DOI QR코드

DOI QR Code

Mapping Items of Functioning Questionnaires into the International Classification of Functioning, Disability and Health: Low Back Pain

  • Lee, Hae-Jung (Department of Physical Therapy, Silla University) ;
  • Song, Ju-Min (Department of Physical Therapy, Silla University)
  • Received : 2016.09.20
  • Accepted : 2016.10.24
  • Published : 2016.10.30

Abstract

Purpose: The purpose was to link items of questionnaires that measure functioning and disability of persons with Low Back Pain (LBP) into the International Classification of Functioning, Disability and Health (ICF). Methods: The Oswestry Disability Index (ODI), Roland and Morris Disability Questionnaire (RM), Fear-Avoidance Beliefs Questionnaire (FABQ), and Short Form-36 health survey (SF-36) were evaluated to map items of those questionnaires into the ICF categories. The linking rule was employed and linking was performed independently by 10 health professionals. One-hundred and two patients with LBP were recruited from 19 medical institutes to this study for a field test to examine relations between the scale and its linked ICF category set. Pearson correlation coefficient was used to analyze their relationships. Results: Walking was only found to be one-to-one linking between the scale and the ICF. Sixty questions in FABQ were to be linked to 9 of ICF categories. Ten and 14 ICF categories were able to be linked to RM and ODI respectively. It was found that majority of items from ODI and RM scale had similar concept and linked to the same ICF category. SF-36 had only 15 categories of the ICF linked. Strong relationship was observed between measurement scales and linked ICF code sets (r=0.79, r=0.65, r=0.47, and r=-0.31 for ODI, RM, FABQ and SF-36 respectively). Conclusion: It was found that commonly used clinical tools for LBP may be linked to ICF. The study results may suggest that clinical data can be standardized to communicate between related professionals.

Keywords

References

  1. Fritz JM, Cleland JA, Speckman M et al. Physical therapy for acute low back pain: associations with subsequent healthcare costs. Spine. 2008; 33(16):1800-5. https://doi.org/10.1097/BRS.0b013e31817bd853
  2. Liao ZT, Pan YF, Huang JL et al. An epidemiological survey of low back pain and axial spondyloarthritis in a chinese han population. Scand J Rheumatol. 2009; 38(6):455-9. https://doi.org/10.3109/03009740902978085
  3. Yamada K, Matsudaira K, Takeshita K et al. Prevalence of low back pain as the primary pain site and factors associated with low health-related quality of life in a large japanese population: a pain-associated cross-sectional epidemiological survey. Mod Rheumatol/the Japan Rheumatism Association. 2014;24(2):343-8. https://doi.org/10.3109/14397595.2013.854067
  4. Melloh M, Roder C, Elfering A et al. Differences across health care systems in outcome and cost-utility of surgical and conservative treatment of chronic low back pain: a study protocol. BMC Musculoskelet Disord. 2008;9:81. https://doi.org/10.1186/1471-2474-9-81
  5. Fairbank JC, Couper J, Davies JB et al. The Oswestry Low Back Pain Disability Index. Physiother. 1980;66(8):271-3.
  6. Roland M, Morris R. A study of the natural history of back pain. part I: development of a reliable and sensitive measure of disability in low-back pain. Spine. 1983;8(2):141-4. https://doi.org/10.1097/00007632-198303000-00004
  7. Waddell G, Newton M, Henderson I et al. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52(2):157-68. https://doi.org/10.1016/0304-3959(93)90127-B
  8. Ware JE, Sherbourne CD. The MOS 36-item Short Form-36 health survey (SF-36). I. conceptual framework and item selection. Med Care. 1992; 30(6):473-83. https://doi.org/10.1097/00005650-199206000-00002
  9. Lee H, Song J. Analysis of the characteristics of patients with chronic low back pain using the ICF concept. J Kor Phys Ther. 2013;25(5):282-7.
  10. WHO. Toward a common language for functioning, disability and health. http://wwwwhoint/classifications/icf/icfbeginnersguidepdf. 2002.
  11. Jelsma J. Use of the International Classification of Functioning, Disability and Health: a literature survey. J Rehabil Med. 2009; 41(1):1-12. https://doi.org/10.2340/16501977-0300
  12. Cieza A, Geyh S, Chatterji S et al. ICF linking rules: an update based on lessons learned. J Rehabil Med. 2005;37(4):212-8. https://doi.org/10.1080/16501970510040263
  13. Wang P, Zhang J, Liao W et al. Content comparison of questionnaires and scales used in low back pain based on the International Classification of Functioning, Disability and Health: a systematic review. Disabil Rehabil. 2012;34(14):1167-77. https://doi.org/10.3109/09638288.2011.637602
  14. Schepers VPM, Ketelaar M, van de Port IGL et al. Comparing contents of functional outcome measures in stroke rehabilitation using the International Classification of Functioning, Disability and Health. Disabil Rehabil. 2007;29(3):221-30. https://doi.org/10.1080/09638280600756257
  15. Sigl T, Cieza A, Brockow T et al. Content comparison of low back pain-specific measures based on the International Classification of Functioning, Disability and Health (ICF). Clin J Pain. 2006;22(2): 147-53. https://doi.org/10.1097/01.ajp.0000155344.22064.f4
  16. Cieza A, Stucki G. Content comparison of health-related quality of life (HRQOL) instruments based on the International Classification of Functioning, Disability and Health (ICF). Qual Life Res. 2005;14(5): 1225-37. https://doi.org/10.1007/s11136-004-4773-0
  17. Lee H, Song J. Development of revised Korean version of ICF. J Kor Phys Ther. 2014;26(5):344-50.
  18. WHO. International Classification of Functioning, Disability and Health: Korean version. 2nd. Seoul, Ministry of Health & Welfare. 2016.

Cited by

  1. Effects of Manual Therapy on Pain and Function of Patients with Chronic Low Back Pain vol.29, pp.2, 2016, https://doi.org/10.18857/jkpt.2017.29.2.85
  2. The Effects of Spinal Decompression Therapy on Pain and Disability in Patients with Chronic Low Back Pain vol.29, pp.6, 2017, https://doi.org/10.18857/jkpt.2017.29.6.299
  3. Linking of Items in Two Function-related Questionnaires to the International Classification of Functioning, Disability and Health: Shoulder Pain vol.30, pp.6, 2018, https://doi.org/10.18857/jkpt.2018.30.6.239
  4. Korean Cultural Adaptation of WHODAS 2.0 (36-Item Version): Reliability and Linking to ICF vol.30, pp.6, 2018, https://doi.org/10.18857/jkpt.2018.30.6.246
  5. Assessment Using the ICF-core set for Children and Youth with Cerebral Palsy: A Single Case Study vol.31, pp.2, 2019, https://doi.org/10.18857/jkpt.2019.31.2.103
  6. Functioning Characteristics of Patients with Neck Pain: ICF Concept Based vol.31, pp.4, 2016, https://doi.org/10.18857/jkpt.2019.31.4.242
  7. A Review of Domestic Research Trends Related to the International Classification of Functioning, Disability and Health (ICF): 2015-2020 vol.16, pp.3, 2016, https://doi.org/10.13066/kspm.2021.16.3.65
  8. Review on ICF-related Research Trends in Korean Clinical Field vol.16, pp.4, 2016, https://doi.org/10.13066/kspm.2021.16.4.33