RESUMO
This paper describes an international effort to compare disability survey questions using the ICF framework. The process included backcoding survey questions to ICF. To establish a meaningful basis for comparison, the original 14 functioning areas were scaled to seven: hearing, seeing, speaking, mobility, body movement, gripping and personal care. The names of disability topics changed reflecting ICF definitions, for example, hearing became receiving spoken messages and gripping became fine hand use. A rigorous backcoding process resulted in a comprehensive set of survey questions with unique ICF codes. It was concluded that the question format and focus must be structured to the ICF in the survey development phase in order to achieve the best possible base for international comparability.
Assuntos
Atividades Cotidianas/classificação , Avaliação da Deficiência , Pessoas com Deficiência/classificação , Indicadores Básicos de Saúde , Inquéritos e Questionários/normas , Canadá , Pessoas com Deficiência/reabilitação , França , Humanos , Países Baixos , África do Sul , Estados Unidos , Organização Mundial da SaúdeRESUMO
A comprehensive functional evaluation designed for patients with chronic low back pain (CLBP) is described. The evaluation includes measures from 4 domains of the CLBP syndrome; physical abilities, level of activity, psychological adjustment and pain perception. New measures for standardized assessment of physical abilities and employment of body mechanics are introduced. Evaluation data from 68 CLBP subjects and 35 age-matched, pain-free, controls is presented. Results indicate important deficits in physical abilities and psychological adjustment for the CLBP group compared to the controls. Factor analysis of the evaluation measures yielded a general conditioning factor and a general psychological adjustment factor but complicated factor structures for report of pain and time in activities. Further analysis demonstrated a strong relationship between objective disability and psychological and psychosocial adjustment but little relationship between level of pain and other disability measures.
