Characterization of an Italian population with neurological disorders in a rehabilitation setting using ClinFIT.
Sara Liguori, Melissa Selb, Antimo Moretti and 5 others
PMID 38236003WHAT IT FOUND
In 364 adults with neurological disorders, the ClinFIT Generic-30 tool identified severe problems in walking, moving around, and daily routines for over 30% of patients.
It also captured issues like assisting others and intimate relationships that disease-specific core sets often miss.
Key findings
01More than 30% of the study cohort was severely impaired in muscle power, carrying out daily routine, walking, moving around, doing housework, and assisting others.
02The ClinFIT Generic-30 identified functioning problems, such as assisting others and intimate relationships, that are not included in the brief ICF core sets for stroke, TBI, and SCI.
03For patients with multiple sclerosis, 93.10% reported an impairment in exercise tolerance functions, a much higher percentage than those reporting impairments in energy and drive functions (55.17%).
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The study did not collect information about the course of the disease or surgical history, so it is unclear how these factors influenced the functioning profiles. The cross-sectional design means there is no data on how functioning changed after rehabilitation. The ordinal scoring system limits the ability to measure the extent of change in a patient's functioning over time, only indicating direction (improved or declined). The sample was unbalanced by sex, with males being twice as numerous as females in most groups, which complicates the interpretation of sex-based differences.
Declared interests
The study was conducted by residents of the Italian Society of Physical and Rehabilitation Medicine (SIRN). No specific commercial funding or personal conflicts of interest are reported in the provided text.
The easy way to misread this
Do not assume the ClinFIT Generic-30 is a replacement for disease-specific ICF core sets. The authors state that dedicated core sets remain the most exhaustive option for covering the whole spectrum of functioning in a specific neurological disorder.