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      Systematic Literature Review on ICF From 2001 to 2013 in the Nordic Countries Focusing on Clinical and Rehabilitation Context

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          Abstract

          We present a systematic review on International Classification of Functioning, Disability and Health (ICF) used in the Nordic countries from 2001 through 2013, describing and quantifying the development in utilization of ICF, and describe the extent to which the different components of the ICF have been used. A search was conducted in EMBASE, MEDLINE and PsycInfo. Papers from Nordic countries were included if ICF was mentioned in title or abstract. Papers were assigned to one of eight categories covering the wide rehabilitation area; furthermore, area of focus was assigned. Use of ICF components and intervention were coded in papers categorized as “clinical and/or rehabilitation contexts” or “non-clinical contexts”. One hundred seventy papers were included, of these 99 papers were from the categories “clinical and/or rehabilitation contexts” or “non-clinical contexts”. Forty-two percent of the 170 included papers were published in the period 2011 - 2013. There was an increase in ICF-relevant papers from 2001 to 2013, especially in the categories “clinical and/or rehabilitation contexts” and “non-clinical contexts”. The most represented focus areas were neurology, musculoskeletal, and work-related areas. All five or at least four ICF components were mentioned in the results or discussions in most papers, and activity was most frequently mentioned.

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          Systematic literature review on ICF from 2001 to 2009: its use, implementation and operationalisation.

          To present a systematic literature review on the state of the art of the utilisation of the International Classification of Functioning, Disability and Health (ICF) since its release in 2001. The search was conducted through EMBASE, MEDLINE and PsychInfo covering the period between 2001 and December 2009. Papers were included if ICF was mentioned in title or abstract. Papers focussing on the ICF-CY and clinical research on children and youth only were excluded. Papers were assigned to six different groups covering the wide scenario of ICF application. A total of 672 papers, coming from 34 countries and 211 different journals, were included in the analysis. The majority of publications (30.8%) were conceptual papers or papers reporting clinical and rehabilitation studies (25.9%). One-third of the papers were published in 2008 and 2009. The ICF contributed to the development of research on functioning and on disability in clinical, rehabilitation as well as in several other contexts, such as disability eligibility and employment. Diffusion of ICF research and use in a great variety of fields and scientific journals is a proof that a cultural change and a new conceptualisation of functioning and disability is happening.
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            Effects of physiotherapy interventions on balance in multiple sclerosis: a systematic review and meta-analysis of randomized controlled trials.

            To determine the effects of physiotherapy interventions on balance in people with multiple sclerosis.
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              Return to work after traumatic brain injury: Systematic review.

              To evaluate the evidence on pre- and post-injury predictors of vocational outcome after traumatic brain injury (TBI). LITERATURE SELECTION AND CRITICAL ANALYSIS: The search was conducted on PubMed and Central databases since 1990. A clinical question was formulated according to the PICO framework. Clinical relevance of the selected studies was evaluated following the GRADE framework. The main outcome measures were employment status and return to work after TBI. Methodological quality of most of the relevant 12 controlled and 68 uncontrolled studies included in the review was estimated as very low. There was weak evidence that age, educational level, pre- and post-injury occupational status, severity of TBI, functional status, level of depression and anxiety, gender and race may be predictive for the vocational outcome after TBI. CONCLUSIONS AND IMPLICATIONS FOR FURTHER RESEARCH: No strong evidence was found that vocational outcomes after TBI could be predicted or improved. There is a need for both experimental and observational well-conducted studies on this important subject. Researchers are strongly encouraged to use unified and standardized terms and scales in further studies. The authors suggest the International Classification of Functioning, Disability and Health (ICF) as the best tool available for this purpose.
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                Author and article information

                Journal
                J Clin Med Res
                J Clin Med Res
                Elmer Press
                Journal of Clinical Medicine Research
                Elmer Press
                1918-3003
                1918-3011
                January 2016
                03 December 2015
                : 8
                : 1
                : 1-9
                Affiliations
                [a ]Section of Social Medicine and Rehabilitation, Department of Public Health, Rehabilitation Center Marselisborg, Aarhus University, Denmark
                [b ]Public Health and Quality Improvement, Central Denmark Region, Aarhus, Denmark
                [c ]Neurology Public Health and Disability Unit, Neurological Institute C. Besta, IRCCS Foundation, Milan, Italy
                Author notes
                [d ]Corresponding Author: Anne-Mette Momsen, Marselisborg Centret, P.P.Ørumsgade 11, Bygning 1B, DK-8000 Aarhus C, Denmark. Email: Anne-Mette.Momsen@ 123456stab.rm.dk
                Article
                10.14740/jocmr2400w
                4676339
                26668676
                83a484e4-e187-41ad-a2ac-4b18c75d40a8
                Copyright 2016, Maribo et al.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 November 2015
                Categories
                Review

                Medicine
                rehabilitation,clinical context,non-clinical context,icf,components,intervention
                Medicine
                rehabilitation, clinical context, non-clinical context, icf, components, intervention

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