Responsiveness and clinically meaningful changes for the Persian versions of the multiple sclerosis walking scale-12 and the modified fatigue impact scale following balance and gait rehabilitation in people with multiple sclerosis

Monjezi, Saeideh; Molhemi, Farshad; Yazdi, Mohammad Jafar Shaterzadeh; Salehi, Reza; Mehravar, Mohammad; Kashipazha, Davood

doi:10.1080/09593985.2020.1762267

Cited by 2 publications

(4 citation statements)

References 35 publications

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“…In this study, both distribution-and anchor-based methods were applied [ 18 , 19 ]. The beneficial effects of physiotherapy on walking were demonstrated in significant changes of MSWS-12p scores similar to previous reports [ 20 , 21 ] and recent studies on the MSWS-12 responsiveness [ 9 , 22 – 24 ]. The improvements after physiotherapy in PwMS support the validity and responsiveness of MSWS-12p within the clinical context.…”

Section: Discussionsupporting

confidence: 90%

“…The improvements after physiotherapy in PwMS support the validity and responsiveness of MSWS-12p within the clinical context. The effect size measures of SES and SRM were not evaluated in previous works [ 9 , 22 , 23 ]. The T25-FW did not improve significantly after physiotherapy [ 6 , 25 – 28 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, some reported MCIC of 8.8 [ 23 ] and 8 points in PwMS [ 31 ]. Recently, the MCIC of 7.5 points reported for the MSWS-12p [ 9 ]. A study determined the appropriate and responsive measures based on the AUC > 0.5 and MCIC > SDC as criteria [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…The MSWS-12 has been adapted and validated into Persian language (MSWS-12p) [ 8 ]. A recent study evaluated the responsiveness of MSWS-12p in PwMS and found a minimally clinically important change (MCIC) of 7.5 based on the summed score of the MSWS-12p items (range score 12–60) [ 9 ]. However, the validation study of the MSWS-12p used the total score from “0” to “80”.…”

Section: Introductionmentioning

confidence: 99%

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Responsiveness of Persian 12-Item multiple sclerosis walking scale: a replication study

et al. 2023

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Objective To re-explore the responsiveness of the Persian version of Multiple Sclerosis Walking Scale-12 (MSWS-12p) to physiotherapy intervention and determine the minimally clinically important change (MCIC). This study followed a prospective cohort design. Patients with MS (PwMS) underwent physiotherapy treatment for 10 sessions. The outcome measures were the MSWS-12p and Timed 25-Foot Walk test (T25-FW). Data was collected before and after ten sessions of physiotherapy. The effect sizes and the area under receiver operating characteristics curve (AUC) and MCIC were calculated. Results Thirty PwMS (16 female, mean age 43.07 years) participated in the study. The effect sizes for MSWS-12p were moderate (0.52, 0.64). The change scores of MSWS-12p showed excellent correlation with the dichotomized smallest detectable change (SDC) criterion (Eta coefficient test = 0.84). There was no correlation between the MSWS-12p total change scores and the T25-FW (r = − 0.14, p = 0.45). The AUC was perfect and the MCIC for the MSWS-12p was calculated 10.0 points. The MSWS-12p is responsive and demonstrates changes after physiotherapy. Changes > 10.0 points on MSWS-12p total score should be considered as true improvement after physiotherapy.

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