Ólvega Primary Care Physiotherapy Unit, Soria Health Care Management, Castilla y León Regional Health Administration (SACYL), Ólvega (Soria), Spain.
Faculty of Health Sciences, University of Valladolid, Soria, Spain.
J Rehabil Med. 2023 Nov 16;55:jrm11950. doi: 10.2340/jrm.v55.11950.
To assess content validity of the comprehensive International Classification of Functioning, Disability and Health (ICF) Core Set for post-acute musculoskeletal conditions in primary care physiotherapy services.
Multicentre cross-sectional study.
Patients with musculoskeletal disorders referred to primary care physiotherapy services.
Structured interviews were conducted using categories from the ICF Core Set, and their relevance was assessed using a visual analogue scale. An ICF category had to represent a problem for at least 5% of the sample in order to be validated.
The study sample comprised 274 patients. All categories in the ICF Core Set were confirmed. Body functions related to pain and movement were the most commonly impaired, with ICF categories "b280 Sensation of pain" and "b710 Mobility of joint functions" having the highest prevalence (87.2% and 84.7%, respectively). Activity limitations and participation restrictions were concentrated in chapters "d4 Mobility" (63.5% for "d430 Lifting and carrying objects") and "d2 General tasks and demands" (59.5% for "d240 Handling stress and other psychological demands"). The most relevant environmental factors were "e225 Climate" (55.8%) and "e580 Health services, systems and policies" (39.4%).
The ICF Core Set for post-acute musculoskeletal conditions shows appropriate content validity for primary care physiotherapy services.
评估综合国际功能、残疾和健康分类（ICF）核心组在初级保健物理治疗服务中对急性后肌肉骨骼疾病的内容效度。
多中心横断面研究。
转诊至初级保健物理治疗服务的肌肉骨骼疾病患者。
使用 ICF 核心组的类别进行结构化访谈，并使用视觉模拟量表评估其相关性。只有当 ICF 类别至少代表样本的 5%的问题时，才能被验证。
研究样本包括 274 名患者。ICF 核心组的所有类别均得到确认。与疼痛和运动相关的身体功能受损最为常见，ICF 类别“b280 疼痛感觉”和“b710 关节功能的移动性”的患病率最高（分别为 87.2%和 84.7%）。活动受限和参与受限主要集中在章节“d4 移动”（63.5%为“d430 搬运物体”）和“d2 一般任务和需求”（59.5%为“d240 应对压力和其他心理需求”）。最相关的环境因素是“e225 气候”（55.8%）和“e580 卫生服务、系统和政策”（39.4%）。
急性后肌肉骨骼疾病的 ICF 核心组在初级保健物理治疗服务中具有适当的内容效度。
