Exploring the relationships between International Classification of Functioning, Disability and Health (ICF) constructs of Impairment, Activity Limitation and Participation Restriction in people with osteoarthritis prior to joint replacement

Pollard, Beth; Johnston, Marie; Dieppe, Paul

doi:10.1186/1471-2474-12-97

Cited by 34 publications

(27 citation statements)

References 35 publications

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“…Pain is generally considered to be an impairment measure as well 300 but in contrast to ROM correlates well with measures of activities limitations and participation restrictions. We would argue that it may be inappropriate to classify pain as an impairment measure in this context.…”

Section: Measuring Functional Outcomes In Patients Having Hip and Knementioning

confidence: 99%

“…Research has shown that the relationship between the impairment, activities limitations and participation restrictions domains of the ICF are not simple, with other factors such as self-efficacy and comorbidities acting as independent determinants of the relationships between these variables. 300 It has been recommended that a combination of outcome measures should be used to assess function after total hip or knee replacement. 301,302 However, there are many reasons not to use a wide number of measures with every patient, whether in clinical practice or research.…”

Section: Outcomes Used In Restorementioning

confidence: 99%

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Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Blom

Artz

Beswick

et al. 2016

Programme Grants Appl Res

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms PROGRAMME GRANTS FOR APPLIED RESEARCH VOLUME 4 ISSUE 12 AUGUST 2016 ISSN 2050 DOI 10.3310/pgfar04120Improving patients' experience and outcome of total joint replacement: the RESTORE programme Ashley W Blom, Neil Artz, Andrew D Beswick, Amanda Burston, Paul Dieppe, Karen T Elvers, Rachael Gooberman-Hill, Jeremy Horwood, Paul Jepson, Emma Johnson, Erik Lenguerrand, Elsa Marques, Sian Noble, Mark Pyke, Catherine Sackley, Gina Sands, Adrian Sayers, Victoria Wells and Vikki Wylde Improving patients' experience and outcome of total joint replacement: the RESTORE programme ISSN 2050-4330 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full PGfAR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/pgfar. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Programme Grants for Applied Research journalReports are published in Programme Grants for Applied Research (PGfAR) if (1) they have resulted from work for the PGfAR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. Programme Grants for Applied Research programmeThe Programme Grants for Applied Research (PGfAR) programme, part of the National Institute for Health Research (NIHR), was set up in 2006 to produce independent research findings that will have practical application for the benefit of patients and the NHS in the relatively near future. The Programme is managed by the NIHR Central Commissioning Facility (CCF) with strategic input from the Programme Director.The programme is a national response mode funding scheme that aims to provide evidence to improve health outcomes in England through promotion of health, prevention of ill health, and optimal disease management (including safety and quality), with particular emphasis on conditions causing significant disease burden.For more information about the PGfAR programme please visit the website: http://www.nihr.ac.uk/funding/programme-grants-forapplied-research.htm This reportThe research reported in this issue of the journal was funded by PGfAR as project number RP-PG-0407-10070. The contractual start date was in December 2008. The final report began editorial review in September 2014 and was accepted for publication in August 2015. As the funder, the PGfAR programme agreed the research questions and study designs in advance with the investigators. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PGfAR editors and production house have tried to ensure the accurac...

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Section: Measuring Functional Outcomes In Patients Having Hip and Knementioning

confidence: 99%

Section: Outcomes Used In Restorementioning

confidence: 99%

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Blom

Artz

Beswick

et al. 2016

Programme Grants Appl Res

Self Cite

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“…These concepts have been criticised in the literature for not being conceptualised to the depth needed, and not being adequately differentiated [6,17]. However, some empirical studies have demonstrated that the two concepts are distinct and recommended detailed and separate assessment of each [18][19][20].…”

Section: Introductionmentioning

confidence: 95%

Crosswalk of participation self-report measures for aphasia to the ICF: what content is being measured?

Brandenburg

Worrall

Rodriguez

et al. 2014

Disability and Rehabilitation

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Few instruments solely assessed participation according to our operationalisation. This study provides a list of possible measures for use in assessing participation. Implications for Rehabilitation Participation restriction, as defined by the International Classification of Functioning, Disability and Health, is a key concern for people with aphasia. By conducting the crosswalk, we have identified that self-report measures of participation vary widely in content and response metrics, and often include activity, body function, environmental and quality of life items. This review may assist Rehabilitation researchers and clinicians in choosing a measure of participation restriction for people with aphasia and other populations by listing instruments with over 50% participation content. These results also indicate that the construct of participation needs to be adequately and uniformly defined so that the ICF to be used effectively as a framework for health status measurement.

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“…When selecting outcome measures, it is important to ensure that outcomes measure the specific construct and do not overlap other constructs in the same theory [29]. If there is poor content validity and the measures used in a study do not discriminate among constructs, any…”

Section: Measurement Of Impairment Activity Limitation and Participamentioning

confidence: 99%

Use of the ICF to investigate impairment, activity limitation and participation restriction in people using ankle-foot orthoses to manage mobility disabilities

McMonagle

Rasmussen

Elliott

et al. 2015

Disability and Rehabilitation

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This version is available at https://strathprints.strath.ac.uk/56193/ Strathprints is designed to allow users to access the research output of the University of Strathclyde. Unless otherwise explicitly stated on the manuscript, Copyright © and Moral Rights for the papers on this site are retained by the individual authors and/or other copyright owners. Please check the manuscript for details of any other licences that may have been applied. You may not engage in further distribution of the material for any profitmaking activities or any commercial gain. You may freely distribute both the url (https://strathprints.strath.ac.uk/) and the content of this paper for research or private study, educational, or not-for-profit purposes without prior permission or charge.Any correspondence concerning this service should be sent to the Main Text IntroductionAnkle-foot orthoses (AFOs) are externally applied devices that encompass the joints of the ankle and foot. They are used to modify the structure and function of the neuromuscular and skeletal systems [1] and are used to manage mobility disabilities caused by a wide range of conditions such as stroke, cerebral palsy, spina bifida, poliomyelitis and peripheral nerve injury [2][3][4][5][6]. AFOs have been shown to improve timed walking speed, step length and clearance of the toe in the swing phase of gait. [2,3,5,[7][8][9][10][11][12][13][14]. Whilst these outcome measures are valuable in providing evidence for orthotic intervention, they focus on specific aspects of physical activity that can be measured in a gait laboratory. Consequently, they do not provide any information about patients' use of AFOs in their day to day lives or the extent to which use of AFOs is associated with physical, psychological and social well-being. These outcomes are important because they are of value to the patient. Specifically, consideration of psychological well-being is vital because of its relationship with functional outcomes [15,16]. This paper adds to the literature by focusing on AFO use in a real life setting and by incorporating psychological measures to investigate differences in impairment, activity limitation and participation restriction across 3 groups of AFO users; people using AFOs as recommended, people using AFOs differently to recommended; and those not aware of recommendations for use. Use of AFOsTo identify differences in outcomes across these groups, consideration should be given to other factors that could affect AFO use. Seriousness of the underlying health condition has been related to AFO use. Dystrophy did not use their AFOs for the recommended amount of time, with all of these participants using the AFO less than recommended. This was thought to be due to pain and patient reluctance to wear the orthotic devices; however reasons for their reluctance were not formally investigated. In summary, appropriate use of orthoses is important for optimal outcomes. Identification of Health OutcomesA theoretical approach to understanding use of AFOs and their impact on pati...

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Exploring the relationships between International Classification of Functioning, Disability and Health (ICF) constructs of Impairment, Activity Limitation and Participation Restriction in people with osteoarthritis prior to joint replacement

Cited by 34 publications

References 35 publications

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Improving patients’ experience and outcome of total joint replacement: the RESTORE programme

Crosswalk of participation self-report measures for aphasia to the ICF: what content is being measured?

Use of the ICF to investigate impairment, activity limitation and participation restriction in people using ankle-foot orthoses to manage mobility disabilities

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