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目的：以《国际功能、残疾和健康分类》理论与方法为基础，开展1例双腕掌离断者的功能障碍评估和辅助器具临床适配服务。方法通过评估个案的功能障碍和实际需求，为其选配并应用日常生活、居家、教育、就业等辅助器具，实现个案在相应环境中活动和参与的无障碍。结果和结论 ICF的理论模式应用于肢体功能障碍者的评估和辅助器具适配可行，并且具有重要的临床意义和优势。“,”Objective To carry out the function evaluation and clinical adaptation service of assistive devices for a bilateral wrist-palm disarticulation case in the framework of International Classification of Functioning, Disability and Health (ICF). Methods By evaluating dysfunction and actual demand of the case, assistive devices were selected and applied in daily living, home, education and employment to achieve corresponding accessibility in activities and participation. Results and Conclusion The framework of ICF is important in evaluation of limb dysfunction and adaptation of assistive devices.