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  4. CHARACTERIZATION OF AN ITALIAN POPULATION WITH NEUROLOGICAL DISORDERS IN A REHABILITATION SETTING USING CLINFIT

CHARACTERIZATION OF AN ITALIAN POPULATION WITH NEUROLOGICAL DISORDERS IN A REHABILITATION SETTING USING CLINFIT

Journal of Rehabilitation Medicine, 2024 · DOI: 10.2340/jrm.v56.18262 · Published: January 18, 2024

ParticipationNeurologyRehabilitation

Simple Explanation

Neurological disorders are a major cause of disability. ClinFIT is used to assess functioning and disability by measuring impairments in body functions (e.g. joint mobility), organs and other body structures, as well as limitations/restrictions that people experience in performing everyday activities and participating in all areas of life. Data for 364 people were analysed. The 10 most commonly impaired categories included 3 related to body functions and 7 to activities and participation. The categories severely impaired in more than 30% of the study participants were muscle power functions, carrying out daily routine, walking, moving around, doing housework and assisting others. ClinFIT Generic-30 is able to characterize the functioning profile in people with different neurological disorders.

Study Duration
November 2018 to November 2019
Participants
364 adults with neurological disorders
Evidence Level
Cross-sectional study

Key Findings

  • 1
    The 10 most commonly impaired ICF categories included 3 for Body Functions (exercise tolerance functions (b455), mobility of joint functions (b710), and muscle power functions (b730)) and 7 for Activities and Participation (carrying out daily routine (d230), handling stress and other psychological demands (d240), changing basic body position (d410), maintaining a body position (d415), transferring oneself (d420), walking (d450), and moving around (d455)).
  • 2
    The ICF categories that were severely impaired (ICF qualifiers 3 and 4) in more than 30% of the study cohort were: muscle power functions (b730), carrying out daily routine (d230), walking (d450), moving around (d455), doing housework (d640), and assisting others (d660).
  • 3
    A significant sex disparity was observed with regard to the qualifiers 3–4, i.e. significantly more male participants reported severe/complete impairments or problems than females.

Research Summary

This study aims to describe the functioning profile of people affected by neurological health conditions, using the ClinFIT Generic-30. The current study data suggests that the ClinFIT Generic-30 might be useful for generating the functioning profile of a person with diverse neurological health condition. The results of the current study and the corresponding functioning profile of an Italian population with neurological disorders generated by applying ClinFIT Generic-30 should help support the decision-making process in neurorehabilitation along the continuum of care, from the assessment and goal-setting to the selection of appropriate outcome measures and interventions.

Practical Implications

Clinical Decision-Making

ClinFIT Generic-30 can support clinical decision-making in rehabilitation settings.

Comparison of Populations

ClinFIT Generic-30 allows for comparisons between the functioning of populations with different neurological disorders.

Data Collection and Planning

ClinFIT Generic-30 can be used to collect data for patients with neurological disabilities, aiding health service planning, resource allocation, and policy development.

Study Limitations

  • 1
    Lack of information about the course of the disease and its impact on functioning.
  • 2
    Cross-sectional design limits data on post-rehabilitation functioning.
  • 3
    Ordinal scoring limits the ability to monitor changes in a patient’s functioning over time.

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