Abstract
This study assesses the functioning and disability related to Parkinson’s disease using the Functioning Disability Evaluation Scale-Adult Version (FUNDES-Adult), based on the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) in a large-scale database; this study describes, discusses and clarifies the predictive factor of not being in an ambulatory status. Of 7455 patients included in this study, 3561 were not ambulatory and 3894 were ambulatory or assisted ambulatory. Patients with poor walking status revealed higher FUNDES-Adult scores in all domains. Age, modified Hoehn–Yahr stage, living in an institution and the standardized score of FUNDES-Adult domains 1 and 2 were positive independent predictors of the not ambulatory status. The FUNDES-Adult could evaluate multifaceted disability and predict the walking status in patients with Parkinson’s disease.
Highlights
Even with optimal medical management, Parkinson’s disease (PD) remains an extremely debilitating disease and is a major concern, owing to its global impact
The Functioning Disability Evaluation Scale-Adult Version (FUNDES-Adult) developed by the Taiwan ICF research team was created by modifying the WHODAS 2.0 [15,16,17]
The current study analyzed the demographic characteristics of patients with PD, including the levels of their disability in motor action and evaluated multifaceted disability to predict the walking status in patients with PD based on the FUNDES-Adult
Summary
Even with optimal medical management, Parkinson’s disease (PD) remains an extremely debilitating disease and is a major concern, owing to its global impact. The Functioning Disability Evaluation Scale-Adult Version (FUNDES-Adult) developed by the Taiwan ICF research team was created by modifying the WHODAS 2.0 [15,16,17]. Designed as a generic assessment of the levels of disability experienced in activities, it is directly linked to the ICF and examines disability and health status in the six domains of function: Cognition, mobility, self-care, getting along with others, life activities and participation. No large-scale study has used the FUNDES-Adult to evaluate disability levels in patients with PD. The current study analyzed the demographic characteristics of patients with PD, including the levels of their disability in motor action and evaluated multifaceted disability to predict the walking status in patients with PD based on the FUNDES-Adult
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