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Content: This step is not only important for setting realistic goals, but also for identifying key problems. We can use the ICF to articulate the goals and purpose of physiotherapy for individuals with a spinal cord injury. For example, the health condition is a spinal cord injury. An associated impairment is decreased muscle strength, which directly impacts on the ability to perform activities such as walking and moving. This in turn has implications for participation, such as working, engaging in family life and participating in community activities. Standardised assessments of impairments are similar to those used across all areas of physiotherapy, although there are some that are specific to spinal cord injury. Assessments of impairments are of limited interest to a physiotherapist without accompanying assessments of activity limitations to quantify a person's ability to move and complete purposeful motor tasks. Impairments, activity limitations and participation restrictions are also all affected by environmental and personal factors, such as support from family and employers, access to appropriate equipment, financial situation and coping mechanisms. In the ICF framework, such environmental and personal influences are termed contextual factors. Ensure you are familiar with the ICF, its general use in Clinical Practice and its use within the Neurorehabilitation Process as it should provide the framework for your assessment and treatment throughout the rehabilitation process. [