{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T06:04:56Z","timestamp":1790057096122,"version":"4.0.1"},"reference-count":67,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Musculoskeletal conditions are a leading cause of disability, yet functioning is not routinely documented in primary care. A setting-specific International Classification of Functioning, Disability and Health (ICF) Core Set may facilitate biopsychosocial assessment by identifying domains relevant to patients and physical therapists.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To empirically evaluate category retention and perceived relevance within a specific ICF Core Set for musculoskeletal conditions in primary care physical therapy and examine correspondence and differences between patient-reported and physical therapist-assessed perspectives.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A multicenter, cross-sectional study included 387 patient-physical therapist dyads from the public regional healthcare service of Castilla y Le\u00f3n (SACYL), Spain. Both perspectives rated 34 ICF categories using a 100\u2005mm VAS. ICF categories with \u22655% prevalence were retained. Sensitivity analyses examined retention across WHODAS 2.0 and Self-administered Comorbidity Questionnaire (SCQ) levels and their continuous associations with ICF summary ratings. Paired perspectives were compared using Wilcoxon signed-rank tests with Holm-adjusted\n                      <jats:italic>p<\/jats:italic>\n                      -values, effect sizes, ICC(2,1), and individual absolute differences exceeding an interpretive 15\u2005mm benchmark. The study was reported according to STROBE.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      All 34 ICF categories exceeded the retention threshold (23.3\u201394.3%) and remained retained for all disability and comorbidity subgroups. WHODAS 2.0 showed moderate positive correlations with Body Functions and Activities and Participation ratings (Spearman's\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u20090.329\u20130.357), whereas SCQ correlations were weaker (\n                      <jats:italic>\u03c1<\/jats:italic>\n                      \u2009=\u20090.178\u20130.202). Absolute paired-score correspondence ranged from moderate to excellent (ICC\u2009=\u20090.697\u20130.958). Twenty-seven comparisons were significant before adjustment and 20 after Holm adjustment. Differences were generally small (|\n                      <jats:italic>r<\/jats:italic>\n                      |\u2009=\u20090.012\u20130.356); the largest mean difference was 7.83\u2005mm for \u201cb710 Mobility of joint functions\u201d. Across categories, 5.7%\u201329.3% of dyads exceeded 15\u2005mm.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The findings provide empirical support for retaining the 34 categories and indicate generally substantial group-level correspondence alongside potentially informative individual differences. Further research should evaluate measurement properties, feasibility, responsiveness, and implementation in routine primary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fresc.2026.1960608","type":"journal-article","created":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:40:35Z","timestamp":1790055635000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Empirical evaluation of an ICF core set for managing musculoskeletal conditions in primary care physical therapy services in Spain: a multicenter study"],"prefix":"10.3389","volume":"7","author":[{"given":"H\u00e9ctor","family":"Hern\u00e1ndez-L\u00e1zaro","sequence":"first","affiliation":[{"name":"Active Coping Strategies for Pain Unit in Primary Care, Soria Healthcare Management, Regional Health Service of Castilla y Le\u00f3n (SACYL)","place":["Soria, Spain"]},{"name":"Faculty of Health Sciences, University of 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