Development of a Core Set for Knee Dysfunction Based on the International Classification of Functioning, Disability and Health: A Cross-sectional Study

To develop an International Classification of Functioning, Disability and Health core set for patients with knee dysfunction. Cross-sectional study. The study was conducted at all levels of care (general community, primary care units, rehabilitation clinics/centers, hospital). Participants (N=388) w...

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Bibliographic Details
Published in:	Archives of physical medicine and rehabilitation Vol. 102; no. 4; pp. 571 - 581
Main Authors:	Fréz, Andersom Ricardo, Alouche, Sandra Regina, Binda, Aline Cristiane, Vieira, Gabrielle Watermann, Bueno, Bruna Aparecida Metinoski, Cabral, Cristina Maria Nunes
Format:	Journal Article
Language:	English
Published:	United States Elsevier Inc 01-04-2021
Subjects:	Adult Aged Arthralgia - classification Arthralgia - physiopathology Cross-Sectional Studies Disability Evaluation Female Humans International Classification of Functioning, Disability and Health Joint Instability - classification Joint Instability - physiopathology Knee Knee Injuries - classification Knee Injuries - physiopathology Male Middle Aged Rehabilitation Knee International Classification of Functioning, Disability and Health IKDC Rehabilitation ICF
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Summary:	To develop an International Classification of Functioning, Disability and Health core set for patients with knee dysfunction. Cross-sectional study. The study was conducted at all levels of care (general community, primary care units, rehabilitation clinics/centers, hospital). 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. Not applicable. 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. 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. 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. •The core set for knee dysfunction offers a system for disability classification.•The core set reflects the problems observed in patients with knee dysfunction.•The core set helps health care professionals understand patient issues.•The core set helps health care professionals plan care from a broader perspective.
ISSN:	0003-9993 1532-821X
DOI:	10.1016/j.apmr.2020.10.139