A Comprehensive Assessment of Trunk, Scapula and Upper Limb in Neurological Patients. Reliability, Validity and Interrelatedness
- Conditions
- Multiple SclerosisStroke
- Interventions
- Other: Clinical Scapular protocol (ClinScaP)Other: the prevalence of trunk, scapula and upper limb impairments.Other: the interaction between trunk, scapula and upper limb impairments.
- Registration Number
- NCT04908891
- Lead Sponsor
- Hasselt University
- Brief Summary
The study aimed to provide insights in the coordination between trunk, shoulder and upper limb while reaching. Two main phases are present in this study:
In phase A: the psychometric properties of two tests: Clinical Scapular protocol (ClinScaP) in PwMS (Persons with Multiple Sclerosis) and healthy controls.
1. To investigate the test-retest reliability of the Clinical Scapular Protocol (ClinScaP) and the Reaching Performance Scale (RPS) in PwMS
2. To investigate the discriminative of the ClinScaP between PwMS and healthy controls
3. To investigate the discriminative of the RPS between PwMS and healthy controls
4. To investigate the concurrent validity of ClinScaP and RPS in PwMS, compared with upper limb dysfunction measurements.
In phase B:
5. To investigate the prevalence of trunk, scapula and upper limb impairments in PwMS and stroke patients.
6. To investigate the interaction between trunk, scapula and upper limb impairments in PwMS and stroke patients.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 78
Not provided
- Other medical conditions interfering with the upper limb function or trunk (orthopedic or rheumatoid impairment)
- Perceived pain in one of the upper limbs of more than 4/10 (Visual Analog Scale)
- Severe cognitive or visual deficits interfering with testing
- For the PwMS: a relapse or relapse-related treatment in the last month prior to the study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description persons with Multiple Sclerosis Clinical Scapular protocol (ClinScaP) - persons with Multiple Sclerosis the interaction between trunk, scapula and upper limb impairments. - persons with Multiple Sclerosis the prevalence of trunk, scapula and upper limb impairments. - Healthy controls Clinical Scapular protocol (ClinScaP) - Stroke Patients the prevalence of trunk, scapula and upper limb impairments. - Stroke Patients the interaction between trunk, scapula and upper limb impairments. -
- Primary Outcome Measures
Name Time Method The Reaching performance scale (RPS) Day 1 The Reaching performance scale (RPS) evaluates 6 components during reaching to a cup. The first four components:
1. trunk displacement,
2. movement smoothness,
3. shoulder movements, and
4. elbow movements. The components are evaluated during reaching movements to targets placed close or far from the person. The 2 additional components globally rate
5. the quality of prehension and
6. the accomplishment of the task.The clinical scapular protocol day 1 The clinical scapular protocol consists of five items. A score is given between 0 and 2, based on observation of tilting and winging, shoulder girdle position (measuring acromial and pectoralis minor index and scapular distance test), scapular lateral rotation, maximal active humeral elevation, medial rotation test
- Secondary Outcome Measures
Name Time Method Box and Block test day 1 This test assess gross manual dexterity by grasping each time one block and transporting the block to the other side over a wooden panel for one minute, while sitting.
The Action Research Arm Test (ARAT) day 1 Action Research arm test, which assessed the patient's ability to handle objects varying in size, weight and shape. The Action Research Arm Test (ARAT) assess the ability to manipulate objects in different size, weight and shape and finally results in a maximum score of 57
Trunk Impairment Scale day 1 Trunk Impairment Scale used to measure static and dynamic sitting balance and trunk coordination in a sitting position.
Modified Ashworth Scale day 1 Spasticity is evaluated with Modified Ashworth Scale
Maximal hand grip strength test (HGS) Baseline HGS was assessed with the Jamar digital HGD (the hand grip dynamometer). Each participant performed three maximum contractions of each hand on three handle positions progressing from first to third position.
The Manual Ability Measure-36 (MAM-36) day 1 The Manual Ability Measure-36 (MAM-36) was used to assess perceived upper limb performance. The sum score is converted and resulted in a score between 0-100, with 100 as a perfect manual ability.
Symbol digit modalities test Day 1 Information of processing speed with the Symbol digit modalities test
Modified fatigue impact scale Day 1 : Fatigue is evaluated a questionnaire: the modified fatigue impact scale
The Brunnström Fugl Meyer (BFM) day 1 The Brunnström Fugl Meyer (BFM) used to measure motor control at the body functions and structures level. The upper limb section is applied: shoulder, elbow, forearm, wrist movements and grip.
The Nine Hole Peg Test (NHPT) day 1 The Nine Hole Peg Test (NHPT) was used to assess manual dexterity by the time needed to place and remove nine pegs in a board.
Arm Function in Multiple Sclerosis Questionnaire Day 1 : A Questionnaire Fatigue to evaluate the perceived performance of Arm Function in Multiple Sclerosis
Active and passive range of motion of shoulder, elbow and wrist movement Day 1 Active and passive range of motion of shoulder, elbow and wrist movement is measured with a goniometer Safety Issue?: Yes/No
Maximal hand grip strength HGS) Day 1 HGS was assessed with the Jamar digital HGD (the hand grip dynamometer). Each participant performed three maximum contractions of each hand on three handle positions progressing from first to third position.
National Institutes of Health Stroke Scale (NIHSS) Day 1 The National Institutes of Health Stroke Scale is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment.\[1\] The individual scores from each item are summed in order to calculate a patient's total NIHSS score. The maximum possible score is 42, with the minimum score being a 0
10 Meter loop test (10MWT) Day 1 The 10MWT assesses walking speed in meters per second over a short duration. (specific for stroke)
Modified Rankin Scale (MRS) day 1 The modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke
Trial Locations
- Locations (4)
Ziekenhuis Oost-Limburg
đŸ‡§đŸ‡ªGenk, Belgium
Jessa Ziekenhuis- Campus St. Ursula
đŸ‡§đŸ‡ªHerk-de-Stad, Belgium
Noorderhart MS & Revalidatie
đŸ‡§đŸ‡ªOverpelt, Belgium
National MS Center Melsbroek
đŸ‡§đŸ‡ªMelsbroek, Belgium