Kirschneck Michaela, Kirchberger Inge, Amann Edda, Cieza Alarcos
Institute for Health and Rehabilitation Sciences, Research Unit for Biopsychosocial Health, Ludwig-Maximilian University, Munich, Germany.
Man Ther. 2011 Aug;16(4):364-72. doi: 10.1016/j.math.2010.12.011. Epub 2011 Jan 26.
The "Comprehensive ICF Core Set for Low Back Pain (LBP)" is an application of the International Classification of Functioning, Disability and Health (ICF) and represents the typical spectrum of problems in functioning for patients with LBP. The aim of this study was to validate the Comprehensive ICF Core Set for low back pain from the perspective of physical therapists. Physical therapists experienced in LBP treatment were asked about the patients' problems, patients' resources and aspects of environment treated by physical therapists in a three-round survey using the Delphi technique. Responses were linked to the ICF. Eighty-four physical therapists in 32 countries named 1955 concepts that covered all ICF components. Fourteen ICF categories were not represented in the Comprehensive ICF Core Set for LBP although at least 75% of the participants have rated them as important. Most of them belonged to the ICF component "Body Functions". Twenty-eight concepts were linked to the not-yet-developed ICF component personal factors. Further, 21 issues were not covered by the ICF. The validity of the ICF components "Body Structures", "Activities and Participation" and "Environmental Factors" was largely supported by the physical therapists. However, several body functions were identified which are not covered and need further investigation.
“腰痛（LBP）综合ICF核心集”是国际功能、残疾和健康分类（ICF）的一种应用，代表了腰痛患者功能问题的典型范围。本研究的目的是从物理治疗师的角度验证腰痛综合ICF核心集。通过三轮德尔菲技术调查，向有腰痛治疗经验的物理治疗师询问患者的问题、患者的资源以及物理治疗师所治疗的环境方面。回答与ICF相关联。来自32个国家的84名物理治疗师列出了1955个涵盖所有ICF组成部分的概念。尽管至少75%的参与者将其评为重要，但在腰痛综合ICF核心集中未体现14个ICF类别。其中大多数属于ICF组成部分“身体功能”。28个概念与尚未开发的ICF组成部分个人因素相关联。此外，21个问题未被ICF涵盖。物理治疗师在很大程度上支持ICF组成部分“身体结构”、“活动与参与”和“环境因素”的有效性。然而，确定了一些未涵盖且需要进一步研究的身体功能。
