Neurology, Public Health and Disability Unit - Scientific Directorate, Neurological Institute C. Besta IRCCS Foundation, Via Celoria 11, Milan, 20133 Italy.
Disabil Rehabil. 2010;32 Suppl 1:S23-32. doi: 10.3109/09638288.2010.511687. Epub 2010 Sep 9.
To describe functioning and disability in patients with migraine according to the model endorsed by the International Classification of Functioning Disability and Health (ICF).
Adult patients with migraine were consecutively enrolled. The Migraine Disability Assessment score (MIDAS), the ICF checklist and the WHO Disability Assessment Schedule II (WHO-DAS II) were administered in individual sessions. Descriptive analyses were performed to report on MIDAS and WHO-DAS II scores. ICF categories reported as a problem by more than 20% of patients were described in detail.
One hundred two patients (mean age 43.5; 85.3% females) were enrolled. Mean MIDAS score was 28.2. WHO-DAS II was 18.7, and the most severe limitations are reported in life activities and in participation to social situations. A total of 61 ICF categories reached the threshold of 20%, 19 Body Functions and Structures, 25 Activities and Participation and 17 Environmental Factors.
We reported information on a broad set of domains, expanding migraine-specific ones, such as pain and lost workdays that were previously reported in other studies. Our results enable to enlarge the perspective of disability in patients with migraine, considering both symptoms, activities and the role of environmental factors.
根据《国际功能、残疾和健康分类》（ICF）所支持的模式，描述偏头痛患者的功能和残疾情况。
连续纳入成年偏头痛患者。在单独的会议中，对偏头痛残疾评估量表（MIDAS）、ICF 检查表和世界卫生组织残疾评估量表 II（WHO-DAS II）进行了评估。对 MIDAS 和 WHO-DAS II 评分进行了描述性分析。详细描述了超过 20%的患者报告存在问题的 ICF 类别。
共纳入 102 名患者（平均年龄 43.5 岁；85.3%为女性）。平均 MIDAS 评分为 28.2。WHO-DAS II 为 18.7，生活活动和参与社会情况方面的限制最严重。共有 61 个 ICF 类别达到了 20%的阈值，其中包括 19 个身体功能和结构、25 个活动和参与以及 17 个环境因素。
我们报告了广泛的领域信息，扩展了偏头痛特有的领域，如疼痛和失去工作日，这些在以前的研究中已有报道。我们的研究结果使人们能够从症状、活动和环境因素的角度来扩大对偏头痛患者残疾的认识。
