Institute for Health and Rehabilitation Sciences, Ludwig-Maximilian University, Munich, Germany.
Eur J Phys Rehabil Med. 2009 Sep;45(3):415-26.
The International Classification of Functioning, Disability and Health (ICF) provides a useful framework for the comprehensive description of the patients' functional health. The aim of this study was to identify the ICF categories that represent the patients' problems treated by manual medicine practitioners in order to facilitate its application in manual medicine. This selection of ICF categories could be used for assessment, treatment documentation and quality management in manual medicine practice.
Swiss manual medicine experts were asked about the patients' problems commonly treated by manual medicine practitioners in a three-round survey using the Delphi technique. Responses were linked to the ICF.
Forty-eight manual medicine experts gave a total of 808 responses that were linked to 225 different ICF categories; 106 ICF categories which reached an agreement of at least 50% among the participants in the final Delphi-round were included in the set of ICF Intervention Categories for Manual Medicine; 42 (40%) of the categories are assigned to the ICF component body functions, 36 (34%) represent the ICF component body structures and 28 (26%) the ICF component activities and participation.
A first proposal of ICF Intervention Categories for Manual Medicine was defined and needs to be validated in further studies.
国际功能、残疾和健康分类（ICF）为全面描述患者的功能健康状况提供了一个有用的框架。本研究的目的是确定代表接受手法医学治疗的患者问题的 ICF 类别，以便于在手法医学中应用。这些 ICF 类别可用于评估、治疗记录和手法医学实践中的质量管理。
瑞士手法医学专家在三轮德尔菲技术调查中被要求回答手法医学从业者常见的患者问题。调查结果与 ICF 相关联。
48 名手法医学专家共提出了 808 项答复，这些答复与 225 个不同的 ICF 类别相关联；在最后一轮德尔菲调查中，至少有 50%的参与者达成一致的 106 个 ICF 类别被纳入手法医学干预类别 ICF 中；其中 42 个（40%）类别属于 ICF 组件身体功能，36 个（34%）代表 ICF 组件身体结构，28 个（26%）代表 ICF 组件活动和参与。
定义了手法医学干预类别 ICF 的初步建议，需要在进一步的研究中进行验证。
