Symptomatic Therapy and Rehabilitation in Primary Progressive Multiple Sclerosis

Table 5

Frequency of limitations reported by persons with MS (N = 101) linked with ICF categories for the components: body function, body structure, activity and participation, and environmental factors (those reported by at least one third of MS patients are listed below).

ICF code	Chapter title	ICF code description	Total number of participants linked responses. n, %	Number of participant and stage of disease
				RR	SP	PP	rr-SP
		Body function
b130	Global mental functions	Energy and drive functions	98, 97.03	51	26	14	7
b134		Sleep	84, 83.17	47	21	11	5
b140	Specific mental functions	Attention	66, 65.35	37	17	9	3
b144		Memory	62, 61.39	37	16	4	5
b152		Emotional functions	97, 96.04	50	26	14	7
b210	Seeing and related functions	Seeing	47, 46.53	24	16	4	3
b235	Hearing vestibular	Vestibular (incl. balance functions)	71, 70.30	34	19	13	5
b265	Sensory functions	Touch	34, 33.66	15	10	7	2
b280	Pain	Sensation of pain	76, 75.25	39	19	12	6
B455	CVS and respiratory functions	Exercise tolerance functions*	97, 96.04	50	27	13	7
b525	Digestive system	Defecation	89, 88.12	49	21	14	5
b620	Urinary functions	Urination functions	94, 93.07	50	24	13	7
b640	Genital and reproductive	Sexual functions	57, 56.44	32	15	7	3
b730	Muscle functions	Muscle power	96, 95.05	50	27	13	6
b735		Muscle tone	94, 93.07	50	26	13	5
b740		Muscle endurance function*	93, 92.08	49	25	12	7
b760	Movement functions	Control of voluntary movement functions*	66, 65.35	37	18	8	3
b770		Gait pattern functions*	99, 98.02	51	27	13	8
		Body Structure
s110	Nervous system	Brain	100, 99.01	50	28	14	8
s610	Genitourinary system	Urinary system	93, 92.08	49	25	12	7
s730	Structures related to movement	Upper extremity (arm, hand)	44, 43.56	25	10	7	2
s750		Lower extremity (leg, foot)	97, 96.04	49	27	14	7
s760		Trunk	85, 84.16	44	23	12	6
		Activities and participation
d160	Applying knowledge	Focussing attention	70, 69.31	39	16	9	6
d175		Solving problems	34, 33.66	22	8	2	2
d177		Making decisions	59, 58.42	35	16	5	3
d220	General tasks and demands	Undertaking multiple tasks	88, 87.13	47	24	12	5
d230		Carrying out daily routine	80, 79.21	48	17	10	5
d240		Handling stress and other psychological demands	101, 100.00	51	28	14	8
d430	Mobility	Lifting and carrying objects	53, 52.48	30	12	8	3
d440		Fine hand use (picking up, grasping)	51, 50.50	26	13	9	3
d445		Hand and arm use	37, 36.63	21	9	4	3
d450		Walking	101, 100.00	51	28	14	8
d455		Moving around*	99, 98.02	51	27	14	7
d465		Moving around and using equipment (wheelchair, skates, etc.)	98, 97.03	50	27	14	7
d470		Using transportation (car, bus, train, plane, etc.)	100, 99.01	51	27	14	8
d475		Driving (riding bicycle and motorbike, driving car etc.)	99, 98.02	51	27	14	7
d510	Self care	Washing oneself (bathing, drying, washing hands, etc.)	41, 40.59	26	9	4	2
d520		Caring for body parts (brushing teeth, shaving, grooming, etc.)	40, 39.60	24	8	5	3
d570		Looking after one’s health	88, 87.13	47	23	14	4
d620	Domestic life	Acquisition of goods and services (shopping, etc.)	92, 91.09	50	24	12	6
d630		Preparation of meals (cooking etc.)	89, 88.12	48	24	12	5
d640		Doing housework (cleaning washing, laundry, and ironing)	94, 93.07	51	23	14	6
d650		Caring for household objects*	84, 83.17	46	22	12	4
d660		Assisting others	87, 86.14	48	22	13	4
d750	Interpersonal relationships	Informal social relationships	35, 34.65	19	12	2	2
d760		Family relationships	73, 72.28	42	16	11	4
d770		Intimate relationships	61, 60.40	35	15	7	4
d845	Work	Acquiring keeping and terminating a job*	73, 72.28	39	19	11	4
d850		Remunerative employment	90, 89.11	45	24	13	8
d870	Economic life	Economic self-sufficiency	84, 83.17	44	22	13	5
d910	Community life	Community Life	79, 78.22	40	21	13	5
d920		Recreation and leisure	97, 96.04	50	26	14	7
		Environmental Factors
e110	Products and technology	For personal consumption (food, medicines)	101, 100.00	51	28	14	8
e120		For personal indoor and outdoor mobility and transportation	91, 90.10	47	25	12	7
e150		Design, construction and building products and technology of buildings for public use	70, 69.31	39	18	9	4
e210	Natural environment	Physical geography*	39, 38.61	21	11	5	2
e225		Climate	99, 98.02	50	28	14	7
e310	Support and relationships	Immediate family	45, 44.55	27	9	7	2
e315		Extended family*	42, 41.58	26	9	3	4
e460	Attitudes	Societal attitudes	31, 30.69	13	9	5	4
e540	Services, systems, and policies	Transportation services, systems and policies	68, 67.33	38	17	8	5
e580		Health services, systems and policies	79, 78.22	45	18	11	5

(Adapted from Khan and Pallant [19].)