Reliability of physical functioning measures in ambulatory subjects with MS

Paltamaa, Jaana; West, Heidi; Sarasoja, Taneli; Wikström, Juhani; Mälkiä, Esko

doi:10.1002/pri.30

Cited by 154 publications

(121 citation statements)

References 34 publications

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“…Four of the participants used a walking aid. A second study 8 using two raters estimated the SEM at 0.85 with an ICC of 0.99. The overall mean score achieved by the study participants was 52.62 out of a possible 56, and four of the nine participants used a walking aid.…”

Section: Methodsmentioning

confidence: 99%

Between-Rater Reliability of the 6-Minute Walk Test, Berg Balance Scale, and Handheld Dynamometry in People with Multiple Sclerosis

Toomey¹,

Coote²

2013

International Journal of MS Care

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This study investigated the between-rater reliability of the Berg Balance Scale (BBS), 6-Minute Walk test (6MW), and handheld dynamometry (HHD) in people with multiple sclerosis (MS). Previous studies that examined BBS and 6MW reliability in people with MS have not used more than two raters, or analyzed different mobility levels separately. The reliability of HHD has not been previously reported for people with MS. In this study, five physical therapists assessed eight people with MS using the BBS, 6MW, and HHD, resulting in 12 pairs of data. Data were analyzed using intraclass correlation coefficients (

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Section: Methodsmentioning

confidence: 99%

Between-Rater Reliability of the 6-Minute Walk Test, Berg Balance Scale, and Handheld Dynamometry in People with Multiple Sclerosis

Toomey¹,

Coote²

2013

International Journal of MS Care

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“…These tests have high intra rater reliability (0.78-0.96) and inter rater reliability (0.16-0.81). Therefore, for assessing static balance, this test has high reliability and internal validity (Punakallio 2004;Paltamaa et al 2005).…”

Section: Intervention and Measurementmentioning

confidence: 99%

Whole-Body Vibration Training Improves Balance, Muscle Strength and Glycosylated Hemoglobin in Elderly Patients with Diabetic Neuropathy

Lee

Song

2013

Tohoku J. Exp. Med.

102

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Elderly patients with diabetes and peripheral neuropathy are more likely to experience falls. However, the information available on how such falls can be prevented is scarce. We investigated the effects of wholebody vibration (WBV) combined with a balance exercise program on balance, muscle strength, and glycosylated hemoglobin (HbA1c) in elderly patients with diabetic peripheral neuropathy. Fifty-five elderly patients with diabetic neuropathy were randomly assigned to WBV with balance exercise group, balance exercise (BE) group, and control group. The WBV and BE groups performed the balance exercise program for 60 min per day, 2 times per week, for 6 weeks. Further, the WBV group performed WBV training (up to 3 × 3 min, 3 times per week, for 6 weeks). The control group did not participate in any training. The main outcome measures were assessed at baseline and after 6 weeks of training; namely, we assessed the postural sway and one leg stance (OLS) for static balance; Berg balance scale (BBS), timed up-and-go (TUG) test, and functional reach test (FRT) for dynamic balance; five-times-sit-to-stand (FTSTS) test for muscle strength; and HbA1c for predicting the progression of diabetes. Significant improvements were noted in the static balance, dynamic balance, muscle strength, and HbA1c in the WBV group, compared to the BE and control groups (P < 0.05). Thus, in combination with the balance exercise program, the shortterm WBV therapy is beneficial in improving balance, muscle strength and HbA1c, in elderly patients with diabetic neuropathy who are at high risk for suffering falls.

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“…All physical performance measures met the criteria for outcome measures estab-lished by the American National Multiple Sclerosis Society and have good test-retest reliability (ICC: 0.81-0.98) in persons with mild to moderate disability from MS. 34,40 The BAL, FST, and SST were all administered using procedures established by Fry and Pfalzer. 34 The best of three trials was used for data analysis for each measure.…”

Section: Physical Performance Measuresmentioning

confidence: 99%

Six-Minute Walk Test for Persons with Mild or Moderate Disability from Multiple Sclerosis: Performance and Explanatory Factors

Wetzel¹,

Fry²,

Pfalzer³

2011

Physiotherapy Canada

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Purpose: The primary purpose of this study was to determine the extent to which health factors, functional measures, and pulmonary impairment explain performance on 6-Minute Walk Test (6MWT) distance in ambulatory persons with multiple sclerosis (MS). Another purpose was to determine the effect of disability and age on 6MWT performance and explanatory factors. Methods: A cross-sectional study design was used to evaluate factors that explain performance on the 6MWT in 64 community-dwelling persons with MSrelated disability (Expanded Disability Status Scale [EDSS] 3.8 e 1.6). Of the 64 participants, 43 (67.2%) exhibited mild disability (EDSS <4.0) and 21 (32.8%) had moderate disability Results: EDSS, ABC, FST, SST, BAL, MVV, MIP, and MEP were significantly associated with 6MWT distance after adjusting for age. Multiple step-wise linear regression analysis revealed that ABC, FST, and BAL were significant and independent explanatory factors of 6MWT distance. ABC and FST explained 75% of the variance in 6MWT performance (R 2 ¼ 0.75). Curvilinear regression analysis revealed that the FST is the most significant explanatory factor for 6MWT distance, explaining 79% of the variance (R 2 ¼ 0.79). Conclusions: 6MWT performance in persons with MS was explained by balance confidence (ABC) and stair-climbing ability (FST). The ABC and FST may be practical clinical measures for explaining walking ability and determining risk for disablement in persons with MS. RÉ SUMÉObjectif : L'objectif principal de cette é tude é tait de dé terminer jusqu'à quel point les facteurs de santé , les mesures fonctionnelles et les incapacité s pulmonaires influent sur les ré sultats en terme de distance au test de marche de 6 minutes (6MWT) chez les personnes qui souffrent de sclé rose en plaques (SP) et qui sont encore ambulatoires. Un autre objectif consistait à é valuer l'effet de l'incapacité et de l'â ge sur les ré sultats au 6MWT et sur les facteurs explicatifs. Mé thode : Une é tude transversale a é té utilisé e pour é valuer les facteurs expliquant les ré sultats au 6MWT chez 64 personnes avec SP qui vivent dans des habitations communautaires, avec incapacité s lié es à leur maladie (é chelle d'incapacité EDSS 3,8 e 1,6). Au total, 43 sujets (67,2 %) dé montraient une incapacité lé gè re (EDSS < 4,0) et 21 (32,8 %) avaient une incapacité modé ré e (EDSS 4,0-6,5). The authors have no conflicts of interest to declare.We thank the following individuals for their assistance with the study: Susan Kushner, PT, MS; Anang Chokshi, DPT; Shelley Wagner, DPT; Emily Jackson, DPT; Julie Vasieck, DPT; Shawna Pringle, DPT; and Angela English, DPT. Jane L. Wetzel, PT, PhD: Associate Professor, Department of Physical Therapy, Youngstown State University, Youngstown, Ohio (current); Duquesne University, Pittsburgh, Pennsylvania (at time of study). Ré sultats : Les tests EDSS, ABC, FST, SST, BAL, MVV, MIP et MEP é taient associé s de maniè re significative à la distance parcourue lors du 6MWT, aprè s ajustement de l'â ge. Une analyse de ré gressio...

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Reliability of physical functioning measures in ambulatory subjects with MS

Abstract: The study revealed acceptable test-retest and inter-rater reliability of these measures in ambulatory subjects with MS, with the exception of the Modified Ashworth Scale and the shoulder tug test.

Cited by 154 publications

References 34 publications

Between-Rater Reliability of the 6-Minute Walk Test, Berg Balance Scale, and Handheld Dynamometry in People with Multiple Sclerosis

Between-Rater Reliability of the 6-Minute Walk Test, Berg Balance Scale, and Handheld Dynamometry in People with Multiple Sclerosis

Whole-Body Vibration Training Improves Balance, Muscle Strength and Glycosylated Hemoglobin in Elderly Patients with Diabetic Neuropathy

Six-Minute Walk Test for Persons with Mild or Moderate Disability from Multiple Sclerosis: Performance and Explanatory Factors

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