Turkiye Klinikleri Journal of Physical Medicine Rehabilitation

Bel Ağrısı İçin ICF Öz Kümeleri
ICF CORE SETS FOR LOW BACK PAIN
Alarcos CIEZAa, Gerold STUCKIa,b, Martin WEIGLb, Peter DISLERc, Wilfried JÄCKELd, Sjef VAN DER LINDENe, Nenad KOSTANJSEKf, Rob DE BIEg
From the aICF Research Branch, WHO FIC Collaborating Center (DIMDI), IMBK, Ludwig-Maximilians-University, Munich, Germany, bDepartment of Physical Medicine and Rehabilitation, Ludwig-Maximilians-University, Munich, Germany, cVictorian Rehabilitation Research Institute, University of Melbourne and Royal Melbourne Hospital, Melbourne, Australia, dDepartment of Quality Management and Social Medicine, University of Freiburg, Germany, eDepartment of Internal Medicine, Division of Rheumatology, University Hospital, Maastricht, The Netherlands, fClassification, Assessment, Surveys and Terminology Team, World Health Organization, Geneva, Switzerland and gDepartment of Epidemiology, Maastricht University, Maastricht, The Netherlands© Cieza A, Stucki G, Weigl M, Disler P, Jäckel W, Van Der Linden S, Kostanjsek N and De Bie R. ICF Core Sets For Low Back Pain.
Turkiye Klinikleri J PM&R. 2004;4(3):122-30
Article Language: TR
Full Text
ÖZET
 Amaç: Bel ağrısı için, bir Ayrıntılı ICF Öz Kümesi ve bir de Kısa ICF Öz Kümesi ilk sürümünü geliştirmek için, ön çalışmalarda elde edilen kanıtları bir araya getirecek uzlaşı sürecinin sonuçlarını bildirmek. Yöntemler: Ön çalışmalarda toplanan kanıtları bir araya getirmek için, resmi bir karar verme ve uzlaşı süreci yürütülmüştür. Ön çalışmalar, Delphi egzersizi, sistematik gözden geçirme ve ampirik veri toplama aşamalarını kapsamaktadır. ICF konusunda eğitimin ardından ve ön çalışmalara dayanılarak, farklı eğitimler almış uluslararası uzmanlar tarafından yürütülen resmi bir uzlaşı süreciyle, ilgili ICF kategorileri tanımlanmıştır. Bulgular: Yapılan ön çalışmalar, ikinci, üçüncü ve dördüncü ICF düzeylerinde, 503 ICF kategorisinden oluşan bir küme tanımlamıştır. Bunlar arasında, vücudun işlevlerine ilişkin 211, vücut yapılarına ilişkin 47, eylemler ve katılıma ilişkin 190 ve çevresel faktörlere ilişkin 55 kategori bulunmaktadır. Bel ağrısına ilişkin konferansa, 15 farklı ülkeden gelen 18 uzman katılmıştır. Ayrıntılı ICF Öz Kümesine, toplam 78 adet ikinci düzey kategori dahil edilmiştir; bunların 19u vücut işlevlerine, 5i vücut yapılarına, 29u aktiviteler ve katılıma ve 25i de çevresel faktörlere ilişkin öğelerden alınmıştır. Kısa ICF Öz Kümesi, 10u vücut işlevlerinden, 3ü vücut yapılarından, 12si aktiviteler ve katılımdan ve 10u da çevresel faktörlerden alınan toplam 35 adet ikinci düzey kategoriden oluşmuştur. Sonuç: ICF temeline ve sınıflamasına dayanan uzman görüşlerini ve kanıtları bir araya getirmeye ilişkin resmi uzlaşı süreci, bel ağrısı için ICF Öz Kümeleri oluşturulmasıyla sonuçlanmıştır. Hem Ayrıntılı ICF Öz Kümesi hem de Kısa ICF Öz Kümesi tanımlanmıştır.

Anahtar Kelimeler: Bel ağrısı, sonuç değerlendirimi, yaşam kalitesi, ICF
ABSTRACT
 Objective: To report on the results of the consensus process integrating evidence from preliminary studies to develop the first version of a Comprehensive ICF Core Set and a Brief ICF Core Set for low back pain. Methods: A formal decision-making and consensus process integrating evidence gathered from preliminary studies was followed. Preliminary studies included a Delphi exercise, a systematic review and an empirical data collection. After training in the ICF and based on these preliminary studies, relevant ICF categories were identified in a formal consensus process by international experts from different backgrounds. Results: The preliminary studies identified a set of 503 ICF categories at the second, third and fourth ICF levels with 211 categories on body functions, 47 on body structures, 190 on activities and participation and 55 on environmental factors. Eighteen experts from 15 different countries attended the consensus conference on low back pain. Altogether 78 second-level categories were included in the Comprehensive ICF Core Set with 19 categories from the component body functions, 5 from body structures, 29 from activities and participation and 25 from environmental factors. The Brief ICF Core Set included a total of 35 second-level categories with 10 on body functions, 3 on body structures, 12 on activities and participation and 10 on environmental factors. Conclusion: A formal consensus process integrating evidence and expert opinion based on the ICF framework and classification led to the definition of ICF Core Sets for low back pain. Both the Comprehensive ICF Core Set and the Brief ICF Core Set were defined.

Keywords: Low back pain, outcome assessment, quality of life, ICF

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