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如何应用国际功能、残疾和健康分类(ICF)及ICF腰痛核心组合

How to apply the ICF and ICF core sets for low back pain.

作者信息

Stier-Jarmer Marita, Cieza Alarcos, Borchers Michael, Stucki Gerold

机构信息

Department of Physical Medicine and Rehabilitation, Ludwig-Maximilians-University, Munich.

出版信息

Clin J Pain. 2009 Jan;25(1):29-38. doi: 10.1097/AJP.0b013e31817bcc78.

Abstract

OBJECTIVE

To introduce the International Classification of Functioning, Disability and Health (ICF) as conceptual model and classification and the ICF Core Sets as a way to specify functioning for a specific health condition such as Low Back Pain, and to illustrate the application of the ICF and ICF Core Sets in the context of clinical practice, the planning and reporting of studies and the comparison of health status measures.

METHODS

A decision-making and consensus process was performed to develop the ICF Core Sets for Low Back Pain, the linking procedure was applied as basis for the content comparison of health-status measures and the Rehab-Cycle was used to exemplify the application of the ICE and ICF Core Sets in clinical practice.

RESULTS

Two different ICF Core Sets, namely, a comprehensive and a brief, are presented, three different health-status measures were linked to the ICF and compared and a case example of a patient with Low back Pain was described based on the Rehab-Cycle.

DISCUSSION

The ICF is a promising new framework and classification to assess the impact of Low Back Pain. The ICF and practical tools, such as the ICF Core Sets for Low Back Pain, are useful for clinical practice, outcome and rehabilitation research, education, health statistics, and regulation.

摘要

目的

介绍《国际功能、残疾和健康分类》(ICF)作为概念模型和分类方法,以及ICF核心组合作为一种为诸如腰痛等特定健康状况明确功能的方式,并说明ICF和ICF核心组合在临床实践、研究规划与报告以及健康状况测量比较中的应用。

方法

开展了一个决策和共识过程以制定腰痛的ICF核心组合,采用关联程序作为健康状况测量内容比较的基础,并使用康复周期来例证ICF及ICF核心组合在临床实践中的应用。

结果

呈现了两个不同的ICF核心组合,即一个全面的和一个简要的核心组合,将三种不同的健康状况测量与ICF进行关联和比较,并基于康复周期描述了一例腰痛患者的病例。

讨论

ICF是一个有前景的新框架和分类方法,用于评估腰痛的影响。ICF以及诸如腰痛的ICF核心组合等实用工具,对临床实践、结局和康复研究、教育、健康统计及监管都很有用。

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