Do ICF Core Sets for Low Back Pain Include Patients' Self‐Reported Activity Limitations because of Back Problems?. (22nd October 2013)

• Record Type: Journal Article
• Authors: Lygren, Hildegunn; Strand, Liv Inger; Anderson, Bodil; Magnussen, Liv Heide
• Is Part Of: Physiotherapy research international. Volume 19:Number 2(2014:Jun.)
• Page Start: 99
• Page End: 107
• Publication Date: 2013-10-22
• Subjects: Physical therapy -- Periodicals; Physical Therapy Modalities -- Periodicals; Physiothérapie -- Périodiques; 615.82
• DOI: 10.1002/pri.1566
• Languages: English
• ISSNs: 1358-2267

Abstract

<abstract abstract-type="main"> <title>Abstract</title> <sec id="pri1566-sec-0001" sec-type="section"> <title>Purpose</title> <p>The aim of this study was to investigate content validity of the International Classification of Functioning, Disability and Health (ICF) Core Sets for low back pain (LBP), by examining whether common activities reported as difficult to perform are included in the Core Sets.</p> </sec> <sec id="pri1566-sec-0002" sec-type="section"> <title>Methods</title> <p>A cross‐sectional design was used. Ninety‐eight patients with long‐lasting back pain (>3 months) between 18 and 65 years of age were consecutively recruited from a Multidisciplinary Outpatient Spine Clinic. Difficulties with daily life and work task activities because of back pain were examined by asking the patients two questions: 1) can you specify activities that are difficult to perform because of your back pain? and 2) are there specific work tasks that you are unable to do because of your back pain? Two raters independently classified the written responses according to the ICF Core Sets' component <italic>Activities and Participation</italic>.</p> </sec> <sec id="pri1566-sec-0003" sec-type="section"> <title>Results</title> <p>Activities and work tasks were linked to 15 of 29 categories (52%) in the Comprehensive Core Set, and 9 of 12 (75%) in the Brief Core Set, and the initial agreement between the two raters in coding the answers according to the Core Sets was (83%, <italic>k</italic> = 0.80) and (93%, <italic>k</italic> = 0.9), respectively, before consensus was reached.</p> </sec> <sec id="pri1566-sec-0004" sec-type="section"> <title>Conclusions</title> <p>The Comprehensive Core Set for LBP to a large degree contains daily life and work‐related activities frequently reported as difficult to perform by patients with long‐lasting LBP. The categories, however, are very broad and do not provide specified descriptions of the most frequently reported activity limitations such as sitting, standing and walking. The Brief Core Set does not include categories for frequently reported activities such as pulling/pushing and leisure/recreation activities. ICF Core Sets for LBP seem suitable for obtaining a gross overview of the patients' functional limitations, but do not give sufficient information from a therapeutic point of view. Copyright © 2013 John Wiley & Sons, Ltd.</p> </sec> </abstract>