Subscribe to RSS
DOI: 10.1055/s-2007-963310
© Georg Thieme Verlag KG Stuttgart · New York
Umsetzung der ICF und der ICF-Core-Sets für lumbale Rückenschmerzen in der Rehabilitation
Teil 1Applying the ICF and ICF Core Sets for Low Back Pain in Rehabilitation MedicinePart 1Publication History
Manuskript eingetroffen: 11.7.2006
Manuskript akzeptiert: 30.8.2006
Publication Date:
17 July 2007 (online)
![](https://www.thieme-connect.de/media/manuelletherapie/200703/lookinside/thumbnails/10.1055-s-2007-963310-1.jpg)
Zusammenfassung
Die ICF ist eine umfassende Klassifikation zur Einschätzung der funktionalen Gesundheit unter Berücksichtigung der Bereiche Funktion, Struktur, Aktivitäten und Partizipation sowie Umweltfaktoren eines Patienten. Die Gesundheitsstörung LBP gehört zu den Erkrankungen mit den höchsten, durch Arbeitsunfähigkeit verursachten Kosten. Ein umfassendes Patientenmanagement der funktionalen Probleme zielt darauf ab, diese Situation zu verbessern.
Der 1. Teil des Artikels zeigt, wie die Einführung der ICF-Core-Sets für LBP ein optimiertes Verständnis für die Krankheitskonsequenzen und einhergehende Behinderung von Menschen mit LBP fördern kann. Darüber hinaus werden Zusammenhänge zwischen der ICF und Instrumenten zur Messung des Gesundheitszustands dargestellt, die den Prozess der Assessments in der Therapie und Rehabilitation unterstützen können.
Abstract
The ICF is a comprehensive classification which considers the areas of function, structure, activity and participation as well as the patient's environment in order to assess functional physical health. The impairment LBP belongs to the diseases which lead to the highest costs due to high rates of unfitness for work. Comprehensive patient management of functional problems aims at the improvement of this situation.
The first part of this article shows how the implementation of ICF Core Sets for LBP can support the optimised understanding of disease consequences and disability of patients with LBP. In addition, the correlation between the ICF and instruments used for the evaluation of physical health state are portrayed. This may support the process of assessment in therapy and rehabilitation.
Schlüsselwörter
ICF - ICF-Core-Set - Funktionsfähigkeit - Gesundheitszustand - LBP
Key words
ICF - ICF Core Set - capability - physical health state - LBP
Literatur
- 1 Andersson G BJ. The epidemiology of spinal disorders. Frymoyer JW The adult spine: principles and practice Philadelphia; Lippincott-Raven 1997 2nd ed
- 2 Andersson G B. Epidemiological features of chronic low-back pain. Lancet. 1999; 354 581-585
- 3 Atalay A, Arslan S, Dincer F. Psychosocial function, clinical status, and radiographic findings in a group of chronic low back pain patients. Rheumatol Int. 2001; 21 62-65
- 4 Bekkering G E, Hendriks H JM, Koes B W. et al .National practice guidelines for physical therapy in patients with low back pain. 29.03.06 www.cebp.nl/media/m31.pdf>
- 5 Beurskens A JHM, Vet H CW, Köke A JA. Responsiveness of functional status in low back pain: a comparison of different instruments. Pain. 1996; 65 71-76
- 6 Bombardier de C. Outcome assessments in the evaluation of treatment of spinal disorders: summary and general recommendations. Spine. 2000; 25 3100-3103
- 7 Bullinger M, Morfeld M, Kohlmann T. et al . Der SF-36 in der rehabilitationswissenschaftlichen Forschung - Ergebnisse aus dem Norddeutschen Verbund für Rehabilitationsforschung (NVRF) im Förderschwerpunkt Rehabilitationswissenschaften. Rehablitation (Stuttg). 2003; 42 218-225
- 8 Cieza A, Brockow T, Ewert T. et al . Linking Health-Status Measurements to the International Classification of Functioning, Disability and Health. J Rehabil Med. 2002; 34 1-6
- 9 Cieza A, Ewert T h, Üstün Bedirhan T. et al . Development of ICF Core Sets for Patients with Chronic Conditions. J Rehabil Med. 2004; 36 (Suppl 44) 9-11
- 10 Cieza A, Stucki G, Weigl M. et al . ICF Core Sets for Low Back Pain. J Rehabil Med. 2004; Suppl 44 69-74
- 11 Cieza A, Geyh S, Chatterji S. et al . ICF linking rules: an update based on lessons learned. Journal of Rehabilitation Medicine. 2005; 37 212-218
- 12 Cieza A, Stucki G. The International Classification of Functioning, Disability and Health (ICF): A Basis for Multidisciplinary Clinical Practice. American College of Rheumatology (ACR) Clinical care in rheumatic diseases Atlanta; ACR in press 3rd ed
- 13 Daltroy L H, Cats-Baril W L, Katz J N. et al . The North American Spine Society Lumbar Spine Outcome Assessment Instrument. Reliability and Validity Tests. Spine. 1996; 21 741-749
- 14 Deyo R, Battie M, Beurskens A JHM. et al . Outcome Measures for Low Back Pain Research. A Proposal for Standardized Use. Spine. 1998; 23 2000-2013
- 15 Deyo R A, Weinstein J N. Low back pain. N Engl J Med. 2001; 344 363-370
- 16 Dionne C E, Borbonnais R, Frémont P. et al . A clinical return-to work rule for patients with back pain. CMAJ. 2005; 172 1559-1567
- 17 Ehrlich G E, Khaltaev N G. Low back pain initiative. Department of Noncommunicable Diesease Management. Geneva; World Health Organization 1999
- 18 Ehrlich G E. Back Pain. The Journal of Rheumatology. 2003; 30 26-31
- 19 Ehrlich G E. Low Back Pain. Bulletin of the World Health Organization. 2003; 81 671-676
- 20 Ewert T, Geyh S, Grill E. et al . Die Anwendung der ICF der Neurorehabilitation anhand des ICF-Modellblattes und der ICF Core Sets. Neurol Rehabil. 2005; 11 179-188
- 21 Fairbank J C, Pynsent P B. The Oswestry Disability Index. Spine. 2000; 25 2940-2952
- 22 Fritz J M, Piva S R. Physical impairment index: reliability, validity, and responsiveness in patients with acute low back pain. Spine. 2003; 28 1189-1194
- 23 Füßl M. Das biopsychosoziale Modell der ICF in der Manuellen Therapie. Manuelle Therapie. 2003; 7 189-195
- 24 Von Garnier K, Stamm T A, Ewert T. et al . Anwendung der Internationalen Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF) in der Ergotherapie. Ein Fallbeispiel. ergoscience. 2006; 1 1-7
- 25 Guyatt G H, Sullivan M J, Thompson P J. et al . The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure. Can Med Assoc J. 1985; 132 919-923
- 26 Hoogendoorn W E, Poppel M N, Bongers P M. et al . Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine. 2000; 25 2114-2125
- 27 Hunt S M, McEwen van J, McKenna S P. Measuring health status: a new tool for clinicians and epidemiologists. J R Coll Gen Pract. 1985; 35 185-188
- 28 Hurwitz E L, Morgenstern H, Yu F. Cross-sectional and longitudinal associations of low-back pain and related disability with psychological distress among patients enrolled in the UCLA Low-Back Pain Study. J Clin Epidemiol. 2003; 56 463-471
- 29 Jones T, Kumar S. Physical ergonomics in low-back pain prevention. J Occup Rehabil. 2001; 11 309-319
- 30 Karjalainen K, Malmivaara A, Tulder van M. et al . Multidisciplinary biopsychosocial rehabilitation for subacute low back pain in working-age adults: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2001; 26 262-269
- 31 Kendall N AS, Linton S J, Main C J. Guide to assessing psychological yellow flags in acute low back pain: Risk factors for long-term disability and work loss. Wellington; Accident and Rehabilitation & Compensation Insurance Corporation of New Zealand and the National Health Committee 1997
- 32 Maetzel A, Li L. The economic burden of low back pain: a review of studies published between 1996 and 2001. Best Pract Res Clin Rheumatol. 2002; 16 23-30
- 33 Main C J. The Modified Somatic Perception Questionnaire (MSPQ). J Psychosom Res. 1983; 27 503-514
- 34 Mayer T G, Barnes D, Kishino N D. et al . Progressive Isoinertial Lifting Evaluation I. A standardized Protocol and Normative Database. Spine. 1988; 13 993-997
- 35 Mayer T G, Barnes D, Nichols G. et al . Progressive Isoinertial Lifting Evaluation II. A comparison with Isokinetic Lifting in a disabled chronic low back pain industrial population. Spine. 1988; 13 998-1002
- 36 Moldofsky H. Sleep and pain. Sleep Med Rev. 2001; 5 385-396
- 37 Nordin M, Welser S, Campello M A. et al . Self-care techniques for acute episodes of low back pain. Best Pract Res Clin Rheumatol. 2002; 16 89-104
- 38 Picavet H S, Schouten J S. Physical load in daily life and low back problems in the general population -The MORGEN study. Prev Med. 2000; 31 506-512
- 39 Pincus T, Burton A K, Vogel S. et al . A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002; 27 E109-E120
- 40 Roland M, Fairbank J. The Roland Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine. 2000; 25 3115-3124
- 41 Schochat T, Rehberg W, Kempis von J. et al . The North American Spine Society Lumbar Spine Outcome Assessment Instrument: Übersetzung und psychometrische Analyse der deutschen Version an einer Stichprobe von Rehabilitanden mit chronischen Rückenschmerzen. Z Rheumatol. 2000; 9 303-313
- 42 Schoppink L EM, Tulder M W, Koes B W. et al . Reliability and validity of the Dutch adaptation of the Quebec Back Pain Disability Scale. Phys Ther. 1996; 76 268-275
- 43 Steiner W A, Ryser van L, Huber E. et al . Use of the ICF model as a clinical problem-solving tool in physical therapy and rehabilitation medicine. Phys Ther. 2002; 82 1098-1107
- 44 Stucki G, Sangha O. Clinical quality management: putting the pieces together. Arthritis Care Res. 1996; 9 405-412
- 45 Stucki G, Sangha O. Principles of rehabilitation. Klippel JH, Dieppe PA Rheumatology London; Mosby 1997 2nd ed
- 46 Stucki G, Cieza A, Ewert T. et al . Application of the International Classification of Functioning, Disability and Health (ICF) in clinical practice. Disabil Rehabil. 2002; 24 281-282
- 47 Stucki G, Ewert T, Cieza A. Value and application of the ICF in rehabilitation medicine. Disabil Rehabil. 2002; 24 932-938
- 48 Stucki G, Sigl T. Assessment of the impact of disease on the individual. Best Pract Res Clin Rheumatol. 2003; 17 451-473
- 49 The Euroqol Group . Euroqol - a facility for the measurement of health-related quality of life. Health Policy. 1990; 16 199-208
- 50 Verbunt J A, Seelen H A, Vlaeyen J W. et al . Disuse and deconditioning in chronic low back pain: concepts and hypotheses on contributing mechanisms. Eur J Pain. 2003; 7 9-21
- 51 Ware J E, Sherbourne C D. The MOS 36-item short-form health survey (SF-36). A. Conceptual framework and item selection. Medical Care. 1992; 30 473-483
- 52 Ware J E, Kosinski M, Keller S D. SF-12. How to score the SF-12 physical and mental health summary scales. Boston; The Health Institute, New England Medical Center 1995
- 53 Wessely S, Hotopf M, Sharpe M. Chronic fatigue and its syndromes. Oxford; Oxford University Press 1998
- 54 World Health Organization (WHO) .International Classification of Diseases and Related Health Problems (ICD). Geneva; WHO 1992 10th Rev
- 55 World Health Organization (WHO) .International Classification of Functioning, Disability and Health: ICF. Geneva; WHO 2001
- 56 World Health Organization (WHO) Technical Report Series .The burden of musculoskeletal conditions at the start of the new millennium. Geneva; WHO 2003
- 57 World Health Organisziation (WHO) . Internationale Klassifikation der Funktionsfähigkeit, Behinderung und Gesundheit (ICF). 09.03.06; , www.dimdi.de/de/klassi/ICF/icf_dimdi_final_draft_1.pdf>
Michaela Kirschneck
Institut für Gesundheits- und Rehabilitationswissenschaften, ICF Research Branch of the WHO CC FIC (DMDI), Ludwig-Maximilians-Universität
Marchioninistr. 15
81377München
Email: Michaela.Kirschneck@med.uni- muenchen.de