Classificação Internacional de Funcionalidade, Incapacidade e Saúde

Macedo APFS. The International Classification of Functioning, Disability and Health
(ICF) and physical disability among victims of traffic accidents [Dissertation]. Cuiabá:
Universidade Federal de Mato Grosso; 2011.
ABSTRACT
Currently, accidents and violence have taken an epidemic form in Brazil. Among them,
the transport accident is an outstanding in magnitude, both the number of deaths as nonfatal
victims, who demand health services at all levels of complexity. To better
understand the conditions of health, the World Health Organization developed the ICF,
also with the purpose of standardizing a language with regard to impairment and
disability. The research objective was to analyze the use of the ICF in the classification
of disabilities resulting from traffic accidents in patients seen at the Center for
Comprehensive Rehabilitation Dom Aquino Corrêa, Cuiabá – Mato Grosso. A
prospective exploratory case series study was performed with patients of this unit,
victims of traffic accidents for at least a year. The collection took place between April
and October 2010, involving 69 patients. Data were obtained from the physical therapy
evaluation, collected in a specific form and coded according to the health dimensions of
ICF. The circumstances of the accident and injury were coded according to the
International Statistical Classification of Diseases and Related Health Problems (ICD-
10). The mean age was 31.7 years (SD = 10.2), predominantly male (65.2%) and
motorcyclists (71.0%). The body area most affected was the lower limb (42.0%), and
fractures were the most frequent injury (44.9%). It was observed that in relation to
disability in the structure of the body, most were related to movement (93.5%), out of
which 45.3% were in full degree. Regarding the functions of the body examined, 68.1%
showed deficiencies in gait and of these 51.1% were mild or moderate, 79.7%
complained about pain, and 40.0% were of severe degree, 39.1% had deficiencies of
sensory functions, while 63.0% were mild or moderate and 91.3% had decreased joint
mobility, 63.4% of these were severe or complete, 92.8% had decreased muscle
strength, and 53,1% were severe or complete. The reassessment showed improvements
in disability levels of patients in all categories studied. The data shows that the use of
ICF is extremely important as it provides a neutral language and guiding for