Do you have problem because of your pain with …….. Scale categories: no, slight, moderate, major, total problem | ||
---|---|---|
FB no | ICF-code | Function/Activity |
1 | d 540 | Dressing |
2 | b 710 | Joint mobility |
3 | b 730 | Muscle strength |
4 | b 740 | Endurance |
5 | d 450 | Walking |
6 | d 4551 | Walking in stairs |
7 | d 4153 | Keeping posture |
8 | d 649 | Making the bed |
9 | d 640 | Ordinary housework |
10 | d 430 | Lifting/carrying things |
11 | d 4751 | Driving a car |
12 | d 470 | Using transportation |
Do you have problem because of your pain with….. Scale categories: no, slight, moderate, major, total problem | ||
FB no | ICF code | Quality-of-life |
14 | b 134 | Sleeping |
15 | b 130 | Energy |
16 | b 160 | Concentration |
17 | d 240 | Stress. psychological demands |
18 | b 152 | Emotional functions |
19 | b 535 | Gastro-intestinal functions |
20 | d 920 | Leisure time |
21 | d 760 | Family relation |
22 | d 770 | Partner relationship |
23 | d 750 | Contact with friends |
24 | d 750 | Self-support |
25 | d 850 | Managing pay-work |
Perceived pain | ||
26 | b 280 | Pain just now |
27 | b 280 | Pain the last week |
28 | b 280 | The mildest pain |
29 | b 280 | The worst pain |