ICF 개념을 이용한 만성요통 환자의 특성 분석

Analysis of the characteristics of Patients with Chronic Low Back Pain Using the ICF Concept

  • 이해정 (신라대학교 의생명과학대학 물리치료학과) ;
  • 송주민 (대구한의대학교 보건치료대학 물리치료학과)
  • Lee, Hae Jung (Department of Physical Therapy, College of Life and Medical Sciences, Silla University) ;
  • Song, Ju Min (Department of Physical Therapy, College of Health and Therapy, Daegu Haany University)
  • 투고 : 2013.09.16
  • 심사 : 2013.10.08
  • 발행 : 2013.10.25

초록

Purpose: The purpose of this study was to investigate the characteristics of patients with Chronic Low Back Pain (CLBP) in disability, pain, and cognition, and to compare those characteristics to the ICF concept analyzing the association between World Health Organization Disability Assessment Schedule 2.0: 12 item-interviewer version (WHODAS 2.0) and those of scales i.e. Oswestry Disability Index (ODI), the Short-Form McGill Pain Questionnaire (SFMPQ), and the Fear avoidance & belief questionnaire (FABQ). Methods: A total of 91 patients with CLBP were invited to participate in the study. Physical therapists interviewed all participants using SFMPQ, FABQ, ODI, and WHODAS 2.0 for collection of information on pain, cognition, and functional level data. Subjects scored their disability, pain, and cognition related to LBP using WHODAS 2.0, ODI, SFMPQ, and FABQ. Data analysis was performed using the Spearman correlation coefficient. Results: A positive relationship was observed between WHODAS 2.0 and each scale indicating that lower back specific disability components could be related to the ICF concept in ODI (r=0.77). Pain intensity and pain oriented movement were found to be related to general functioning in patients with CLBP (r=0.52, r=0.55, respectively). Conclusion: It can be suggested that the specific disability scale for LBP, ODI can be related to the ICF concept, WHODAS 2.0, and it may be a useful measure for patients with CLBP.

키워드

참고문헌

  1. World Health Organization. World Health Organization International Classification of Functioning, Disability and Health. Geneva (Switzerland): World Health Organization; 2001.
  2. Oh TY, Ha JY, Lee EJ et al. The effect of badminton on the shoulder and its correlation with the shoulder pain and disability index. Kor Soc Phys Ther. 2013;25(1):29-35.
  3. Park SK, Heo JW, Yang DJ et al. Effect of home visiting physical therapy and environmental factors analysis using international classification of functioning, disability and health (ICF). Kor Soc Phys Ther. 2012;24(4):282-9.
  4. Boonen A, Maksymowych WP. Measurement: function and mobility (focussing on the ICF framework). Best Practice & Research Clinical Rheumatology. 2010;24:605-24. https://doi.org/10.1016/j.berh.2010.05.008
  5. Christie HJ, Kumar S, Warren SA. Postural aberrations in low back pain. Arch Phys Med Rehabil. 1995;76:218-24.
  6. Webright WG, Randolph BJ, Perrin DH. Comparison of nonballistic active knee extension in neural slump position and static stretch techniques on hamstring flexibility. J Orthop Sports Phys Ther, 1997;26:7-13. https://doi.org/10.2519/jospt.1997.26.1.7
  7. Andersson GB. Epidemiological features of chronic low-back pain. The Lancet. 1999;354:581-5. https://doi.org/10.1016/S0140-6736(99)01312-4
  8. Fairbank J, Couper J, Davies J, et al. The Oswestry low back pain disability questionnaire. Physiother. 1980;66:271-3.
  9. 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;8:141-4. https://doi.org/10.1097/00007632-198303000-00004
  10. Melzack R. The short-form McGill pain questionnaire. Pain. 1987;30:191-7. https://doi.org/10.1016/0304-3959(87)91074-8
  11. 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;52:157-68. https://doi.org/10.1016/0304-3959(93)90127-B
  12. Garin O, Ayuso-Mateos JL, Almansa J et al. Research Validation of the" World Health Organization Disability Assessment Schedule, WHODAS-2" in patients with chronic diseases. Health and quality of life outcomes. 2010;8:51. https://doi.org/10.1186/1477-7525-8-51
  13. Ustun T, Kostanjsek N, Chatterji S et al. Measuring health and disability: manual for WHO Disability Assessment Schedule (WHODAS 2.0). World Health Organization. 2009.
  14. Lee HJ, Kim DJ. Cultural Adaptation and Reliability Testing of Korean Version of the World Health Organization Disability Assessment Schedule 2.0: 12-item versions. J Kor Soc of Phys Med. 2011;6(4):475-88.
  15. Lee HJ, Kim DJ. Internal Consistency and Concurrent Validity of Korean Language Version of WHODAS 2.0: 12 Item-Self Administered. J Kor Soc of Phys Ther. 2011;23(6):23-9.
  16. Copay AG, Glassman SD, Subach BR, et al. Minimum clinically important difference in lumbar spine surgery patients: a choice of methods using the Oswestry Disability Index, Medical Outcomes Study questionnaire Short Form 36, and pain scales. The Spine J. 2008;8:968-74. https://doi.org/10.1016/j.spinee.2007.11.006
  17. Yi S-J. Oswestry Low Back Pain Disability Index and Related Factors in Patients with Low Back Pain. J Kor Soc Phys Ther. 2008;20:21-8.
  18. Poiraudeau S, Rannou F, Baron G et al. Fear-avoidance beliefs about back pain in patients with subacute low back pain. Pain. 2006;124:305-11. https://doi.org/10.1016/j.pain.2006.04.019