Valadkevičienė Daiva, Žukauskaitė Irena, Bileviciute-Ljungar Indre, Kizlaitienė Rasa, Jatužis Dalius, Karrenbauer Virginija Danylaitė
Clinic of Neurology and Neurosurgery, Institute of Clinical Medicine, Faculty of Medicine, Vilnius University, Vilnius, Lithuania.
The Agency for the Protection of the Rights of Persons with Disabilities under the Ministry of Social Security and Labor of the Republic of Lithuania (APRPD), Previously the Disability and Working Capacity Assessment Office, under the Ministry of Social Security and Labour of the Republic of Lithuania (DWCAO), Vilnius, Lithuania.
Sci Rep. 2025 Jan 28;15(1):3547. doi: 10.1038/s41598-025-87827-6.
Multiple sclerosis (MS) unfavorably affects working capacity. The Comprehensive International Classification of Functioning, Disability and Health Core Set for MS (cICF-MS), issued by the World Health Organization, has not yet been extended to evaluate working capacity level (WCL). To evaluate the relative importance of cICF-MS categories in relation to WCL. Persons with MS (PwMS), N = 129, who had been referred to Lithuania's Disability and Working Capacity Assessment Office for WCL determination, were divided into three groups according to the percentage of remaining WCL (WCL1 had 0-25%, WCL2 had 30-40%, and WCL3 had 45-55%). Data regarding the cICF-MS categories were collected through telephone interviews and patient documentation. Using the fractional ranking method, the mean values of cICF-MS impairment were ranked from the most severely affected to the least affected (rank 1-93). Ranks with the 10 highest mean values of impairment severity in each WCL group were included in a descriptive analysis. In the WCL1 and WCL2 groups, the most-affected cICF-MS categories reflected disability related to gait and motor function. The WCL3 group presented with pain, fatigue, and impairments to visual acuity, psychic stability, urination, and memory. This study has identified specific cICF-MS impairment profiles based on remaining WCL.
多发性硬化症（MS）对工作能力产生不利影响。世界卫生组织发布的《多发性硬化症功能、残疾和健康国际综合分类核心集》（cICF-MS）尚未扩展到评估工作能力水平（WCL）。为了评估cICF-MS类别与WCL的相对重要性。129名被转介到立陶宛残疾和工作能力评估办公室以确定WCL的MS患者（PwMS），根据剩余WCL的百分比分为三组（WCL1为0-25%，WCL2为30-40%，WCL3为45-55%）。通过电话访谈和患者文档收集有关cICF-MS类别的数据。使用分数排名方法，将cICF-MS损伤的平均值从受影响最严重到受影响最小进行排名（排名1-93）。每个WCL组中损伤严重程度平均值最高的前10个排名纳入描述性分析。在WCL1和WCL2组中，受影响最严重的cICF-MS类别反映了与步态和运动功能相关的残疾。WCL3组表现出疼痛、疲劳以及视力、心理稳定性、排尿和记忆方面的损伤。本研究根据剩余WCL确定了特定的cICF-MS损伤特征。
