Development of the icf core sets for lower Extremity osteoarthritis an indian Perspective

Abstract

KEYWORDS: Core Sets, ICF Core Sets, International Classification of newlineFunctioning, Disability, and Health, Lower extremity osteoarthritis, newlineOsteoarthritis in India newlineBACKGROUND: The lower extremity osteoarthritis (LEOA) is a rising burden newlinein India as well as globally. Understanding the functioning issues of LEOA with newlinethe concept of the International Classification of Functioning, Disability and newlineHealth (ICF) is necessitate for planning better management strategies. The newlineavailable ICF core sets (ICF-CS) for osteoarthritis in general may not be newlinerelevant for Indian population as the functioning issues differ with different newlinecontextual factors. Moreover, ICF-CS specific for LEOA in Indian context is newlinerecommended for batter understanding the functioning of Indian population. newlineOBJECTIVES: To identify which ICF categories best represent the functional newlineprofile of individuals with lower limb osteoarthritis and to develop an ICF-CS for newlineLEOA suitable for the Indian population. newlineMETHODOLOGY: The current study adopted the standard methodology newlinerecommend for the development of ICF-CS. The current study design is a newlinemulticentered mixed method study which consisted of four preparatory studies newlineto identify the meaningful functioning issues. The preparatory studies were (I) newlineresearchers perspective (literature review), (II) experts perspective (online newlinesurvey), (III) patients perspective (focused grouped interview) and (IV) clinical newlineperspective (empirical study) that identify meaningful functioning issues of newlineLEOA population in Indian context. The identified meaningful functioning newlineconcepts from each of the preparatory study were linked with ICF categories newlineusing standard linking rules and reported the data descriptively. newlineDuring preparatory studies, 164 ICF categories were identified as meaningful. newlineThese categories were simplified to 81 level-2 ICF categories for better visibility newlinein the expert s consensus process. A pool of experts, including orthopedic newlinev newlinesurgeons, medical officers, and physiotherapists with at lea