Conclusion
Utilizing the ICF framework revealed auditory limitations to be the
predominant disability, negatively affecting daily functioning,
conversations, and work. While structural aberrancy underlies the root
pathology in B-SCD, a functioning-based management plan focused on
performance education tailored to the patient’s activity priorities
proved helpful. Though surgery may be indicated, conservative management
with avoidance of sound and vibration triggers and monitoring symptom
progression using the ICF functioning profile is a reasonable initial
approach, as exemplified in this case.