Article

OBJECTIVE: To describe functioning and disability of patients with Parkinson's
Disease (PD) according to the model endorsed by the International Classification
of Functioning Disability and Health (ICF). DESIGN: Adult PD patients were
consecutively enrolled. The ICF checklist and the WHO Disability Assessment
Schedule II (WHO-DAS II) were administered in individual sessions. Hoehn and Yahr
Staging (HY) was used to define PD severity. Descriptive analyses have been
performed to report on HY and WHO-DAS II scores. ICF categories reported as a
problem by more than 20% of patients are described in detail. RESULTS: Ninety-six
patients with PD (mean age 64.1, 33.3% females) were enrolled, 48.4% of them were
in HY class 2. WHO-DAS II mean score was 18.1 and the most severe limitations are
reported in getting around and in participation to social situations. A total of
71 ICF categories reached the threshold of 20%, mostly derived from Activities
and Participation domain. CONCLUSIONS: We reported information on a broad set of
domains, expanding those PD-specific, such as reduced mobility. Our results are
useful to define what dimensions have to be considered to expand disability
assessment in patients with PD, considering both symptoms, activities and the
role of environmental factors.

Langue : ANGLAIS