Relationship between the International Classification of Functioning, Disability and Health (ICF) and the limitation of activities and restriction of participation for individuals with leprosy

Abstract Introduction Leprosy is an infectious disease that can lead to physical disability. The SALSA scale and the International Classification of Functioning, Disability and Health (ICF) may be useful in the clinical management of these patients. Thus, the objective was to correlate the ICF with the limitation of activity and restriction to participation for individuals with leprosy, using the SALSA scale. Methodology This was an analytical and descriptive cross-sectional observational study, using the SALSA scale, related to mobility, self-care, work and skill domains. After the interview with the patients, the domains were codified by the ICF, using the codes related to activity and participation. Results The sample consisted of 30 individuals, with a mean age of 38.4, the majority being male. The SALSA scale mean score was 36.9 points, presenting a slight limitation of activities. The SALSA scale domains, together with the use of the ICF codes, show a slight to moderate difficulty in the great majority, with significant results (p≤0.05). The mobility domain was the only one to present task with complete difficulty. Conclusion The SALSA scale showed a slight limitation of activity in patients with leprosy, but when related to ICF, there were larger limitations, especially in the mobility domain.

摘要与引言
麻风病是一种可导致躯体残疾的传染性疾病。SALSA量表（SALSA scale）与国际功能、残疾和健康分类（International Classification of Functioning, Disability and Health, ICF）可应用于此类患者的临床管理。本研究旨在借助SALSA量表，探讨ICF与麻风病患者活动受限及参与限制之间的相关性。

研究方法
本研究为分析描述性横断面观察性研究，采用涵盖活动、自理、工作及技能领域的SALSA量表。对患者进行访谈后，借助与活动和参与相关的编码规则，通过ICF对上述领域进行编码。

研究结果
本研究样本共纳入30名个体，平均年龄为38.4岁，以男性居多。SALSA量表平均得分为36.9分，提示受试者存在轻度活动受限。结合ICF编码的SALSA量表各领域评估结果显示，绝大多数受试者存在轻度至中度功能困难，结果具有统计学显著性（p≤0.05）。仅活动领域存在完全困难的任务。

结论
SALSA量表显示麻风病患者存在轻度活动受限，但结合ICF进行分析后，则可见更为显著的功能受限，尤以活动领域为甚。