Abstract
PurposeTo identify the most frequent outcomes related to disability assessed in individuals with migraine and to correlate these findings with the categories of International Classification of Functioning, Disability and Health.Material and methodThis scoping review was developed based on studies with adult population (18-55 years) of both sexes and assessing the disability generated by migraine. We included studies in which patients had a diagnosis of migraine based on International Classification of Headache Disorders.Results52 articles were found with 42 outcomes related to 17 categories of International Classification of Functioning, Disability and Health, including the four main components of the classification, with seven categories in "Body Functions", one in "Body Structures", four in “Activities and Participation” and five in "Environmental Factors".ConclusionThe findings show that disabilities, activity limitation, or participation restriction generated by migraine can be classified by International Classification of Functioning, Disability and Health. The components "body functions", "environmental factors" and "activities and participation" were the most identified in the present study. Thus, this classification is important to classify the disability caused by migraine and to guide a rehabilitation more focused onthe patient's real demands, as well as directing the research involving this population.
Highlights
Migraine is the third-most prevalent disease in the world and the second one to cause larger numbers of lost work days due to a disability.[1]
Because migraine is a disease that causes negative impacts that go beyond biomedical issues, the World Health Organization (WHO) instituted the International Classification of Functioning, Disability and Health (ICF), whose classification model seeks to obtain a broader view of the health-disease process
After the complete reading of the articles, 584 of them were excluded because they did not meet the inclusion criteria or for being considered irrelevant for the study. With this proceeding only 114 were taken to the phase of data extraction. In these 114 articles, we have identified that 60 studies used exclusively the result of validated questionnaires for patients with migraine: Migraine Disability Assessment (MIDAS), Headache Impact Test-6 (HIT-6) e Migraine-Specific Quality of Life Questionnaire (MSQ)
Summary
Migraine is the third-most prevalent disease in the world and the second one to cause larger numbers of lost work days due to a disability.[1] Sleep disorders, decrease in the perception of quality of life and the well-being sensation and increase in anxiety crises have been related to migraine crises, in addition to the influence in social function due to disability and decreasing social status caused by this condition.[2,3,4,5] In this way, there are severe impacts of migraine on the quality of life and social function of the affected individuals, which makes this illness affect a wider spectrum as it generates psychological and social problems for both the affected individual and the social environment to which he belongs to either for the greater difficulty in maintaining social relations or even for the economic impacts caused by the reduced productivity of migraineurs.[1,4,6]. The application of ICF is a way to classify the functioning of this population, since this proposal focuses on the patient’s approach on this broader vision as adopted by the WHO.[6,7]
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