Riberto M, Chiappetta L M, Lopes K A, Chiappetta L R
Eur J Phys Rehabil Med. 2014 Apr;50(2):153-60. Epub 2012 Nov 20.
Low back pain is a leading cause of disability in Brazil. The multiple aspects of disability in these patients require comprehensive tools for their assessment. The International Classification of Functioning, Disability, and Health (ICF) core set for low back pain is designed to comprehensively describe the experience of such patients with their functioning.
This study aimed to describe functioning and contextual factors and to empirically validate the ICF core set for low back pain.
Cross sectional study.
Three outpatient clinics in Manaus, Maceio and São Paulo, Brazil. Population. 135 low back pain outpatients under rehabilitation.
Data concerning diagnosis, personal features, and the 78 ICF core set categories for low back pain were collected from clinical charts, physical examinations, tests, and interviews with patients from rehabilitation services in three parts of Brazil.
7.7% of the categories (6 body functions and 10 activity and participation) were affected in less than 20% of the sample, and were thus considered not validated. Pain and other sensations related to the musculoskeletal system were the body most frequently impaired functions. Mobility and domestic life were the chapters of activity and limitation most often described as limited. All environmental factors were qualified as either facilitators or barriers and acted as modulators of disability.
The comprehensive ICF core sets for low back pain can be used to describe the living experience of such individuals, although efforts to make it operational and enhance the reproducibility of the results are needed to warrant its reliable routine use.
This study highlights the importance of a complete assessment of chronic low back pain and demonstrate the need for multidisciplinary approach.
腰背痛是巴西致残的主要原因。这些患者残疾的多个方面需要综合工具进行评估。国际功能、残疾和健康分类（ICF）腰背痛核心集旨在全面描述此类患者的功能体验。
本研究旨在描述功能和背景因素，并通过实证验证ICF腰背痛核心集。
横断面研究。
巴西马瑙斯、马塞约和圣保罗的三家门诊诊所。研究对象：135名接受康复治疗的腰背痛门诊患者。
从巴西三个地区康复服务机构的临床病历、体格检查、测试以及与患者的访谈中收集有关诊断、个人特征和78个ICF腰背痛核心集类别的数据。
7.7%的类别（6项身体功能以及10项活动和参与）在不到20%的样本中受到影响，因此被认为未得到验证。与肌肉骨骼系统相关的疼痛和其他感觉是最常受损的身体功能。活动能力和家庭生活是最常被描述为受限的活动和受限章节。所有环境因素都被界定为促进因素或障碍因素，并作为残疾的调节因素。
ICF腰背痛综合核心集可用于描述此类个体的生活体验，不过需要努力使其可操作并提高结果的可重复性，以确保其能可靠地常规使用。
本研究强调了对慢性腰背痛进行全面评估的重要性，并表明需要采用多学科方法。
