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The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool
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Functioning and disability in multiple sclerosis.

Olga Svestkova1, Yvona Angerova, Petra Sladkova

  • 1Department of Rehabilitation Medicine, Charles University, Albertov 7, Prague, 128 00 Czech Republic. olga.svestkova@lf1.cuni.cz

Disability and Rehabilitation
|October 9, 2010
PubMed
Summary
This summary is machine-generated.

The International Classification of Functioning Disability and Health (ICF) effectively describes multiple sclerosis (MS) patient functioning and disability. ICF implementation highlights differences in daily living capacity versus performance, and identifies attitudinal barriers affecting relationships.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Public Health

Background:

  • Multiple sclerosis (MS) is a chronic neurological condition impacting individuals' functioning and daily lives.
  • Understanding disability in MS requires a comprehensive model beyond clinical impairment.

Purpose of the Study:

  • To characterize functioning and disability in multiple sclerosis (MS) patients using the International Classification of Functioning Disability and Health (ICF) model.
  • To assess the applicability of the ICF framework in clinical and rehabilitation settings for MS.

Main Methods:

  • Adult MS patients were enrolled, with data collected via the Expanded Disability Status Scale (EDSS), WHO Disability Assessment Schedule II (WHO-DAS II), and ICF checklist.
  • Descriptive analyses reported EDSS and WHO-DAS II scores.
  • ICF categories identified as problematic by over 20% of patients were detailed.

Main Results:

  • One hundred MS patients (70% female, mean age 41.7) were studied; 73 had relapsing-remitting MS.
  • The mean WHO-DAS II score was 10.6.
  • Fifty-eight ICF categories were identified as relevant, including Body Functions and Structures (23), Activities and Participation (21), and Environmental Factors (14).

Conclusions:

  • The ICF model is suitable for describing the multifaceted nature of MS in clinical and rehabilitation contexts.
  • Minor discrepancies between capacity and performance were noted for daily living activities, influenced by environmental factors and aids.
  • Attitudinal barriers were identified as a significant factor contributing to poorer performance compared to capacity in relationship-related ICF categories.