Department of Physical Therapy, College of Pharmacy and Health Sciences, Campbell University , Buies Creek, NC, USA.
Reneau Rehab , Wichita Falls, TX, USA.
Physiother Theory Pract. 2020 Nov;36(11):1241-1244. doi: 10.1080/09593985.2019.1571134. Epub 2019 Feb 15.
: The primary purpose of this study was to examine the feasibility and informativeness of the Patient-Specific Functional Scale (PSFS) for identifying activities that persons with Parkinson disease (PD) self-identified as difficult.: Informativeness was investigated by cross-referencing the identified activities with the International Classification of Functioning, Disability, and Health (ICF), the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS), and Parkinson's Disease Questionnaire (PDQ-39). Twenty-eight individuals with PD (Hoehn & Yahr stage 1-4) completed the PSFS. Activities identified by the participants were classified according to the ICF and then cross-referenced across the MDS-UPDRS and PDQ-39.: Participants identified 98 specific (60 different) activities that they were unable to do or were having difficulty with as a result of PD. Activities most frequently listed as difficult included some aspect of fine hand use, dressing, eating, or changing position (e.g. transferring). All activities could be classified using the ICF, but many were not addressed specifically by the MDS-UPDRS or PDQ-39.: We conclude that the PSFS can be used for identifying activities that persons with PD personally find difficult and may be useful as a compliment to the MDS-UPDRS and PDQ-39.
: 本研究的主要目的是检验患者特定功能量表(PSFS)在识别帕金森病(PD)患者自认为困难的活动方面的可行性和信息量。通过将确定的活动与国际功能、残疾和健康分类(ICF)、运动障碍学会统一帕金森病评定量表(MDS-UPDRS)和帕金森病问卷(PDQ-39)交叉参考,研究了信息量。28 名 PD 患者(Hoehn & Yahr 分期 1-4)完成了 PSFS。参与者确定的活动根据 ICF 进行分类,然后与 MDS-UPDRS 和 PDQ-39 交叉参考。参与者确定了 98 项特定(60 项不同)活动,这些活动因 PD 而无法完成或难以完成。被列为困难的活动包括精细手部使用、穿衣、进食或改变姿势(如转移)等方面。所有活动都可以用 ICF 进行分类,但许多活动并没有被 MDS-UPDRS 或 PDQ-39 专门涉及。我们得出结论,PSFS 可用于识别 PD 患者个人认为困难的活动,并且可能作为 MDS-UPDRS 和 PDQ-39 的补充有用。