The Effect of Dual Task On Upper Extremity Functions In Multiple Sclerosis Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Multiple Sclerosis
- Sponsor
- Kutahya Health Sciences University
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- The Minnesota Manual Dexterity Test
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
The primary aim of this study was to investigate the effect of dual tasking on upper extremity functions in individuals with multiple sclerosis (MS) and compare with healthy controls. Additionally, another aim of our study was to compare the cognitive status, quality of life, fatigue and emotional states of individuals with MS and healthy controls.
Detailed Description
The study was carried out at Kutahya Health Sciences University Evliya Çelebi Training and Research Hospital. 30 individuals with MS and 30 healthy controls, aged 18-65, were included in the study. In the evaluation, demographic and clinical data were recorded first. The Minnesota Manual Dexterity Test was used to evaluate the upper extremity function of the participants in single and dual task conditions, and the Dual Task Questionnaire was used to evaluate the difficulties experienced during dual tasks.
Investigators
Eda Ozge OKUR
Asst. Prof.
Kutahya Health Sciences University
Eligibility Criteria
Inclusion Criteria
- •Having been diagnosed with Multiple Sclerosis for at least 1 year
- •Being between the ages of 18-65
- •Being at least a primary school graduate
- •Volunteering to participate in the study
- •EDSS score between 1 and 6.5
Exclusion Criteria
- •Patients whose Multiple Sclerosis diagnosis is uncertain
- •Having additional neurological disease that may affect clinical evaluation
- •Having a neurological and/or psychiatric disease that may affect cognitive tests
- •Having had an attack in the last 3 months
Outcomes
Primary Outcomes
The Minnesota Manual Dexterity Test
Time Frame: 30 minutes
Upper Extremity Function Evaluation. The Minnesota Manual Dexterity Test basically consists of two subtests, the placement and translation test. Completing the test faster indicates better dexterity.
Dual Task Questionnaire
Time Frame: 10 minutes
Dual Task Difficulty Evaluation. The survey consists of 10 items and is scored out of 5 points per question. A higher total score indicates worse dual task performance.
Edinburgh Handedness Questionnaire
Time Frame: 10 minutes
Hand Preference Evaluation. The total scoring is between 100 and -100, individuals with more than 40 points are given right hand; Individuals in this score range from 40 to -40 inclusive are recorded as those who use both hands actively, and individuals with scores of -40 points and below are recorded as left-handed.
Expanded Disability Status Scale
Time Frame: 10 minutes
Disability Status Evaluation. A score of 0 on the scale indicates normal neurological status, while a score of 10 means MS-related death.
Brief International Cognitive Assessment Battery for Multiple Sclerosis
Time Frame: 15 minutes
Cognitive Status Evaluation. BICAMS comprises three tests, the Symbol Digit Modalities Test (SDMT), the learning trials of the California Verbal Learning Test II (CVLT-II), and the Brief Visuospatial Memory Test-Revised (BVMT-R).
Beck Depression Scale
Time Frame: 10 minutes
Emotional Status Evaluation. The lowest score that can be obtained from the scale is 0 and the highest score is 63. According to the resulting total score; It results in absence-mild, mild-moderate, moderate-severe or severe.
Fatigue Impact Scale
Time Frame: 5 minutes
Fatigue Status Evaluation. Each question receives a score between 0 (no problem) and 4 (maximum problem). The highest score is 160, and higher scores indicate fatigue.
Multiple Sclerosis Quality of Life Questionnaire-54
Time Frame: 15 minutes
Quality of Life Status Evaluation. The survey contains 54 questions consisting of 12 sections. Added 18 questions are about; general quality of life (2 items), health stress (4 items), sexual functions and satisfaction (5 items), cognitive functions (4 items), energy (1 item), pain (1 item) and social functions (1 item).