Description of movement quality in patients with low back pain: a qualitative study as a first step to a practical definition

Authors Margriet van Dijk, Nienke T. A. Smorenburg, Bart Visser, Maria W. G. Nijhuis– van der Sanden, Yvonne F. Heerkens
Published in Psychotherapy theory and practice
Publication date 2017
Research groups Klinische Besluitvorming in de Beweegzorg
Type Article

Summary

Purpose: As a first step to formulate a practical definition for movement quality (MQ), this study aims to explore how Dutch allied health care professionals (AHCPs) describe MQ of daily life activities in patients with low back pain (LBP). Methods: In this qualitative cross-sectional digital survey study, Dutch AHCPs (n = 91) described MQ in open text (n = 91) and with three keywords (n = 90). After exploratory qualitative content analysis, the ICF linking rules (International Classification of Functioning, Disability and Health) were applied to classify MQ descriptions and keywords. Findings: The identified meaningful concepts (MCs) of the descriptions (274) and keywords (239) were linked to ICF codes (87.5% and 80.3%, respectively), Personal factors (5.8% and 5.9%, respectively), and supplementary codes (6.6% and 13.8%, respectively). The MCs were linked to a total of 31 ICF codes, especially to b760 ‘control of voluntary movement functions’, b7602 ‘coordination of voluntary movements’, d4 ‘Mobility’, and d230 ‘carry out daily routine’. Negative and positive formulated descriptions elucidated different MQ interpretations. Conclusions: Descriptions of MQ given by Dutch AHCPs in patients with LBP cover all ICF components. Coordination and functional movements are seen as the most elementary concepts of MQ. Variation in MQ descriptions and interpretations hinders defining MQ and indicates the necessity of additional steps.

Downloads en links

On this publication contributed

  • Margriet van Dijk
    Margriet van Dijk
    • Teacher-researcher
    • Research group: Klinische Besluitvorming in de Beweegzorg
Language Engels
Published in Psychotherapy theory and practice
Year and volume 33 3
Key words clinical reasoning, human activities, low back pain, movement quality
Digital Object Identifier 10.1080/09593985.2017.1282998
Page range 227-237