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Psychometric Properties Mobility Measures MS

Not Applicable
Completed
Conditions
Multiple Sclerosis
Interventions
Other: conventional MS rehabilitation
Registration Number
NCT02339688
Lead Sponsor
Hasselt University
Brief Summary

Current study will investigate the quality (psychometric properties) and clinical utility of several mobility measures, according to disability level. Therefore, several aspects will be inquired:

* Was there an effect of rehabilitation

* Is the measure able to detect change over time? And thus the change exceed measurement error and is it clinically important (responsiveness)

* Does the measure assess what it claims to measure (validity)

* Is the measure able to differentiate all performances of the patients, inclusively the very good and very bad performances (floor and ceiling effects)

* Does the measure gives similar results under consistent test conditions on another testing day (reliability) Worldwide, theoretical approaches to physical therapy and rehabilitation in Multiple Sclerosis often appear significantly different. Since the present research protocol will be performed at different centers across European countries (and US sites), this multi-center study can additionally be applied for mapping the volume and content of rehabilitation, as well as the differential impact of diverse rehabilitation approaches and training volume on mobility, for several disability levels.

Some health-economic analyses will be performed to examine what the approximate cost of rehabilitation compared to effects is and what drivers of costs are (setting, equipment, staff).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
254
Inclusion Criteria
  • Diagnosis of MS according to McDonald criteria24,
  • Expanded Disability Status Scale25 (EDSS) ≥ 2 and ≤ 6.5 as determined by neurologists or trained clinician
  • no relapse within the last month
  • no changes in disease modifying treatment and no corticoid-therapy within the last month
  • receive at least 10 sessions of physical therapy (in- or outpatient rehabilitation), with a maximum duration of 3 months
Exclusion Criteria
  • other medical conditions interfering with mobility (e.g. stroke, pregnancy, fractures, ...)
  • other neurological impairments with permanent damage (stroke, Parkinson, ...)
  • MS-like syndromes such as neuromyelitis optica
  • not able to understand and execute simple instructions

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
convential MS rehabilitationconventional MS rehabilitationInvestigation of the quality (psychometric properties) and clinical utility of several measures of mobility
Primary Outcome Measures
NameTimeMethod
5 repetition sit-to-stand test (5STS-test)day 1 and at the end of the rehabilitation, an expected average of three months
Modified 5 repetition sit-to-stand test (mod 5STS-test)day 1 and at the end of the rehabilitation, an expected average of three months
Rivermead Mobility Index (RMI)day 1 and at the end of the rehabilitation, an expected average of three months
Multiple Sclerosis Walking Scale-12 (MSWS-12)day 1 and at the end of the rehabilitation, an expected average of three months
Timed 25-Foot Walk test (T25FW)day 1 and at the end of the rehabilitation, an expected average of three months
Timed up and go (TUG), TUGcognitiveday 1 and at the end of the rehabilitation, an expected average of three months
Four Square Step Test (FSST)day 1 and at the end of the rehabilitation, an expected average of three months
Two minute walk test (2MWT)day 1 and at the end of the rehabilitation, an expected average of three months
Performance Scale mobility (PS-mob)day 1 and at the end of the rehabilitation, an expected average of three months
Secondary Outcome Measures
NameTimeMethod
Timed Up and Go, manualday 1 and at the end of the rehabilitation, an expected average of three months
Berg Balance Scale (BBS)day 1 and at the end of the rehabilitation, an expected average of three months
Dynamic Gait index (DGI)day 1 and at the end of the rehabilitation, an expected average of three months
Activities-specific Balance Confidence Scale (ABC)day 1 and at the end of the rehabilitation, an expected average of three months
Trunk Impairment Scale, modified Norwegian version (TIS-modNV)day 1 and at the end of the rehabilitation, an expected average of three months
International Physical Activity Questionnaire (IPAQ)day 1 and at the end of the rehabilitation, an expected average of three months

Trial Locations

Locations (1)

Hasselt University

🇧🇪

Diepenbeek, Belgium

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