Despite the high prevalence of epilepsy and migraine in women, health assessment and rehabilitation for these diseases remain poorly developed, the social component of health is not taken into account, and new technologies are not used sufficiently.
PURPOSE OF THE STUDY
Conduct a comparative analysis of the functioning and disabilities in migraine and epilepsy in women of reproductive age according to the parameters of indicators of the main spheres of life. International Classification of Functioning, Disabilities and Health (ICF) based on the Work and Employment model.
MATERIAL AND METHODS
The study included 240 women of reproductive age from 18 to 45 years. The 1st group included 150 patients with verified epilepsy, the 2nd group — 90 women with migraines. The clinical and neurological method was used. Indicators were assessed: employment, reasons for unemployment, disability. Based on the results of the clinical interview, the anamnestic method and analysis of the patient’s medical records, neurological examination data and instrumental studies, the patient’s profile was filled in in the ICF categories.
RESULTS
The cohort of patients with migraine compared with the cohort of epilepsy was characterized by a later onset of the disease, older age, but also a longer duration of the disease. 30% (45/150) of the patients in 1st group and 20% (18/90) in 2nd group did not work or study. In the 1st group, 23% of patients had a disability, in the 2nd group — 0%. In the group of patients with migraine, there was a predominance of impairment in the capacity of 2-3 points (moderate and severe difficulties in 33% and 44% of cases, respectively). In patients with epilepsy, the deficit in capacity was significantly more often corresponded to 1 and 3 points (difficulties in capacity were mild in 33% and severe in 42% of patients). Moderate impairment of capacity during labor activity in the group of patients with epilepsy was noted in 18% of cases.
RESULTS
The difference between potential ability and realization reflects the difference in the influences of real and typical environment factors and thereby indicates the direction of the socio-economic development of the environment in order to realize fully the individual. ICF is a useful tool for the formation of a personalized approach in the treatment of neurological diseases and the construction of biopsychosocial model of rehabilitation.
