Measuring physical fitness in Persons with Severe/Profound ...
Measuring physical fitness in Persons with Severe/Profound ...
Measuring physical fitness in Persons with Severe/Profound ...
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Theoretical framework of the studyInternational Classification of Function<strong>in</strong>g, Disability and HealthPhysical <strong>fitness</strong> is related to health [26] which <strong>in</strong> turn is related to participation [36]. S<strong>in</strong>ceparticipation for persons <strong>with</strong> ID is important, it is necessary to describe the relation betweenhealth and participation for this specific group as well [6].The International Classification of Function<strong>in</strong>g, Disability and Health [36] is a commonly usedmodel for various target groups <strong>in</strong> the field of health care. The concept of participation is def<strong>in</strong>ed<strong>with</strong><strong>in</strong> the framework of the ICF [3]. Kiestra [6] described participation <strong>in</strong> persons <strong>with</strong> a profound<strong>in</strong>tellectual and visual disability as the extent to which someone can take part <strong>in</strong> or has <strong>in</strong>fluenceon situations and contexts that are important to him or her, or are considered to be important tohim or her by his or her representative or personal coach. This <strong>in</strong>cludes situations such as liv<strong>in</strong>ghabits, daily activities, leisure activities, recreation, sports, etc. The level of participation is l<strong>in</strong>kedto the abilities of perform<strong>in</strong>g the activities <strong>in</strong> question. In figure 1 the <strong>physical</strong> <strong>fitness</strong> componentsand their related activities are <strong>in</strong>tegrated <strong>in</strong>to the model of the ICF to show their relation.Health condition, disease or disability- Visual impairment- Neurologic diseases- Orthopedic defects- Etc.Body functions andStructure- Cognition- Visual perception- Cardiorespiratory<strong>fitness</strong>- Muscle strength andflexibility- Balance- Body composition- Etc.Activities/disabilities:- Visual function<strong>in</strong>g- Understand<strong>in</strong>g- Walk<strong>in</strong>g- Stand<strong>in</strong>g- Stand-up- Walk<strong>in</strong>g stairs- Sitt<strong>in</strong>g- Etc.Participation- Daily activities- Leisure activities- Sports- Family- Live habits- Etc.Environmental Factors- Parents- Direct support persons- Facility- Etc.Personal factors:- Age, gender- BMI, waist circumference- Motivation- Etc.Figure 1. ICF model <strong>with</strong> <strong>physical</strong> <strong>fitness</strong> components and their related activities.Chapter 1 | 13