Publication: Mapping the most problematic functions in chronic low back pain patients: Analysis of the patient-specific functional scale
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Date
2023-01-01
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Abstract
Aim: Difficulty in functioning is one of the reasons by patients with low back pain (LBP) seek help. The purpose was to identify the problematic functions of
chronic LBP patients using the Patient-Specific Functional Scale (PSFS) based on the International Classification of Functioning, Disability and Health (ICF) and
investigate the related factors with the PSFS scores.
Material and Methods: One-hundred LBP patients were included. The responses obtained from PSFS were linked to the ICF categories based on the linking
procedure. Patient reported outcome measures (PROMs) and physical measurements were used for clinical assessment. Correlations were analyzed with
Spearman’s rho correlation.
Results: The identified 327 meaningful concepts were linked to 28 different 2ndlevel and 40 different 3rd level ICF categories. PSFS was found to correlate with
the pain level during activity, perceived disability, and some domains of the health-related quality of life (p<0.05), while kinesiophobia and emotional status did
not correlate with PSFS scores (p>0.05). Among physical tests, flexibility measurements correlated with PSFS scores (p<0.05).
Discussion: Chronic LBP patients reported various functions. The content analyses showed the need for an extension of the ICF core sets for LBP. This study
also revealed that not all PROMs and physical outcomes are able to reflect the difficulty level of the problematic activities. Assessment with PSFS may be
beneficial for individually tailored treatment programs.
Keywords
Low Back Pain, ICF, PSFS, Rehabilitation
Description
Keywords
Low Back Pain, ICF, PSFS, Rehabilitation
Citation
ÖZEN T., KURU ÇOLAK T., ÇOLAK İ., TATARLI N., "Mapping the most problematic functions in chronic low back pain patients: Analysis of the patient-specific functional scale", ANNALS OF CLINICAL AND ANALYTICAL MEDICINE, cilt.14, 2023