Fréz AR, Alouche SR, Binda AC, Vieira GW, Bueno BAM, Cabral CMN. Development of a Core Set for Knee Dysfunction Based on the International Classification of Functioning, Disability and Health: A Cross-sectional Study.
Arch Phys Med Rehabil 2020;
102:571-581. [PMID:
33278366 DOI:
10.1016/j.apmr.2020.10.139]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Accepted: 10/28/2020] [Indexed: 11/15/2022]
Abstract
OBJECTIVE
To develop an International Classification of Functioning, Disability and Health core set for patients with knee dysfunction.
DESIGN
Cross-sectional study.
SETTING
The study was conducted at all levels of care (general community, primary care units, rehabilitation clinics/centers, hospital).
PARTICIPANTS
Participants (N=388) with knee dysfunction with or without clinical diagnosis of knee pathology, with or without complaint of pain, with or without instability, and/or with or without knee movement restriction of any type.
INTERVENTIONS
Not applicable.
MAIN OUTCOME MEASURES
Participants were assessed using the core sets for acute and postacute musculoskeletal conditions, the subjective form from the International Knee Documentation Committee scale, the self-report of general health and functionality, and the general health and functionality classified by the researcher. To identify the categories that best explain knee dysfunction, linear regression analyses were performed.
RESULTS
Twenty-four categories were identified from the 75 core set categories for acute and postacute musculoskeletal conditions. Eleven categories belong to the component body functions, 3 represent body structures, 7 represent activities and participation, and 3 represent environmental factors.
CONCLUSIONS
A core set for knee dysfunction that can be used at all levels of health care was proposed, which offers a system for disability assessment related to knee dysfunction, including environmental and social factors. These factors are important for a broad assessment because they include the multiple aspects of functionality, usually not considered in other knee dysfunction assessment instruments. Further analysis of the content and construct validity of the core set is required.
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