Overview of ICF Categories Addressed within Outcome Measures Applied in Prognostic and
Intervention Studies for Non-Specific Complaints of Arm, Neck and Shoulder
Harald S Miedema1,2*, Elin Koppelaar1, Yvonne F Heerkens3, Anita Feleus1, Alex Burdorf4 and Bart W Koes2
1Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands
2Department of General Practice, Erasmus University Medical Center, Rotterdam, the Netherlands
3Research Centre Rehabilitation, Work and Sports, Arnhem-Nijmegen University of Applied Sciences, Nijmegen, the Netherlands
4Department of Public Health, Erasmus University Medical Center, Rotterdam, the Netherlands
*Corresponding Author: Harald S Miedema, Research Center Innovations in Care, Rotterdam University of Applied Sciences, Rotterdam, the Netherlands.
June 27, 2022; Published: July 26, 2022
Background: Non-traumatic complaints of arm, neck and shoulder (CANS) are an important health issue. Although CANS may vary in clinical expression and underlying causes, data on sick leave and healthcare use show that, especially chronic CANS, has a major impact on functioning and health. There is a need for more insight into the physical, emotional and social challenges of patients with CANS.
Aim: To present an overview of relevant outcomes regarding functions, activities and participation, in patients with complaints of arm, neck and shoulder (CANS) and their association with the International Classification of Functioning, Disability and Health (ICF).
Design Linkage study, linking items of outcome measures to ICF-categories.
Methods: A literature search was made for articles on prognostic and intervention studies, as part of the development of the Dutch multidisciplinary evidence-based guideline for non-specific CANS. Outcome measures of each article were extracted and categorized into those on physical health and mental health. All items of these measures were linked separately to the ICF following internationally developed linking rules. All ICF categories used in at least 5% of the studies are listed, following new recommendations for the development of ICF core sets. Additionally, the distribution of ICF categories across all ICF categories within the outcome measures is evaluated.
Results: A total of 123 original studies were included. The ‘top 20’ of ICF categories related to physical health and mental health are listed, together with the cumulative percentage of all the applied ICF categories. Also reported are all ICF categories used in at least 5% of the studies, as well as the frequency of the total number of applied ICF categories.
Conclusions: Aspects of function, activities and participation were identified in outcome measures used in studies on CANS and linked to the ICF, based on the literature included in the multidisciplinary guideline for non-specific CANS.
Clinical Rehabilitation Impact: The results of this study can serve as a preparatory study for the development of an ICF core set for CANS, which can be applied in rehabilitation care for patients with (chronic) CANS.
Keywords: International Classification of Functioning (ICF); Disability and Health; Neck complaints; Shoulder Complaints; Upper Extremity Complaints; Complaints of Arm, Neck and Shoulder (CANS); Outcome Measurement
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