Department of Physical Medicine and Rehabilitation, Zhongnan Hospital of Wuhan University, Wuhan, China.
Disabil Rehabil. 2012;34(14):1167-77. doi: 10.3109/09638288.2011.637602. Epub 2012 Mar 12.
To identify questionnaires and scales that measure functioning and disability in low-back pain (LBP) and determine whether the measurements are comparable with the International Classification of Functioning, Disability and Health (ICFDH).
We searched MEDLINE, EMBase, CINAHL and PEDro in English, and CNKI and Wanfang Data in Chinese in a period from the date of the database establishment to September 2010. From the identified literature, questionnaires and scales used to assess LBP-related functioning and disability were collected and classified. Each item in each questionnaire and scale was extracted and classified according to the ICFDH categories.
We have reviewed 7968 published articles and identified a total of fifteen questionnaires. A total of 219 items were analyzed and a total of 354 concepts contained in these items and 345 could be linked to ICFDH components, 138 linked to body function, 20 to body structure, 174 to activities and participation, and 13 to environmental factors, and 9 to a non-classifiable cluster. In the body functions component, only the single category "sensation of pain" was covered by most questionnaires. In the activity and participation component, "changing basic body position"; "walking" and "maintaining a body position" were covered by most questionnaires. Analyzing individual questionnaires, we found that two questionnaires (Clinical Back Pain Questionnaire and Million Disability Questionnaire) demonstrate a well-balanced distribution of items across different ICFDH components.
This study may help researchers and clinicians to choose the most appropriate questionnaires for a specific purpose as well as help compare studies that have used different questionnaires for low back pain assessment and provide valuable information on the content quality of these questionnaires for them. Furthermore, based on our results, more comprehensive and balanced instruments may be developed for more accurate assessment of functioning in LBP and perhaps other clinical conditions.
确定用于测量腰痛（LBP）功能障碍的问卷和量表，并确定这些测量方法是否与国际功能、残疾和健康分类（ICF）相匹配。
我们检索了 MEDLINE、EMBase、CINAHL 和 PEDro 中的英文文献以及 CNKI 和万方数据中的中文文献，检索时间为建库至 2010 年 9 月。从确定的文献中，收集和分类了用于评估 LBP 相关功能障碍的问卷和量表。从每个问卷和量表中提取并分类每个项目，根据 ICFDH 类别进行分类。
我们共查阅了 7968 篇已发表文章，确定了 15 个问卷。分析了 219 个项目，这些项目中的 354 个概念和 345 个可与 ICFDH 成分相关，138 个与身体功能相关，20 个与身体结构相关，174 个与活动和参与相关，13 个与环境因素相关，9 个与无法分类的聚类相关。在身体功能成分中，只有“疼痛感觉”这一个单一类别被大多数问卷涵盖。在活动和参与成分中，“改变基本体位”、“行走”和“维持身体姿势”被大多数问卷涵盖。分析个别问卷时，我们发现两个问卷（临床腰痛问卷和百万残疾问卷）在不同 ICFDH 成分之间的项目分布较为均衡。
本研究可以帮助研究人员和临床医生选择最适合特定目的的问卷，还可以帮助比较使用不同问卷评估腰痛的研究，并为他们提供这些问卷在内容质量方面的有价值信息。此外，基于我们的研究结果，可能会开发出更全面和均衡的工具，以更准确地评估腰痛的功能，也许还可以评估其他临床状况。
