The ICF comprehensively covers the spectrum of health problems encountered by health professionals in patients with musculoskeletal conditions

World Health Organization WHO, Genève, Geneva, Switzerland
Rheumatology (Impact Factor: 4.48). 11/2006; 45(10):1247-54. DOI: 10.1093/rheumatology/kel097
Source: PubMed


The objective of this study was to investigate, whether the International Classification of Functioning, Disablity and Health (ICF) comprehensively covers the spectrum of health problems encountered by medical doctors and physiotherapists in patients with musculoskeletal conditions.
A worldwide e-mail survey with questionnaires that requested lists of relevant areas in the ICF components-body functions, body structures, activities and participation, and environmental factors-in patients with rheumatoid arthritis, osteoarthritis, low back pain and osteoporosis was conducted. The suitability of linking the named concepts to the ICF as well as the precision of the linking was characterized by assigning the concepts to six groups.
All concepts that were named by the experts could be linked to the ICF, with the exception of personal factors. Between 32% (environmental factors) and 51% (activities and participation) of the named concepts were linked to an ICF category with an identical meaning and the same grade of precision. All other named concepts were linked to ICF categories with a lower level of precision, or encompassed more than one ICF category, or were linked to an ICF category with a related, but not identical meaning.
The ICF covers comprehensively the spectrum of problems encountered in patients with musculoskeletal conditions by clinical experts throughout the world. This strengthens the validity of the ICF in the view of the users and will encourage the use of ICF-based applications such as the ICF checklist and the now-developed ICF Core Sets.

Download full-text


Available from: Michaela Kirschneck,
  • Source
    • "An ICF-based structure is recommended when reporting about different health states in relation to MSD [44] but there is need for an improved operationalisation of the ICF, to obtain a more solid reliability [45]. In this study, three different functions were assessed. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Musculoskeletal disorders (MSDs) are a major reason for impaired work productivity and sick leave. In 2009, a national rehabilitation program was introduced in Sweden to promote work ability, and patients with MSDs were offered multimodal rehabilitation. The aim of this study was to analyse the effect of this program on health related quality of life, function, sick leave and work ability. Methods We conducted a prospective, observational cohort study including 406 patients with MSDs attending multimodal rehabilitation. Changes over time and differences between groups were analysed concerning function, health related quality of life, work ability and sick leave. Regression analyses were used to study the outcome variables health related quality of life (measured with EQ-5D), and sick leave. Results Functional ability and health related quality of life improved after rehabilitation. Patients with no sick leave/disability pension the year before rehabilitation, improved health related quality of life more than patients with sick leave/disability pension the year before rehabilitation (p = 0.044). During a period of −/+ four months from rehabilitation start, patients with EQ-5D ≥ 0.5 at rehabilitation start, reduced their net sick leave days with 0.5 days and patients with EQ-5D <0.5 at rehabilitation start, increased net sick leave days with 1.5 days (p = 0.019). Factors negatively associated with sick leave at follow-up were earlier episodes of sick leave/disability pension, problems with exercise tolerance functions and mobility after rehabilitation. Higher age was associated with not being on sick leave at follow-up and reaching an EQ-5D ≥ 0.5 at follow-up. Severe pain after rehabilitation, problems with exercise tolerance functions, born outside of Sweden and full-time sick leave/disability pension the year before rehabilitation were all associated with an EQ-5D level < 0.5 at follow-up. Conclusions Patients with MSDs participating in a national work promoting rehabilitation program significantly improved their health related quality of life and functional ability, especially those with no sick leave. This shows that vocational rehabilitation programs in a primary health care setting are effective. The findings of this study can also be valuable for more appropriate patient selection for rehabilitation programs for MSDs.
    BMC Musculoskeletal Disorders 02/2013; 14(1):57. DOI:10.1186/1471-2474-14-57 · 1.72 Impact Factor
  • Source
    • "Evidence that the ICF is an appropriate model for use in occupational rehabilitation ergonomics is supported through mapping and linking studies [13]. Such studies have demonstrated the use of the ICF as an appropriate model in rehabilitation medicine [60], occupational health [31], and with musculoskeletal and back disorders [14] [59] [71]. An article published as a Cochrane Protocol by Aas, Holte and Moller [1] supplies further evidence. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Traditional treatment of work-related musculoskeletal disorders focuses on the body functions and body structures aspects of the injury, with little or no attention paid to ergonomics as a form of treatment. The use of ergonomics in preventing disability in injured workers is a relatively new area of study. There are a number of factors that may contribute to the lack of emphasis on ergonomic interventions in the prevention of disability following musculoskeletal injury. For instance, a review of the knowledge base suggests that there is a lack of a formal conceptualization or standardized approach to ergonomics in the return to work process. In part, this lack of consistency may be due to the varied disciplinary backgrounds of ergonomists, leading individuals to view ergonomics from a specific perspective, rather than utilizing a transdisciplinary approach. The purpose of this paper is to introduce a new practice model of occupational rehabilitation ergonomics. The model draws upon the International Classification of Functioning, Disability, and Health (ICF) and merges this with basic ergonomic and rehabilitation principles.
    Work 02/2008; 31(1):47-61. · 0.52 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Hintergrund: Das “Umfassende ICF Core Set für lumbalen Rückenschmerz (LBP)“ dient der klinischen Anwendung der Internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) und repräsentiert das prototypische Spektrum von Funktionsfähigkeit bei Patienten mit lumbalem Rückenschmerz. Ziel: Das Ziel dieser Studie war, das „Umfassende ICF Core Set für lumbalen Rückenschmerz“ aus der Perspektive der Ärzte zu validieren. Methoden: In der Behandlung von Patienten mit lumbalem Rückenschmerz erfahrene Ärzte wurden nach den Problemen, Ressourcen und Umweltfaktoren gefragt, die für die ärztliche Behandlung eine Rolle spielen. Dabei wurde die so genannte Delphi-Methode angewandt. Die Expertenbefragung erfolgte in drei Runden per elektronischer Postzustellung (E-Mail). Die Antworten wurden nach definierten Übersetzungsregeln in die Sprache der ICF übersetzt. Ergebnisse: 71 Ärzte aus 36 Ländern nannten 707 Konzepte, die alle Komponenten der ICF abdeckten. Diese Antworten wurden in 193 ICF Kategorien übersetzt. Drei ICF Kategorien, namentlich b530 Funktionen der Aufrechterhaltung des Körpergewichts, b6202 Harnkontinenz und b6700 Mit dem Geschlechtsverkehr verbundene Beschwerden sind nicht im „Umfassenden ICF Core Set für lumbalen Rückenschmerz“ enthalten, obwohl wenigstens 75% der Teilnehmer sie als wichtig eingestuft haben. 27 Konzepte wurden der noch nicht entwickelten ICF Komponente Personenbezogene Faktoren zugeordnet, 21 Konzepte sind von der ICF nicht abgedeckt. Konklusion: Die Validität des „Umfassenden ICF Core Sets für lumbalen Rückenschmerz“ wurde von den teilnehmenden Ärzten weitgehend bestätigt. Allerdings zeigten sich einige Ergebnisse, die der weiteren Untersuchung bedürfen.
Show more