
xxx.3 SEVERE barrier xxx.+3 SUBSTANTIAL facilitator
xxx.4 COMPLETE barrier xxx.+4 COMPLETE facilitator

xxx.8 barrier, not specified xxx.+8 facilitator, not specified

xxx.9 not applicable xxx.9 not applicable