Department of Physical Medicine and Rehabilitation, Ullevaal University Hospital, Oslo, Norway.
Eur J Phys Rehabil Med. 2009 Sep;45(3):403-14. Epub 2009 Apr 27.
AIM: The aim of this study was to identify candidate categories from the International Classification of Functioning, Disability and Health (ICF) to be included in the Brief ICF Core Set for low back pain (LBP) by examining their relation to general health and functionality. METHODS: This was part of an international multicentre study with 118 participating Norwegian patients with LBP. The Comprehensive ICF Core Set for LBP was filled in by health professionals. The patients reported their health-related quality of life in the Medical Outcome Study Short Form 36 (SF-36) and function in the Oswestry Disability Index. Two questions regarding the patient's general health and functioning were completed by the health professionals and the patients themselves. Regression models were developed in order to identify ICF categories explaining most of the variance of the criterion measures. RESULTS: Twelve ICF categories remained as significant explanatory factors according to the eight regression models, four of which were not included in a previously proposed Brief ICF Core Set for LBP. CONCLUSIONS: The present study complements the development of the Brief ICF Core Set for LBP, and indicates a minimum number of categories needed to explain LBP patients' functioning and health. Further elaboration of the Brief ICF Core Set for LBP with multinational data is needed.
目的:本研究旨在通过考察与一般健康和功能的关系,从《国际功能、残疾和健康分类》(ICF)中确定候选类别,纳入用于腰痛(LBP)的简短 ICF 核心集。
方法:这是一项国际多中心研究的一部分,共有 118 名参与的挪威腰痛患者。由健康专业人员填写综合 ICF 腰痛核心集。患者使用医疗结局研究短表 36(SF-36)报告其与健康相关的生活质量,使用 Oswestry 残疾指数报告其功能。健康专业人员和患者本人完成了两个关于患者一般健康和功能的问题。为了确定解释标准测量结果大部分方差的 ICF 类别,开发了回归模型。
结果:根据八个回归模型,有 12 个 ICF 类别仍然是重要的解释因素,其中 4 个类别未包含在之前提出的用于腰痛的简短 ICF 核心集中。
结论:本研究补充了用于腰痛的简短 ICF 核心集的开发,并指出了解释腰痛患者功能和健康所需的最小类别数量。需要使用跨国数据进一步阐述用于腰痛的简短 ICF 核心集。
Eur J Phys Rehabil Med. 2009-4-27
Tidsskr Nor Laegeforen. 2008-12-4