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It is based on a modified version of WHO's International Classification of Impairments, Disabilities and Handicaps [ 10, 11].
The theoretical framework on which the OIDP is based is modified from the WHO's [ 8] International Classification of Impairments, Disabilities and Handicaps [ 9].
In 1980, the World Health Organisation introduced a new system of classification related to the consequences of disease, known as the "International Classification of Impairments, Disabilities, and Handicaps".
The overall physical outcome at age five was diagnosed by a pediatrician, according to the World Health Organisation (WHO) classification of impairments, disabilities and handicaps.
Both measures are based on the conceptual framework of the World Health Organization's International Classification of Impairments, Disabilities and Handicaps, (ICIDH) [ 9], amended for dentistry by Locker [ 10].
The hierarchy of outcomes is based on the WHO classification of Impairments, Disabilities and Handicaps [ 12], and Locker's theoretical framework for measuring oral health.
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In paralympic sports, classification of impairment in athletes is vital to minimise the impact of impairment on the outcome of competition.
For example Locker [ 7] described a model based on the WHO classification of impairment, disability and handicap.
The secondary outcome measure was the classification of impairment based on the 2007 updated research nosology for HAND.
The Child-OIDP derived its theoretical framework based on modifications from the WHO's International Classification of Impairment, Disabilities and Handicaps [ 10, 12].
The ICF model and its underlying principles represent a significant development from its predecessor, the International Classification of Impairment, Disability and Handicap (ICIDH) [ 2].
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