Neurologia · 2026
Mild functional impairment: Definition and diagnostic criteria.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Manzano Palomo M S, Terrón Cuadrado C, Gil Moreno M J, Fernández García C, Alonso Bouzón C, Besga Basterra A, Brugulat-Serrat A, Teresa Carreras M, Castellanos Rodrigo M, Delgado Parada E, García Ribas G, Gramunt Fombuena N, Millán Pacheco A, Pagonabarraga Mora J, Porta Etessam J, Ramírez Díaz S P, Isabel Ramos García M, Rodríguez-Sánchez I, Salas Carrillo M, Sánchez-Benavides G, Simal P, Vieira Campos A
Аннотация
INTRODUCTION: The onset of mild functional impairment (MFI) is associated with greater progression to cognitive decline, in addition to influencing the course of other neurological, psychiatric, and geriatric diseases. To date, there is no clear definition of MFI that may allow analysis of its impact.
AIM: To generate, through a multidisciplinary team and after a review of the scientific evidence, diagnostic criteria that can define the MFI construct.
DEVELOPMENT: The criteria selected to define the construct which encompasses physical, cognitive, and behavioural aspects, and the process followed to select them, are described. An initial construct proposal was developed from the information extracted in the literature search, contextualised with clinical experience. For discussion, a questionnaire was developed that included, in addition to the proposed construct, 9 points on its content. The Delphi methodology was used to discuss the following points: the temporal occurrence of the proposed definition, age of application, persistence, type of activity affected (advanced, instrumental, or basic activities of daily living), and, finally, the need for minimal aids to maintain autonomy. Finally, the next steps in the research of the concept and in the measurement of MFI, as well as future prospects, are proposed.
CONCLUSIONS: The defined construct is aimed at the early assessment of mild functional changes that could be related to neurodegenerative diseases, aging, and/or a higher incidence of other pathologies. This is intended to be the basis for the design of tools that allow for a more accurate assessment of the functionality of adult patients, thus complementing other clinical diagnoses.
AIM: To generate, through a multidisciplinary team and after a review of the scientific evidence, diagnostic criteria that can define the MFI construct.
DEVELOPMENT: The criteria selected to define the construct which encompasses physical, cognitive, and behavioural aspects, and the process followed to select them, are described. An initial construct proposal was developed from the information extracted in the literature search, contextualised with clinical experience. For discussion, a questionnaire was developed that included, in addition to the proposed construct, 9 points on its content. The Delphi methodology was used to discuss the following points: the temporal occurrence of the proposed definition, age of application, persistence, type of activity affected (advanced, instrumental, or basic activities of daily living), and, finally, the need for minimal aids to maintain autonomy. Finally, the next steps in the research of the concept and in the measurement of MFI, as well as future prospects, are proposed.
CONCLUSIONS: The defined construct is aimed at the early assessment of mild functional changes that could be related to neurodegenerative diseases, aging, and/or a higher incidence of other pathologies. This is intended to be the basis for the design of tools that allow for a more accurate assessment of the functionality of adult patients, thus complementing other clinical diagnoses.