Topic: Disabilities

4th July 2013

The World Health Organisation describes disabilities on their website

'Disabilities is an umbrella term, covering impairments, activity limitations, and participation restrictions. An impairment is a problem in body function or structure; an activity limitation is a difficulty encountered by an individual in executing a task or action; while a participation restriction is a problem experienced by an individual in involvement in life situations.

Disability is thus not just a health problem. It is a complex phenomenon, reflecting the interaction between features of a person’s body and features of the society in which he or she lives. Overcoming the difficulties faced by people with disabilities requires interventions to remove environmental and social barriers.'


We are delighted that Shirley Sahrmann wrote the Forward to The Kinetic Control Book:

Kinetic Control: The Management of Uncontrolled Movement by Mark Comerford and Sarah Mottram 

She says

'The timeliness of this book is reflected by the incorporation of their concepts to the International Classification of Functioning, Disability and Health'

As clinicians we know there is little correlation between pathology and (functional) limitations in activities and participation and current practice is moving from a biomedical to a bio-psychosocial model.

Kinetic Control focuses on evaluating the effect of uncontrolled movement on these limitations and how retraining can improve these functions.

The impact of movement retraining on function is illustrated nicely in this paper:

Motor control retraining exercises for shoulder impingement: effects on function, muscle activation, and biomechanics in young adults

Worsley P, Warner M, Mottram S, Gadola S,  Veeger H, Hermens H, Morrissey D, Little P, Cooper C, Carr A, Stokes M

Journal of Shoulder and Elbow Surgery
Volume 22, Issue 4 , Pages e11-e19, April 2013

Posted on our blog in 2012


Keywords: Review 2013