Munk Niki, Harrison Anne
Gerontology Department, College of Public Health and.
Int J Ther Massage Bodywork. 2010 Dec 16;3(4):29-36. doi: 10.3822/ijtmb.v3i4.109.
Without an increase in clearly defined and clinically significant outcomes research in massage therapy (MT), the practice is in jeopardy of remaining on the fringes of accepted and utilized therapeutic care. This reality will slow the integration of MT into routine preventive, rehabilitative, curative, and supportive care. The International Classification of Functioning, Disability, and Health (ICF) developed by the World Health Organization is a comprehensive model of functioning and disability that provides a universal taxonomy of human functioning that is recognized globally. Integration of the ICF model into MT research, education, and practice would provide a foundation for a common language, particularly in regard to examining outcomes of MT.Here, we review the dynamic and respected ICF model as it applies to massage research, outcomes dissemination, education, and practice, with these specific objectives:To describe the specific domains of the ICF modelTo apply the described ICF domains to current massage practice and researchTo discuss how integration of the ICF model enhances communication and translation among those within and to those outside the MT fieldThe ICF model is ideal for application to MT interests because it works outside the typical focus on pathology or a specific organ system. Instead, the ICF focuses on impairment or limitations in functioning associated with health conditions. The ICF also highlights and incorporates the complex interactions of environment and personal factors and the impact that those factors exert on the domains of body structure, activity, and participation. This interaction has unique implications for MT practitioners, researchers, and clients/patients. Furthermore, the ICF model provides a framework for classifying outcomes, which is a critical aspect of clinical research.
如果按摩疗法（MT）没有在明确定义且具有临床意义的疗效研究方面取得进展，那么该疗法将面临停留在被认可和使用的治疗护理边缘的风险。这一现实将减缓按摩疗法融入常规预防、康复、治疗和支持性护理的进程。世界卫生组织制定的《国际功能、残疾和健康分类》（ICF）是一个关于功能和残疾的综合模型，它提供了一个全球公认的人类功能通用分类法。将ICF模型融入按摩疗法的研究、教育和实践中，将为一种通用语言奠定基础，尤其是在研究按摩疗法的疗效方面。在此，我们回顾动态且受推崇的ICF模型在按摩研究、疗效传播、教育和实践中的应用，具体目标如下：描述ICF模型的具体领域；将所描述的ICF领域应用于当前的按摩实践和研究；讨论ICF模型的整合如何加强按摩疗法领域内部以及与外部人员之间的沟通和转化。ICF模型非常适合应用于按摩疗法相关领域，因为它跳出了通常对病理学或特定器官系统的关注。相反，ICF关注与健康状况相关的功能损伤或限制。ICF还强调并纳入了环境和个人因素的复杂相互作用，以及这些因素对身体结构、活动和参与领域的影响。这种相互作用对按摩疗法从业者、研究人员以及客户/患者具有独特的意义。此外，ICF模型为分类疗效提供了一个框架，这是临床研究的一个关键方面。
