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.
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.
Full-textDOI: · Available from: Unni Sveen, Jul 25, 2014
- SourceAvailable from: Stefano Negrini
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- "Bautz-Holter et al.  investigated in a cross-sectional contentvalidity study in a Norwegian population the ICF Core Set for LBP to determine whether it covered the patients' problems; they concluded it captures the problems of LBP and adds important aspects to clinical practice in LBP, but that it needs further refinement in order to improve its clinical feasibility. Ordu Gokkaya et al.  found significant impaired pulmonary function, aerobic capacity and serious deconditioning for various reasons in osteoporosis patients; therefore, cardiopulmonary function testing should be included in the management of osteoporosis patients and ventilatory muscle training and aerobic exercises may offer a potential therapeutic adjunct to current therapies in this patient group. "
ABSTRACT: In 2007, the European Society of Physical and Rehabilitation Medicine (ESPRM) established the European Physical and Rehabilitation Medicine Journal Network (EPRMJN) with a view to increase scientific knowledge among physical and rehabilitation medicine (PRM) specialists and to foster collaboration among the national, regional (multinational) and European PRM journals. In this connection, this paper gives the readers of national and regional, and European PRM journals a complete overview of the European Journal of Physical and Rehabilitation Medicine (EJPRM), the official ESPRM journal, and a review of the papers published in 2008. The evolution of the EJPRM in the last five years was analyzed, and the papers published in 2008 were systematically reviewed and classified by content and discussed. The EJPRM is listed in PubMed and Current Contents; at now the unofficial 2008 Impact Factor is 1.14, like the Impact Factor, also the independent SCImago Journal Rate and Cites per Doc (two years) have increased steadily since 2005. The EJPRM published 72 papers in 2008, with a well balanced coverage of different rehabilitation topics. The rejection rate is around 40%; the review and publication times are 1.2 and 10.0 months, respectively. The published papers are presented here by topic, highlighting multi-journal initiatives (such as the EPRMJN and the Euro-American Focus with the American Journal of PRM), monographic Special Sections, systematic Cochrane PRM reviews, original papers and case reports, and other contents including the Internet Bookshelf. This paper represents the start of the EPRMJN collaborative efforts to increase scientific knowledge among PRM specialists in Europe, independently of the language in which papers are published.Annals of physical and rehabilitation medicine 07/2009; 52(4):352-9. DOI:10.1016/j.rehab.2009.01.004
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ABSTRACT: To demonstrate the feasibility and usefulness of using the ICF framework to investigate functioning and disability in persons with low back pain (LBP) and to study the extent to which the capacity level for various domains of functioning is different from the performance level. The study was part of the MHADIE project and reports baseline data collected in 118 patients with LBP using the ICF Core Sets for LBP. The statistical analysis consisted of descriptive statistics. A total of 76 ICF categories reached the 20% threshold: 20 body functions, 8 structures, 28 activities and participation and 20 environmental factors. The percentage of persons having problems in capacity is always higher than the percentage of persons having problems in performance. This study shows the potential value of the capacity-performance distinction, both as a conceptual and practical tool that can enhance clinical treatment and intervention planning and as a method to capture the impact of the environment on the lived experience of people suffering from LBP. What is needed are longitudinal investigations that are able to identify and track the patterns that such conditions exhibit and further enhance the effectiveness of treatment strategies.Disability and Rehabilitation 10/2010; 32 Suppl 1(S1):S78-84. DOI:10.3109/09638288.2010.514970 · 1.84 Impact Factor
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ABSTRACT: To present a systematic literature review on the state of the art of the utilisation of the International Classification of Functioning, Disability and Health (ICF) since its release in 2001. The search was conducted through EMBASE, MEDLINE and PsychInfo covering the period between 2001 and December 2009. Papers were included if ICF was mentioned in title or abstract. Papers focussing on the ICF-CY and clinical research on children and youth only were excluded. Papers were assigned to six different groups covering the wide scenario of ICF application. A total of 672 papers, coming from 34 countries and 211 different journals, were included in the analysis. The majority of publications (30.8%) were conceptual papers or papers reporting clinical and rehabilitation studies (25.9%). One-third of the papers were published in 2008 and 2009. The ICF contributed to the development of research on functioning and on disability in clinical, rehabilitation as well as in several other contexts, such as disability eligibility and employment. Diffusion of ICF research and use in a great variety of fields and scientific journals is a proof that a cultural change and a new conceptualisation of functioning and disability is happening.Disability and Rehabilitation 11/2010; 33(4):281-309. DOI:10.3109/09638288.2010.529235 · 1.84 Impact Factor