Does the International Classification of Functioning, Disability and Health (ICF) core set for low back pain cover the patients' problems? A cross-sectional content-validity study with a Norwegian population.

Department of Physical Medicine and Rehabilitation, Ulleval University Hospital, Oslo, Norway.
European journal of physical and rehabilitation medicine (Impact Factor: 1.95). 01/2009; 44(4):387-97.
Source: PubMed

ABSTRACT The aim of this work was to evaluate the Norwegian form of the International Classification of Functioning, Disability and Health (ICF) Core Set for low back pain patients and investigate the feasibility of the Core Set in clinical practice.
This was part of an international multicenter study with 118 participating Norwegian patients referred to Departments of Physical Medicine and rehabilitation with low back pain (LBP). The ICF Core Set for LBP was filled in by the health professionals. The patients reported their problems using the Medical Outcome Study Short Form 36 (SF-36) and the Oswestry Low Back Pain Disability Questionnaire (ODI).
The ICF Core Set categories capture the problems of the LBP patients, and few categories were reported to be missing. Many problems were reported within body function, and problems within work and employment were captured by the activity and participation component. The environmental factors in ICF were most frequently scored as facilitators, but the same factor could also represent a barrier in other individuals. Health professionals, family and friends were important factors within this domain. Few problems were scored as severe or complete indicating the need of collapsing the qualifier levels. Scoring of the ICF Core Set was feasibly, but rather time-consuming.
The ICF Core Set for LBP captures the problems of LBP, and adds important aspects to clinical practice in the field of LBP. However, the ICF Core Set for LBP needs further elaboration in order to improve the clinical feasibility.

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    Archives des Maladies Professionnelles et de l Environnement 06/2014; · 0.09 Impact Factor
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    ABSTRACT: OBJECTIVE: To empirically validate the ICF Core Set for low back pain, describing functioning, in a sample of chronic unspecific mechanical low back pain patients. METHODS: Twenty-nine patients from a rehabilitation center were assessed with the ICF Core Set for low back pain, Roland Morris Questionnaire (RMQ) and SF-36.RESULTS: All Body structures categories of this ICF Core Set were impaired in at least 80% of the patients, thus they were considered validated. Among the 19 Body functions categories, only four were impaired in less than 80%, thus not-validated, the same was observed in five out of the 29 Activities and participation categories and five of the 25 Environmental factors categories.CONCLUSIONS: The selected categories of the ICF Core Set for low back pain were empirically validated, and together, they allowed the description of functioning of those patients. This ICF Core Set can be used to guide interdisciplinary therapeutic interventions.
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    Dataset: mazis 2


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