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Enabling America: Assessing the Role of Rehabilitation Science and Engineering (1997)
Institute of Medicine (IOM)

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. "3 MODELS OF DISABILITY AND REHABILITATION." Enabling America: Assessing the Role of Rehabilitation Science and Engineering. Washington, DC: The National Academies Press, 1997.

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TABLE 3-2 Conceptual Parameters of Rehabilitation Science and Engineering

 

Disability-Related Performance Measures (rehabilitation realms)

 

 

Pathology

Impairment

Functional Limitation

Disability

 

Enabling Processes

 

 

<—————————————————————

 

Personal and Environmental Variables

Disabling Processes

 

 

—————————————————————>

 

Personal (e.g., biology, behavior, resources)

 

 

 

 

Natural processes (growth, maturation, development, aging, repair)

A1

A2

A3

A4

Disease (manifestations and progression)

B1

B2

B3

B4

Behavioral lifestyle

C1

C2

C3

C4

Experiential (e.g., perceptions, autonomy, well-being, quality of life)

D1

D2

D3

D4

Resources (e.g., physical, monetary, skills)

E1

E2

E3

E4

External environment Natural (e.g., climate, terrain)

F1

F2

F3

F4

Culture

G1

G2

G3

G4

Engineered (e.g., assistive technology, architecture, transportation)

Hl

H2

H3

H4

Therapeutic modalities

I1

I2

I3

I4

Health care delivery systems

J1

J2

J3

J4

Social institutions (e.g., family, religion)

K1

K2

K3

K4

Macroeconomic indicators (e.g., gross national product, unemployment rates)

L1

L2

L3

L4

Policy and law

M1

M2

M3

M4

Resources and opportunities

N1

N2

N3

N4

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