Executive Summary
This clinical practice guideline is a systematic synthesis of evidence to address clinical questions on function-based rehabilitation in the primary care setting. It provides
thirteen (13) weak recommendations and one (1) strong recommendation on ten (10) prioritized questions, based on very low to moderate evidence. Recommendations are based on the appraisal of the best available evidence on each of the identified clinical questions. This CPG is intended to be used by medical professionals (general practitioners, pediatricians, family medicine specialists, and rehabilitation medicine specialists), allied health workers (nurse, physical therapist,
occupational therapist, and speech language therapist), and community workers (disability affairs officer, barangay health worker, and special education teachers).
The guideline development process followed the Philippine Department of Health Technical Manual on Clinical Practice Guideline Development and the Grading of
Recommendations, Assessment, Development, and Evaluation (GRADE) Approach including GRADE Adolopment, a systematic process of adapting evidence
summaries, and the GRADE Evidence to Decision (EtD) framework. It included: (1) identification of critical questions and critical outcomes, (2) retrieval of current evidence, (3) assessment and synthesis of the evidence base for the critical questions, (4) formulation of draft recommendations, (5) convening of a multi-sectoral stakeholder
panel to discuss values and preferences and assess the strength of the recommendations, and (6) planning for dissemination, implementation, impact
evaluation and updating. The recommendations in this CPG shall hold and will be updated after five years or when new evidence arises.
thirteen (13) weak recommendations and one (1) strong recommendation on ten (10) prioritized questions, based on very low to moderate evidence. Recommendations are based on the appraisal of the best available evidence on each of the identified clinical questions. This CPG is intended to be used by medical professionals (general practitioners, pediatricians, family medicine specialists, and rehabilitation medicine specialists), allied health workers (nurse, physical therapist,
occupational therapist, and speech language therapist), and community workers (disability affairs officer, barangay health worker, and special education teachers).
The guideline development process followed the Philippine Department of Health Technical Manual on Clinical Practice Guideline Development and the Grading of
Recommendations, Assessment, Development, and Evaluation (GRADE) Approach including GRADE Adolopment, a systematic process of adapting evidence
summaries, and the GRADE Evidence to Decision (EtD) framework. It included: (1) identification of critical questions and critical outcomes, (2) retrieval of current evidence, (3) assessment and synthesis of the evidence base for the critical questions, (4) formulation of draft recommendations, (5) convening of a multi-sectoral stakeholder
panel to discuss values and preferences and assess the strength of the recommendations, and (6) planning for dissemination, implementation, impact
evaluation and updating. The recommendations in this CPG shall hold and will be updated after five years or when new evidence arises.
Summary of Reccomendations
| Reccomendation | Certainty of Evidence | Strength of Recommendation |
| Question 1. Should function-based screening in the community or home setting versus facility-based screening be done among persons at risk of disability in the primary care setting? | ||
| 1. Among persons at risk of disability in the primary care setting, we suggest the performance of function-based screening in the community or home setting | Very Low | Weak |
| Question 2. Should provision of functional use of assistive technology with caregiver re/training versus functional use of assistive technology alone be done among persons with apparent mild to moderate physical disability in the primary care setting? | ||
| 2. Among persons with apparent mild to moderate physical disability, we suggest the provision of functional use of assistive technology with caregiver re/training rather than provision of assistive technology alone. |
Low | Weak |