Teaching the ICF or using the ICF to teach? Lessons from first-time clinical practice

South African Journal of Physiotherapy

 
 
Field Value
 
Title Teaching the ICF or using the ICF to teach? Lessons from first-time clinical practice
 
Creator du Plessis, Ilse Pienaar, Lunelle Talberg, Heather
 
Subject Education; Physiotherapy International Classification of Functioning, Disability and Health; physiotherapy education; clinical reasoning; undergraduate students; early clinical placements; patient-centred care
Description Background: Clinical education is central to physiotherapy training, yet many students enter their first placements with limited experience in holistic clinical reasoning. The International Classification of Functioning, Disability and Health (ICF) provides a biopsychosocial framework for understanding functioning, yet its use in early clinical education remains underexplored.Objectives: This study aimed to investigate second-year physiotherapy students’ self-reported understanding and application of the ICF following first time clinical exposure within a redesigned clinical course.Method: A quantitative cross-sectional descriptive study was conducted. All second-year physiotherapy students completing their first clinical placements in 2023 and 2024 at a South African university were invited to complete a self-developed survey. The survey assessed perceived understanding and application of ICF components using Likert-scale and categorical items. Descriptive statistics were used for analysis.Results: Of the 138 eligible students, 106 responded (76.9%). Students reported improved perceived understanding of the ICF, with retrospective ratings increasing from a mean of 6 before placement to 9 after placement. Confidence in applying the ICF was high (mean = 8).Conclusion: Early clinical exposure structured around the ICF may support the development of holistic reasoning and encourage students to move beyond impairment-focused thinking.Clinical implications: Embedding the ICF into early placements may strengthen patient-centred clinical reasoning.
 
Publisher AOSIS
 
Contributor University of Cape Town, Educational Leadership Fellowship
Date 2026-04-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Descriptive cross-sectional survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajp.v82i2.2311
 
Source South African Journal of Physiotherapy; Vol 82, No 2 (2026); 8 pages 2410-8219 0379-6175
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://sajp.co.za/index.php/sajp/article/view/2311/4170 https://sajp.co.za/index.php/sajp/article/view/2311/4171 https://sajp.co.za/index.php/sajp/article/view/2311/4172 https://sajp.co.za/index.php/sajp/article/view/2311/4173
 
Coverage Cape Town — —
Rights Copyright (c) 2026 Ilse du Plessis, Lunelle Pienaar, Heather Talberg https://creativecommons.org/licenses/by/4.0
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