Contributions
Abstract: EP1424
Type: Poster Sessions
Abstract Category: Clinical aspects of MS - Clinical assessment tools
Introduction: Falls are the one of the most disabling features of Multiple Sclerosis (MS), affecting nearly half of patients and decreasing quality of life. Injuries due to falls during turnings are more commonly shown than during straight forward. Therefore, it is important to understand turning performance in patients with MS to predict the risk of falling.
Objectives: To investigate the concurrent validity, reliability, responsiveness and discriminant ability of the timed 360⁰ turn test for patients with MS.
Methods: Forty-three patients with MS (mean age 37.6 years), Expanded Disability Status Scale (EDSS) ≤6.5, were recruited. The test-retest reliability was assessed in 35 patients both more affected and less affected side. Validity was assessed by correlating the timed 360⁰ turn test with other outcome measurements EDSS, Berg Balance Scale, Timed Up and Go Test, one-leg stance test and four square step test. Responsiveness calculated using the minimal detectable change (MDC), reflecting actual patient change, not measurement error.
Results: Test-retest reliability of the timed 360⁰ turn test was excellent for more affected and less affected side (ICC2,1=0.958, ICC2,1=0.966, respectively). The timed 360⁰ turn test correlated significantly with other outcome measurements for more affected and less affected side (ranged from 0.721 to 0.855, ranged from 0.770 to 0.865, p< 0.001; respectively), indicating good concurrent validity. MDC of 1.53 seconds was found for patients turning toward the more affected side and 0.47 seconds for patients turning toward the less affected side.
Conclusions: The timed 360⁰ turn test appears to be a reliable, valid and responsiveness measurement for assessing turning ability in patients with MS. The MDC values may help clinicians and researchers interpret the change scores more accurately.
Disclosure: "F. Söke: nothing to disclose"
"A. Güclü Gündüz: nothing to disclose"
"C. Ozkul: nothing to disclose"
"C. Gülsen: nothing to disclose"
"C. Irkec: nothing to disclose"
Abstract: EP1424
Type: Poster Sessions
Abstract Category: Clinical aspects of MS - Clinical assessment tools
Introduction: Falls are the one of the most disabling features of Multiple Sclerosis (MS), affecting nearly half of patients and decreasing quality of life. Injuries due to falls during turnings are more commonly shown than during straight forward. Therefore, it is important to understand turning performance in patients with MS to predict the risk of falling.
Objectives: To investigate the concurrent validity, reliability, responsiveness and discriminant ability of the timed 360⁰ turn test for patients with MS.
Methods: Forty-three patients with MS (mean age 37.6 years), Expanded Disability Status Scale (EDSS) ≤6.5, were recruited. The test-retest reliability was assessed in 35 patients both more affected and less affected side. Validity was assessed by correlating the timed 360⁰ turn test with other outcome measurements EDSS, Berg Balance Scale, Timed Up and Go Test, one-leg stance test and four square step test. Responsiveness calculated using the minimal detectable change (MDC), reflecting actual patient change, not measurement error.
Results: Test-retest reliability of the timed 360⁰ turn test was excellent for more affected and less affected side (ICC2,1=0.958, ICC2,1=0.966, respectively). The timed 360⁰ turn test correlated significantly with other outcome measurements for more affected and less affected side (ranged from 0.721 to 0.855, ranged from 0.770 to 0.865, p< 0.001; respectively), indicating good concurrent validity. MDC of 1.53 seconds was found for patients turning toward the more affected side and 0.47 seconds for patients turning toward the less affected side.
Conclusions: The timed 360⁰ turn test appears to be a reliable, valid and responsiveness measurement for assessing turning ability in patients with MS. The MDC values may help clinicians and researchers interpret the change scores more accurately.
Disclosure: "F. Söke: nothing to disclose"
"A. Güclü Gündüz: nothing to disclose"
"C. Ozkul: nothing to disclose"
"C. Gülsen: nothing to disclose"
"C. Irkec: nothing to disclose"