背景與目的：新版兒童物理治療評估表內含「國際健康功能與身心障礙分類系統-兒童與青少年 版」（1CF-CY )編碼系統之身體功能（b )與構造（s)、活動與參與（d)與環境因素（e)代碼，評估 大項目依「個案處理模式」之流程編排’以利臨床決策。本文介紹應用該評估表所完成之兩位幼兒 紀錄》個案介紹：個案一為4歲5個月大腦性麻痺女童，粗大動作功能分類階級III。評估且完成功 能剖面圖後，針對d成份，包含行走（d450)'轉位（d410)、穿脱襪（d540)進行問題分析，同時 亦將環境因素’如助行器之修改（el)、家長知能之提昇（e3)及幼稚園教育目標之整合（e5)納入 目標與介A。個案二為3歲個月大DiGeorge症候群男童。物理治療針對家長親職能力（e310) ' 個案穿脱衣物(d540 )、進食(d550 )、大小便(d530 )與心肺耐力(b455 )設定目標與介入計畫。討 論與結論：經物理治療介入，個案大部份短期目標皆達成。新版兒童物理治療評估表有助於治療 師系統性評估個案、分析問題並決策，以提升療效及家長參與。然而評估表各細項之測量與限定 值標準尚需進一步發展。（物理治療2013;38(1):69-87 )

Background and Purpose: The pediatric interest group in the Committee of Clinical Specialty of the Physical Therapy Association of the R.O.C. (Taiwan) has revised the format of pediatric physical therapy evaluation form as the basis of documentation for pediatric physical therapists.
The new pediatric evaluation form was designed on the basis of the International Classification of Functioning, Disability and Health, Children and Youth version (ICF-CY) coding system, with items of ICF Body function (b), Body structure (s), Activity and Participation (d) and Environmental factors (e) categories. The sequence of the subtitles of the evaluation form follows the process of the Client Management Model, from examination, evaluation, diagnosis, prognosis, intervention and outcome measure. To increase parents’ participation in early intervention programs ,the evaluation form added the subtitles of parents’ concerns and home environment. The purpose of this report was to introduce two documentations completed with the revised pediatric evaluation form of two children with cerebral palsy and DiGeorge syndrome respectively. Case Reports: Case one was a 4-year-and-5-month-old girl diagnosed of cerebral palsy, GMFCS III.
The functioning profile based on the data in the pediatric evaluation report indicated that the changeable restrictions in activity and participation were walking (d450), transferring (d410) and putting on/taking off socks (d540). To promote the above functions, the related environmental factors were analyzed based on ICF-CY framework, and the intervention goals were aimed at the above functions of that child as well as environmental modifications (e.g. adjustment of the walkerette) and the coordination between kindergarten and physical therapy. Case two was a 3-year-and-10-month-old boy diagnosed of CATCH 22 syndrome and global developmental delays. The intervention goals which were based on the examination results and functioning profile focused on parenting function (e310), dressing/undressing (d540), self-feeding (d550), toileting (d530) and cardiopulmonary endurance (b455). Discussions and Conlusion: In the two case examples, most goals were achieved after 6 weeks of physical therapy intervention, and some functional improvements were observed in daily life situations as well. The results indicated that the ICF-CY based on pediatric evaluation form facilitated both by systematic collection of information and by problem analysis, which is to understand the underlying causes of restriction on participation, and also contributed to designing functional orientated intervention programs in order to increase the treatment outcome and parent participation. However, operational definition and qualifier rating of each item in this evaluation form should be developed further. (FJPT 2013;38(l):69-87)