[Evaluation scales, ICF and rehabilitative medicine: correlations in terms of participation level, work abilities and health status. The example of chronic low back pain].
This article aims to report the clinical and research approaches to current Rehabilitative Medicine, to International Classification of Functioning, Disability and Health (ICF), and to evaluation and measurement scales. The Authors introduce the bio-psycho-social model to Disability, outlining the main differences with the biomedical and social models. It is underlined the usefulness of the ICF model, the ICF Core Sets, and the proper choice of measurement scales. Of these latter ones, we present their methodological features, operating procedures to make the right choice, outcome typologies, limits and psychometrics properties. Moreover, the Authors illustrates the possible correlations between ICF model and evaluation scales, outlining the importance of identifying the appropriate outcome scales, covering the rehabilitative thought at the basis of the bio-psycho-social model. By way of an example, we report chronic low back pain bio-psychosocial syndrome, presenting, on the basis of what existing and up-and-coming in International Literature, the possible correlations between ICF constructs and outcome scales, with particular regard to domains of body functions, body structures, activity, participation, personal and environmental factors, health status.
Monticone
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M
UO Riabilitazione Specialistica Neuromotoria, Istituto Scientifico di Lissone (MI), IRCCS Fondazione S. Maugeri, Italy.
Giovanazzi
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E
D002908:Chronic Disease; D006304:Health Status; D006801:Humans; D038801:International Classification of Diseases; D017116:Low Back Pain / Q000534:rehabilitation*; D009784:Occupational Diseases / Q000534:rehabilitation*; D011795:Surveys and Questionnaires; D014938:Work Capacity Evaluation