Article

OBJECTIVE: To determine whether the International Classification of Functioning,
Disability and Health (ICF) Low Back Pain Core Sets are sufficient to cover the
activity and participation goals that patients prioritize when commencing
multidisciplinary rehabilitation. DESIGN: Prospective multi-site cross-sectional
questionnaire study. SUBJECTS: Patients with chronic low back pain attending
multidisciplinary outpatient clinics at two metropolitan hospitals in Australia.
METHODS: Participants used the Patient Specific Functional Scale to record goals
when commencing rehabilitation. Two raters employed a standardized procedure to
extract and link goal concepts to the ICF. A description exploration was
undertaken with reference to the low back pain Core Sets. Sample size was
determined via saturation. RESULTS: Saturation was achieved with 33 participants.
Ninety five goals were identified, from which 109 concepts were extracted. All of
the concepts could be linked to the ICF, spanning 23 2nd-level categories. The
comprehensive and brief core sets encompassed 95% and 65% of the concepts
respectively. Maintaining body position (d415), doing housework (d640), changing
basic body position (d410) and walking (d450) accounted for the majority (50.5%)
of goals. CONCLUSION: This study confirms the content validity of the low back
pain Core Sets from the patients' perspective. The Core Sets are likely to have
good clinical utility, however, additional research is required to substantiate
whether ratings of ICF based goals can be used to measure goal achievement.

Langue : ANGLAIS