van Dijk Margriet J H, Smorenburg Nienke T A, Visser Bart, Nijhuis-van der Sanden Maria W G, Heerkens Yvonne F
a Institute for Human Movement Studies, Utrecht University of Applied Sciences , Utrecht , The Netherlands.
b ACHIEVE-Amsterdam Centre for Innovative Health Practice, Amsterdam University of Applied Sciences , Amsterdam , The Netherlands.
Physiother Theory Pract. 2017 Mar;33(3):227-237. doi: 10.1080/09593985.2017.1282998. Epub 2017 Feb 14.
As a first step to formulate a practical definition for movement quality (MQ), this study aims to explore how Dutch allied health care professionals (AHCPs) describe MQ of daily life activities in patients with low back pain (LBP).
In this qualitative cross-sectional digital survey study, Dutch AHCPs (n = 91) described MQ in open text (n = 91) and with three keywords (n = 90). After exploratory qualitative content analysis, the ICF linking rules (International Classification of Functioning, Disability and Health) were applied to classify MQ descriptions and keywords.
The identified meaningful concepts (MCs) of the descriptions (274) and keywords (239) were linked to ICF codes (87.5% and 80.3%, respectively), Personal factors (5.8% and 5.9%, respectively), and supplementary codes (6.6% and 13.8%, respectively). The MCs were linked to a total of 31 ICF codes, especially to b760 'control of voluntary movement functions', b7602 'coordination of voluntary movements', d4 'Mobility', and d230 'carry out daily routine'. Negative and positive formulated descriptions elucidated different MQ interpretations.
Descriptions of MQ given by Dutch AHCPs in patients with LBP cover all ICF components. Coordination and functional movements are seen as the most elementary concepts of MQ. Variation in MQ descriptions and interpretations hinders defining MQ and indicates the necessity of additional steps.
作为制定运动质量（MQ）实用定义的第一步，本研究旨在探讨荷兰专职医疗保健专业人员（AHCPs）如何描述腰痛（LBP）患者日常生活活动的运动质量。
在这项定性横断面数字调查研究中，荷兰AHCPs（n = 91）用开放式文本（n = 91）和三个关键词（n = 90）描述了运动质量。经过探索性定性内容分析后，应用国际功能、残疾和健康分类（ICF）的关联规则对运动质量描述和关键词进行分类。
所确定的描述（274条）和关键词（239个）中的有意义概念（MCs）分别与ICF编码（分别为87.5%和80.3%）、个人因素（分别为5.8%和5.9%）以及补充编码（分别为6.6%和13.8%）相关联。这些MCs总共与31个ICF编码相关联，尤其与b760“自主运动功能控制”、b7602“自主运动协调”、d4“移动性”和d230“进行日常生活活动”相关。否定和肯定表述的描述阐明了不同的运动质量解释。
荷兰AHCPs对LBP患者运动质量的描述涵盖了所有ICF组成部分。协调和功能性运动被视为运动质量最基本的概念。运动质量描述和解释的差异阻碍了对运动质量的定义，并表明有必要采取额外措施。
