The contribution of the new scale for assessing disability

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Published Aug 3, 2010
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Vol. 88 No. 8 (2010): Issue Aug 2010

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Imene Ksibi
Catherine Dziri
Fatma Zohra Ben Salah
Mejda Hammadi
Lotfi Bellelahom

Abstract

Problem: The assessment of disability and its management is complex and problematic. With a view to ensuring equality of opportunity between disabled people and others, a new law adopted in August 2005 proposed a new method for assessing disability is applicable on a wider scale by GPs.
Aim : Assessing the contribution of the new scale for assessing disability in patients suffering from debilitating diseases, to verify compliance in Tunisia.
Methods : Cross-sectional study on 60 hemiplegic, paraplegic and post traumatic head injuries. The patients underwent clinical evaluation and a functional assessment. The assessment tools used were: the classification of the American Spinal Injury Association, the Barthel Index, Glasgow Outcome Scale, Functional Independence Measure, the Health Assessement Questionnaire and the Social Function-36. Patients were also evaluated with the new scale of disability.
Results: concerning paraplegic patients, limitation of activity concerned mobility, maintenance staff, domestic life, social relationships, community life and major areas of life. On the hemiplegic, areas related to communication, mobility, maintenance staff, domestic life, social relationships, community life and major areas of life have been affected. We have noted a correlation between the new scale and the Barthel Index. Regarding traumatic brain injury, the areas most affected were those related to mobility, maintenance staff, domestic life and the major areas of life.
A correlation was found between the new scale and the Functional Independence Measure in three populations, as well as the quality of life that has been correlated with disability.
Disability was observed in 90% of paraplegics, 80% and 50% of hemiplegic patients with severe brain injury. The handicap was the heaviest seen in traumatic brain injury patients with a frequency of 20%.
Conclusion : The new scale for assessing disability has reproduced disability and special needs of paraplegic patients, stroke patients and traumatic brain injury.

Keywords:

Brain injury, disability

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References

  1. Chapireau F. La nouvelle classification de l'OMS : Classification internationale du fonctionnement, du handicap et de la santé. Annales médico-psychologiques 2002 ; 160 : 242-46
  2. Hamonet C,Magalhaes T. La notion de handicap. Ann Réadapt Méd phys 2003 ;46 :521-4.
  3. La loi d'orientation N°2005-83 du 15 Août 2005 : loi relative à la promotion et la protection des personnes handicapées. Journal Officiel de la République Tunisienne 6 Décembre 2005.
  4. Fattal C, Leblond C. Evaluation des aptitudes fonctionnelles, du handicap et de la qualité de vie chez le blessé médullaire. Ann Réadapt Méd Phys 2005 ;48 :346-60
  5. Gellez-Leman Mc, Colle F, Bonan I, Bradai N, Yelnik A. Evaluation des incapacités fonctionnelles chez le patient hémiplégique : mise au point. Ann Réadapt Méd Phys 2005 ;48 : 361-8.
  6. Hkaye A, Andrewes D. Glasgow Outcome Scale : research scale or blunt instrument ? The Lancet 2000; 356:1540-41.
  7. Sengler J, Hartmann E, Buisson P, Pierrejean C, Bourderont D. La meure d'indépendance fonctionnelle (MIF) a-t-elle une valeur prédictive dans les accidents vasculaires cérébraux ? Ann Réadapt Méd phys 1996 ; 39 : 553-9.
  8. El Meidany Ym, El Gaafary Mm, Ahmed I. Cross cultural adaptation and validation of an Arabic health assessment questionnaire for use in rheumatoid arthritis patients. Joint bone spine 2003; 70: 195-202.
  9. Reed P J, De Wayne M. SF-36 as a predictor of Health States. Value in Health 2000;3:202.
  10. Rochette A, Desrosiers J, Noreau L. Association between personal and environmental factors and the occurrebce of handicap situations following a stroke. Disabil Rehabil 2001; 23; 559-69.
  11. Fougeyrollas P. Documenting environmental factors for preventing the handicap creation process: Quebec contributions relating to ICIDH and social participation of people with functional differences. Disabil Rehabil 1995; 17: 145-53.
  12. Ennigrou S,Dziri C, Zouari B. La prévention médicale du handicap en Tunisie . Tunisie Médicale- vol 80, n°9,sept. 2002,p 505 - 508.