Background

Physical therapists provide treatment for pain and other common complaints for women in the postpartum period, thereby contributing to the improvement of their functioning. However, before applying any interventions, physical therapists should assess their patients to identify the desired therapeutic goals. In this context, the International Classification of Functioning, Disability and Health (ICF) may be a useful tool for documenting functioning data and operationalizing collaborative goal setting.

Objective

To identify ICF categories and the respective domains that should be considered in the evaluation of women postpartum.

Methods

A consensus-building, three-round e-mail survey was conducted using the Delphi method. The sample included Brazilian physical therapists with expertise in women’s health. Meaningful content was analyzed in accordance to the ICF linking rules. The kappa coefficient and content validity index (CVI) were calculated.

Results

The panel consisted of 45 participants with a median age of 33 years and more than 10 years of experience in women’s health. A total of 1261 meaningful contents were identified from the responses in the first round. After consensus was achieved, a final list of 62 items was prepared, including 53 categories (11 were on structures; 15 on body functions; 12 on activities and participation; 15 on environmental factors) and nine personal factors (CVI = 0.89).

Conclusion

From the perception of physical therapists, an ICF-based postpartum assessment to describe functioning and disability must comprise 53 ICF categories and nine personal factors.

中文翻译：

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产后妇女的功能：物理治疗师基于功能、残疾和健康的国际分类共识

背景

物理治疗师为产后妇女提供疼痛和其他常见问题的治疗，从而有助于改善她们的功能。然而，在应用任何干预措施之前，物理治疗师应评估他们的患者以确定所需的治疗目标。在这种情况下，国际功能、残疾和健康分类 (ICF) 可能是记录功能数据和实施协作目标设定的有用工具。

客观的

确定 ICF 类别和在评估女性产后时应考虑的各个领域。

方法

使用 Delphi 方法进行了一项建立共识的三轮电子邮件调查。样本包括在女性健康方面具有专业知识的巴西物理治疗师。根据 ICF 链接规则分析有意义的内容。计算 kappa 系数和内容效度指数 (CVI)。

结果

该小组由 45 名参与者组成，他们的中位年龄为 33 岁，在女性健康方面拥有超过 10 年的经验。在第一轮的回复中，共识别出 1261 条有意义的内容。达成共识后，最终编制了62个项目清单，包括53个类别（11个结构；15个身体功能；12个活动和参与；15个环境因素）和9个个人因素（CVI  =  0.89）。

结论

从物理治疗师的角度来看，用于描述功能和残疾的基于 ICF 的产后评估必须包含 53 个 ICF 类别和九个个人因素。