Clinical scenario: Application of the ICF

iDevice icon Hanna's story
  • Hanna is a 10 year old girl with cerebral palsy (CP) that affects mostly her lower limbs; we call this spastic diplegia.
  • She has difficulty standing on her own and cannot walk independently.
    • Hanna uses a posterior walker.
  • Hanna also suffers from seizure disorder, a condition that makes her prone to falling, especially when she is tired.
  • Hanna's main concern is her inability to participate in physical play activities with her friends at recess.

Identify what factors you would include in your assessment for each of the ICF components below.

1. How does the environment contribute to Hanna's participation restriction?

2. What personal factors would be important to assess?

3. What is the primary source of the activity limitation?