Assessing Mongolian children with cerebral palsy using the International Classification of Functioning, Disability and Health

Authors

  • Narantsetseg Tsegmid Department of Rehabilitation Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Delgerjargal Dorjbal Department of Rehabilitation Medicine, Fujita Health University, Toyoake, Japan.
  • Battuvshin Lkhagvasuren Brain and Mind Research Institute, Mongolian Academy of Sciences, Ulaanbaatar, Mongolia.
  • Suvdmaa Sain-Uchral Rehabilitation development center of children with disability, Ulaanbaatar, Mongolia.
  • Gerelmaa Zagd Department of Paediatric Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Nyamdavaa Uugandavaa Department of Radiology, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Batchimeg Shirmen Department of Rehabilitation Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Davaasuren Ganbold Department of Rehabilitation Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.
  • Baljinnyam Avirmed Department of Rehabilitation Medicine, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.

DOI:

https://doi.org/10.31117/neuroscirn.v8i2.379

Keywords:

Rehabilitation, Cerebral palsy, International Classification of Functioning, Disability and Health, Mongolia

Abstract

The functioning and disability of Mongolian children with cerebral palsy were assessed by applying the World Health Organization's Common Brief ICF-CY Core Set for Children and Youth with Cerebral Palsy. The cross-sectional study involved a consecutive sample of 98 children with spastic cerebral palsy (mean age 6.9 years) and their caregivers. They came from both urban and rural areas of Mongolia. The majority (65%) of the participants were spastic diplegic. Body functions, activities, participation, and interaction with the environment differed depending on the type of cerebral palsy. Brain structure did not differ, however. Regarding environmental factors, there was no significant difference between the types of products and technology used for communication, immediate family relationships, or social attitudes. The environment was the key component negatively impacting the lived experience of children with cerebral palsy in Mongolia. Overall, the findings help to identify unmet needs and can improve interventions for such children in Mongolia to meet international standards.

References

Adler, R.H. (2022). Trustworthiness in qualitative research. Journal of Human Lactation, 38(4), 598–602. https://doi.org/10.1177/08903344221116620

Almasri, N. A., Saleh, M., Abu-Dahab, S., Malkawi, S. H., & Nordmark, E. (2018). Functional profiles of children with cerebral palsy in Jordan based on the association between gross motor function and manual ability. BMC Pediatrics, 18, 1–8. https://doi.org/10.1186/s12887-018-1257-x

Babik, I., & Gardner, E.S. (2021). Factors affecting the perception of disability: A developmental perspective. Frontiers in Psychology, 12, 702166. https://doi.org/10.3389/fpsyg.2021.702166

Bujang, M. A., & Sa'at, N. (2016). Application of consecutive sampling technique in a clinical survey for an ordered population: Does it generate accurate statistics? Philippine Statistician, 71(1), 87–98.

Chagas, P. S., Lemos, A. G., Ayupe, K. M., Toledo, A. M., Camargos, A. C. R., Longo, E., Rosenbaum, P. (2024). Functioning profile and related impairments of children and adolescents with cerebral palsy: PartiCipa Brazil preliminary results. BMC Pediatrics, 24(1), 719. https://doi.org/10.1186/s12887-024-05210-2

Cieza, A., Fayed, N., Bickenbach, J., & Prodinger, B. (2019). Refinements of the ICF linking rules to strengthen their potential for establishing comparability of health information. Disability and Rehabilitation, 41(5), 574–583. https://doi.org/10.3109/09638288.2016.1145258

Center for Health Development. (2022). Health Indicators 2022. World Health Organization Representative Office for Mongolia.

de Oliveira, R. P., Caldas, C. A. C. T., & Riberto, M. (2016). Application of the ICF-CY Brief Core Set for cerebral palsy on a school age child. Jacta Fisiatrica, 23(1), 46–50. https://doi.org/10.5935/0104-7795.20160010

Devkota, H. R., Kett, M., Groce, N. (2019). Societal attitude and behaviours towards women with disabilities in rural Nepal: Pregnancy, childbirth and motherhood. BMC Pregnancy and Childbirth, 19, 1–13. https://doi.org/10.1186/s12884-019-2171-4

Dorjbal, D., Cieza, A., Gmunder, H. P., Scheel-Sailer, A., Stucki, G., Ustun, T. B., & Prodinger, B. (2016). Strengthening quality of care through standardized reporting based on the World Health Organization's reference classifications. International Journal for Quality in Health Care, 28(5), 626–633. https://doi.org/10.1093/intqhc/mzw078

Dorjbal, D., Prodinger, B., Zanini, C., Avirmed, B., Stucki, G., & Rubinelli, S. (2020). Living with spinal cord injury in Mongolia: A qualitative study on perceived environmental barriers. Spinal Cord Medicine, 43(4), 518–531. https://doi.org/10.1080/10790268.2019.1565707

Dorjbal, D., Zanini, C., Tsegmid, N., Stucki, G., & Rubinelli, S. (2021). Toward an optimization of rehabilitation services for persons with spinal cord injury in Mongolia: The perspective of medical doctors. Disability and Rehabilitation, 43(15), 2200–2212. https://doi.org/10.1080/09638288.2019.1696415

Faria-Schützer, D. B. d., Surita, F. G., Alves, V. L. P., Bastos, R. A., Campos, C. J. G., Turato, E. R. (2021). Seven steps for qualitative treatment in health research: The clinical-qualitative content analysis. Ciência & Saúde Coletiva, 26(1), 265–274. https://doi.org/10.1590/1413-81232020261.07622019

Graneheim, U. H., Lundman, B. (2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24(2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001

Hayward, L., Fragala-Pinkham, M., Schneider, J., Coe, M., Vargas, C., Wassenar, A. et.al., (2021). Examination of the short-term impact of a disability awareness training on attitudes toward people with disabilities: A community-based participatory evaluation approach. Physiotherapy Theory and Practice, 37(2), 257–270. https://doi.org/10.1080/09593985.2019.1630879

Hina, A., Maqbool, S., Azhar, H., Fatima, S., Farid, A., & Ullah, E. (2023). Assessment of children with cerebral palsy using common brief core set of International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). Pakistan Armed Forces Medical Journal, 73(1), 159–163. https://doi.org/10.51253/pafmj.v73i1.7023

Illum, N. O., Bonderup, M., & Gradel, K. O. (2016). Environmental needs in childhood disability analyzed by the WHO ICF, child and youth version. Danish Medical Journal, 63(6), A5238.

Khan, F., Amatya, B., Avirmed, B., Yi, Y. K., Shirmen, B., Abbott, G., & Galea, M. P. (2018). World Health Organization global disability action plan: The Mongolian perspective. Journal of Rehabilitation Medicine, 50(4), 388–366. https://doi.org/10.2340/16501977-2207

Klang Ibragimova, N., Pless, M., Adolfsson, M., Granlund, M., & Björck-Åkesson, E. (2011). Using content analysis to link texts on assessment and intervention to the International Classification of Functioning, Disability and Health - version for Children and Youth (ICF-CY). Journal of Rehabilitation Medicine, 43(8), 728–733. https://doi.org/10.2340/16501977-0831

Leite, H. R., Jindal, P., Malek, S. A., & Rosenbaum, P. (2022). Research on children with cerebral palsy in low-and middle-income countries. Pediatric Physical Therapy, 34(4), 551–555. https://doi.org/10.1097/PEP.0000000000000949

Menezes, I., Curi, H. T., & Jurdi, A. P. S. (2024). Environmental barriers and facilitators to the participation of children with cerebral palsy in recreational and leisure activities: An integrative review. Cadernos Brasileiros de Terapia Ocupacional, 32, e3623. https://doi.org/10.1590/2526-8910.ctoAR278236232

Noten, S., Selb, M., Troenosemito, L. A., Thorpe, D. E., Rodby‐Bousquet, E., van der Slot, W. M., Ballester‐Plané, J. (2022). ICF core sets for the assessment of functioning of adults with cerebral palsy. Developmental Medicine Child Neurology, 64(5), 569–577. https://doi.org/10.1111/dmcn.15104

Paulson, A., & Vargus-Adams, J. (2017). Overview of four functional classification systems commonly used in cerebral palsy. Children (Basel), 4(4), 30. https://doi.org/10.3390/children4040030

Rauch, A., Cieza, A., & Stucki, G. (2008). How to apply the International Classification of Functioning, Disability and Health (ICF) for rehabilitation management in clinical practice. European Journal of Physical and Rehabilitation Medicine, 44(3), 329–342.

Rosenbaum P, P. N., Leviton A, Goldstein M., Bax M, Damiano D., et al. (2007). The definition and classifcation of cerebral palsy. Devolepmental Medicine and Child Neurology, 49(s109), 8–14. https://doi.org/10.1111/j.1469-8749.2007.00001.x

Schiariti, V., Klassen, A. F., Cieza, A., Sauve, K., O'Donnell, M., Armstrong, R., & Mâsse, L. C. (2014). Comparing contents of outcome measures in cerebral palsy using the International Classification of Functioning (ICF-CY): A systematic review. European Journal of Paediatric Neurology, 18(1), 1–12. https://doi.org/10.1016/j.ejpn.2013.08.001

Schiariti, V., Longo, E., Shoshmin, A., Kozhushko, L., Besstrashnova, Y., Król, M., Shaba, D. (2018). Implementation of the International Classification of Functioning, Disability, and Health (ICF) core sets for children and youth with cerebral palsy: Global initiatives promoting optimal functioning. International Journal of Environmental Research Public Health, 15(9), 1899. https://doi.org/10.3390/ijerph15091899

Schiariti, V., Masse, L. C., Cieza, A., Klassen, A. F., Sauve, K., Armstrong, R., & O'Donnell, M. (2014). Toward the development of the International Classification of Functioning core sets for children with cerebral palsy: A global expert survey. Journal of Child Neurology, 29(5), 582–591. https://doi.org/10.1177/088307381347

Schiariti, V., Selb, M., Cieza, A., & O'Donnell, M. (2015). International Classification of Functioning, Disability and Health core sets for children and youth with cerebral palsy: A consensus meeting. Developmental Medicine Child Neurology, 57(2), 149–158. https://doi.org/10.1111/dmcn.12551

Schiariti, V., Tatla, S., Sauve, K., & O'Donnell, M. (2017). Toolbox of multiple-item measures aligning with the ICF Core Sets for children and youth with cerebral palsy. European Journal of Paediatric Neurology, 21(2), 252--263. https://doi.org/10.1016/j.ejpn.2016.10.007

Schoonenboom, J., & Johnson, R. B. (2017). How to Construct a Mixed Methods Research Design. Kolner Zeitschrift fur Soziologie und Sozialpsychologie, 69(Suppl 2), 107–131. https://doi.org/10.1007/s11577-017-0454-1

Tangcharoensathien, V., Witthayapipopsakul, W., Viriyathorn, S., & Patcharanarumol, W. (2018). Improving access to assistive technologies: Challenges and solutions in low-and middle-income countries. WHO South-East Asia Journal of Public Health, 7(2), 84–89. https://doi.org/10.4103/2224-3151.239419

Tantilipikorn, P., Watter, P., & Prasertsukdee, S. (2012). Identifying assessment measures and interventions reported for Thai children with cerebral palsy using the ICF-CY framework. Disability and Rehabilitation, 34(14), 1178–1185. https://doi.org/10.3109/09638288.2011.637603

Trabacca, A., Russo, L., Losito, L., Rinaldis, M. D., Moro, G., Cacudi, M., & Gennaro, L. (2012). The ICF-CY perspective on the neurorehabilitation of cerebral palsy: A single case study. Journal of Child Neurology, 27(2), 183–190. https://doi.org/10.1177/0883073811415852

Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing Health Sciences, 15(3), 398–405. https://doi.org/10.1111/nhs.12048

Visagie, S., Eide, A. H., Mannan, H., Schneider, M., Swartz, L., Mji, G., et al. (2017). A description of assistive technology sources, services and outcomes of use in a number of African settings. Disability and Rehabilitation: Assistive Technology, 12(7), 705–712. https://doi.org/10.1080/17483107.2016.1244293

World Health Organization. (2002). Towards a common language for functioning, disability and health: ICF. World Health Organization. https://www.who.int/classification/icf

World Health Organization. (2007). International classification of functioning, disability and health: Children & youth version: ICF-CY. World Health Organization. https://www.who.int/standards/classifications/international-classification-of-functioning-disability-and-health

World Health Organization. (2013). How to use the ICF: A practical manual for using the International Classification of Functioning, Disability and Health (ICF). Geneva: World Health Organization.

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Published

2025-05-17

How to Cite

Tsegmid, N., Dorjbal , D., Lkhagvasuren, B., Sain-Uchral , S., Zagd , G., Uugandavaa , N., Shirmen , B., Ganbold , D., & Avirmed , B. (2025). Assessing Mongolian children with cerebral palsy using the International Classification of Functioning, Disability and Health. Neuroscience Research Notes, 8(2), 379.1–379.12. https://doi.org/10.31117/neuroscirn.v8i2.379