The International Classification of Functioning as an explanatory model of health after distal radius fracture: A cohort studyReportar como inadecuado




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Health and Quality of Life Outcomes

, 3:73

First Online: 16 November 2005Received: 19 July 2005Accepted: 16 November 2005

Abstract

BackgroundDistal radius fractures are common injuries that have an increasing impact on health across the lifespan. The purpose of this study was to identify health impacts in body structure-function, activity, and participation at baseline and follow-up, to determine whether they support the ICF model of health.

MethodsThis is a prospective cohort study of 790 individuals who were assessed at 1 week, 3 months, and 1 year post injury. The Patient Rated Wrist Evaluation PRWE, The Wrist Outcome Measure WOM, and the Medical Outcome Survey Short-Form SF-36 were used to measure impairment, activity, participation, and health. Multiple regression was used to develop explanatory models of health outcome.

ResultsRegression analysis showed that the PRWE explained between 13% one week and 33% three months of the SF-36 Physical Component Summary Scores with pain, activities and participation subscales showing dominant effects at different stages of recovery. PRWE scores were less related to Mental Component Summary Scores, 10% three months and 8% one year. Wrist impairment scores were less powerful predictors of health status than the PRWE.

ConclusionThe ICF is an informative model for examining distal radius fracture. Difficulty in the domains of activity and participation were able to explain a significant portion of physical health. Post-fracture rehabilitation and outcome assessments should extend beyond physical impairment to insure comprehensive treatment to individuals with distal radius fracture.

Electronic supplementary materialThe online version of this article doi:10.1186-1477-7525-3-73 contains supplementary material, which is available to authorized users.

Jocelyn E Harris, Joy C MacDermid contributed equally to this work.

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Autor: Jocelyn E Harris - Joy C MacDermid - James Roth

Fuente: https://link.springer.com/







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