The Impact of the COVID-19 Pandemic on Three Domains of Functioning of ICF in Participants with Spinocerebellar Degeneration and Multiple System Atrophy in Japan

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  • Haruyama Koshiro
    Faculty of Health Science, Department of Physical Therapy, Juntendo University Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine
  • Kawakami Michiyuki
    Department of Rehabilitation Medicine, Keio University, School of Medicine
  • Miyai Ichiro
    Neurorehabilitation Research Institute, Morinomiya Hospital
  • Fujiwara Toshiyuki
    Faculty of Health Science, Department of Physical Therapy, Juntendo University Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine

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  • COVID-19パンデミックが脊髄小脳変性症および多系統萎縮症患者の心身機能・活動・参加に及ぼす影響
  • COVID-19 パンデミック ガ セキズイ ショウノウ ヘンセイショウ オヨビ タケイトウ イシュクショウ カンジャ ノ シンシン キノウ ・ カツドウ ・ サンカ ニ オヨボス エイキョウ

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Abstract

<p>Objective：We aimed to determine the impact of the COVID-19 pandemic on the “body function”, “activity”, and “participation” domains of functioning as defined in the International Classification of Functioning (ICF) for individuals with spinocerebellar degeneration (SCD) and multiple system atrophy (MSA).</p><p>Methods：A questionnaire survey was administered to 1,000 members of the SCD/MSA patient association in Japan between November and December 2020. Questions related to COVID-19 were extracted from the multipurpose data, and the degree of COVID-19-related effects on each life function was assessed using a 7-point scale. Results were stratified into two groups based on age, care needs based on long-term care insurance coverage, and limited opportunities for rehabilitation. The χ2 test was used to examine differences between pairs of groups regarding impacts on functioning.</p><p>Results：Data from 460 participants with SCD and MSA were analyzed. Participation restriction was reported in 54％ of participants with SCD and 46％ of participants with MSA, and impairment and activity limitation in approximately 20％ of participants with both conditions resulting from the COVID-19 pandemic. Participants with low care needs reported more impairment in SCD and more participation restriction in MSA. About 24％ of subjects reported limited opportunities for rehabilitation. MSA participants with these limitations reported greater impairment.</p><p>Conclusion：The COVID-19 pandemic has had a particular impact on the participation domain of functioning in participants with SCD and MSA. The domains of body function and participation were found to be affected in participants with low care needs or limited opportunities for rehabilitation.</p>

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