Nilmart Patcharin, Vongsirinavarat Mantana, Somprasong Sirikarn, Apinonkul Benjawan
Faculty of Physical Therapy, Mahidol University, Putthamonthon, Nakhon Pathom, Thailand.
Int J Rehabil Res. 2019 Sep;42(3):240-248. doi: 10.1097/MRR.0000000000000361.
The objective of this study was to develop an extensive assessment list for individuals with knee osteoarthritis based on the International Classification of Functioning, Disability and Health (ICF) osteoarthritis comprehensive Core Set. Ten experienced physical therapists including five lecturers and five clinicians were purposively nominated to form an expert panel. Consensus among the experts was obtained through a four-iteration Delphi technique. A list of ICF categories and their third- and fourth-level categories were selected and matched with outcome measures associated with knee osteoarthritis. The expert panel agreed that 26 out of 38 second-level categories of the comprehensive ICF core set for osteoarthritis were relevant to identify problems related to knee osteoarthritis. The information relevant to the specific categories for knee osteoarthritis was obtained from self-reported, subjective observation and physical examination. The extensive assessment list for knee osteoarthritis based on the comprehensive ICF core set for osteoarthritis was assembled. This assessment tool can be used to expansively identify the multidimensional disabilities of impairment, activity limitation and participation restriction in individuals with knee osteoarthritis.
本研究的目的是基于国际功能、残疾和健康分类（ICF）骨关节炎综合核心集，为膝关节骨关节炎患者制定一份详尽的评估清单。特意挑选了包括五名讲师和五名临床医生在内的十名经验丰富的物理治疗师组成专家小组。通过四轮德尔菲技术达成了专家共识。选择了ICF类别及其第三和第四级类别清单，并与膝关节骨关节炎相关的结局指标进行匹配。专家小组一致认为，骨关节炎综合ICF核心集中的38个二级类别中有26个与识别膝关节骨关节炎相关问题有关。与膝关节骨关节炎特定类别相关的信息来自自我报告、主观观察和体格检查。基于骨关节炎综合ICF核心集的膝关节骨关节炎详尽评估清单得以编制完成。该评估工具可用于广泛识别膝关节骨关节炎患者在损伤、活动受限和参与限制方面的多维度残疾情况。
