Department of Physical Therapy, Simmons University.
Physical Therapy Department, MGH Institute of Health Professions Boston, Massachusetts.
Int J Rehabil Res. 2022 Mar 1;45(1):24-32. doi: 10.1097/MRR.0000000000000508.
The purpose of this study was to compare the content covered by existing neck pain measures based on the linkage to the International Classification of Functioning, Disability and Health (ICF) framework to examine the extent to which the existing measures represent ICF categories and to identify content gaps in existing measures that would inform further research. Ten commonly used measures were identified, and their content was linked to ICF categories using established coding systems. Two clinical experts reviewed every measure independently and identified the central meaningful concepts from individual items of each measure. A total of 177 concepts were identified from 193 items across 10 measures. Body functions were the most represented category across measures (23-64%). The representation of activities ranged from 14 to 61% whereas the representation of participation ranged from 6 to 31% across measures. The ProFitMap-Neck was the only measure that addressed the environmental factors. The ProFit-Map neck captured a majority of concepts from body structures and function and the neck outcome score captured maximum concepts from the activities and participation categories. A combination of ProFit-Map neck and Neck Outcome Score can be used with caution to obtain a more comprehensive assessment of the impact of neck pain on function, activities and participation.
本研究旨在比较基于国际功能、残疾和健康分类（ICF）框架的现有颈部疼痛测量方法所涵盖的内容，以评估现有测量方法在多大程度上代表了 ICF 类别，并确定现有测量方法中的内容差距，为进一步的研究提供信息。确定了 10 种常用的测量方法，并使用既定的编码系统将其内容与 ICF 类别联系起来。两名临床专家独立审查了每个测量方法，并确定了每个测量方法中各个项目的核心有意义的概念。从 10 种测量方法的 193 个项目中总共确定了 177 个概念。身体功能是所有测量方法中最具代表性的类别（23-64%）。活动的代表性范围为 14-61%，而参与的代表性范围为 6-31%。ProFitMap-Neck 是唯一涵盖环境因素的测量方法。ProFit-Map 颈测量方法涵盖了身体结构和功能的大部分概念，而颈部结局评分则涵盖了活动和参与类别中最多的概念。Profit-Map 颈和颈部结局评分的组合可以谨慎使用，以更全面地评估颈部疼痛对功能、活动和参与的影响。
