A Measurement Study of TIS-modNV and AccuGait Force Platform in People With MS
Study Details
Study Description
Brief Summary
The current project will fill a knowledge gap in the follow-up of people with Multiple Sclerosis (MS) with mild and moderate disability levels, with the purpose to assess the adequacy of measurement tools for trunk control and balance, functions that are pre-requisites for optimal performance in everyday physical activities.
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Detailed Description
Trunk control and balance, necessary for daily activities, are frequently impaired in people with MS. Adequate measurement tools for clinical- and research purposes are thus warranted.
In this study two measurement tools will be explored:
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The Trunk Impairment scale - modified Norwegian version (TIS-modNV), which has demonstrated high validity and reliability in individuals with stoke (Gjelsvik et al., 2012), however its properties has not yet been assessed in people with MS. Concurrent validity with a balance scale, the Mini-Balance Evaluation Systems Test (Mini-BESTest), will be assessed as well as its inter- and intra-rater reliability.
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The AMTI Accugait Optimized™ multi-axis force platform (AMTI, Inc., Newton, MA) will be examined as there is a lack of studies measuring its properties within the MS population. A validity assessment of this tool will be included in this measurement study.
This study is two-parted, each with a separate aim:
Aim part 1: To determine the validity and reliability of the TIS-modNV across mild and moderate disability levels in the MS population.
Aim part 2: To determine the concurrent validity of the AMTI AccuGait OptimizedTM force plate system compared to the Mini-BESTest across mild and moderate disability levels in the MS population.
Study Design
Outcome Measures
Primary Outcome Measures
- The modified Trunk Impairment Scale - Norwegian version (TIS-modNV) [01 January 2023]
TIS-modNV is a six-item ordinal scale measuring impairments of trunk control. The total score ranges between 0-16, where 16 is the best score in trunk control. The scale is developed for and valid and reliable for people with stroke.
- AMTI AccuGait OptimizedTM (Advanced Mechanical technology, Inc., Watertown, USA) multi-axis force plate system [01 January 2023]
Force- platform assessing different domains of balance (ie. centre of pressure, sway) in bi- and unipedal standing with eyes open and with eyes closed.
Other Outcome Measures
- The Mini Balance Evaluation Systems Test (Mini-BESTest) [01 January 2023]
Mini-BESTest is a 14-item ordinal scale, measuring balance in standing and walking. The total scores ranges from 0-28, were 28 is the best score of balance performance. The Norwegian translation of the test is valid and reliable for people with MS.
- Expanded Disability Status Scale (EDSS) [01 January 2023]
EDSS is a method of quantifying and monitoring disability in people with MS on a scale from 0-10 and is widely used in clinic and research. A total score of 0 describes "no disability" and a score 10 describes "death due to MS". EDSS scores 0-6.5 (the levels included in this study) encompasses individuals with normal neurological exam/fully ambulatory (score 0) to individuals requiring a walking aids (cane, crutch) to walk about 20m without resting (score 6.5).
Eligibility Criteria
Criteria
Inclusion Criteria:
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MS diagnosis (McDonalds criteria)
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EDSS= 0-6.5
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Ability to walk minimum 6 meters
Exclusion Criteria:
- People will be excluded if not being able to follow test instructions
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Nordland Hospital Trust | Bodø | Norway | 8000 |
Sponsors and Collaborators
- Nordlandssykehuset HF
- Nord University
- Helse Nord
Investigators
- Study Director: Petter Øyen, PHD, Nordlandssykehuset HF
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Trunk & balance tests in MS
- HNF1608-21