Tele-Assessment and Face-to-Face Evaluation of Functional Gait Assessment in Multiple Sclerosis
2021년 6월 13일 업데이트: Perim Zengin, Istanbul University - Cerrahpasa (IUC)
Use of the Functional Gait Assessment in Patients With Multiple Sclerosis: Examining Reliability Between Face-to-Face and Online Applications
The aim of the study is to examine the reliability of the method by applying the Functional Gait Assessment in patients with Multiple Sclerosis via online video conferencing.
For this purpose, walking of each patient to be included in the study; The evaluation results will be compared and the intra-rater reliability will be investigated by evaluating both face-to-face and online video conferencing methods.
Since the Functional Gait Assessment is not available in Turkish, the scale will also be validated by adapting it to Turkish within the scope of the study.
연구 개요
상태
모병
정황
상세 설명
As with all neurological diseases, it is important to use appropriate outcome measurements in the assessment of balance and gait disorders in patients with Multiple Sclerosis (MS), in order to determine the appropriate program for the patient in physiotherapy and rehabilitation applications, both face-to-face and through telerehabilitation.
The scale recommended by a clinical practice guide developed with the support of the American Physiotherapy Association (APTA) and the Academy of Neurological Physiotherapy (ANPT) is the Functional Gait Assessment (FGA).
According to this proposal, a Turkish version will be made within the scope of the study so that functional walking evaluation can be used in our country.
A 2017 study on functional gait assessment and Multiple Sclerosis investigated the validity and sensitivity to changes in the original English version of the test in multiple sclerosis, and as a result, its validity was found for MS.
Functional gait assessment does not have a reliability study for Multiple Sclerosis.
연구 유형
관찰
등록 (예상)
32
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 연락처
- 이름: Perim Zengin, M.Sc
- 전화번호: +905318639943
- 이메일: perimzengin@gmail.com
연구 장소
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Sisli
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Istanbul, Sisli, 칠면조, 34384
- 모병
- Memorial Sisli Hospital, Neurology Clinic
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연락하다:
- Perim Zengin, M.Sc
- 전화번호: +905318639943
- 이메일: perimzengin@gmail.com
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참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
공부할 수 있는 나이
18년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
아니
연구 대상 성별
모두
샘플링 방법
비확률 샘플
연구 인구
Multiple Sclerosis patients over the age of 18 who applied to the Memorial Sisli Hospital Neurology Outpatient Clinic and volunteered to participate in the study
설명
Inclusion Criteria:
- Having a definite diagnosis of MS of any clinical type according to the 2017 Mc Donalds criteria by a neurologist,
- 18 years and over
- Expanded Disability Status Scale (EDSS) score of 2,5-6
- Not having an attack within the last 30 days
- Voluntarily giving consent to participate in the study
- Absence of visual and auditory impairment for completion of assessments
For Tele-assessment:
- Having a walking area of at least 3 meters at home to evaluate walking
- Providing a care provider's supervision to ensure walking safety
- The patient or the caregiver can use the video conferencing software application from the phone or computer
Exclusion Criteria:
- Diagnosis of another neurological disease that affects the level of ambulation other than MS
- Receiving corticosteroid therapy within the last 1 month
- Limitation in range of motion of the lower extremities, which may affect standing and walking
- Pain that negatively affects walking in the lower extremity and lumbar area (etc., coxarthrosis, gonarthrosis, sciatica)
- Inability to stand up from a sitting position (Timed Up & Go Test requirement)
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
코호트 및 개입
그룹/코호트 |
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Face To Face (Clinic) Group Functional Gait Assessment
Evaluations to be applied for the cultural adaptation and reliability study of the scale: Functional Gait Assessment, Timed Up and Go Test, Four-Step Square Test, Timed 25-Foot Walk Test, 12-Item Multiple Sclerosis Walking Scale Berg Balance Scale |
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Tele- Assessment Group Functional Gait Assessment
The evaluation to be applied for the tele-evaluation reliability study of the scale: Functional Gait Assessment |
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Functional Gait Assessment
기간: change from baseline at 15 day
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The Functional Gait Assessment is a test designed to assess balance during various walking tasks.
This test is a modification of the Dynamic Gait Index to increase reliability and reduce the ceiling effect.
This test, which consists of 10 items, evaluates dynamic balance skills such as walking at normal and different speeds, walking with horizontal and vertical head movements, turning quickly, walking over objects, toe-heel walking, walking backwards, walking with eyes closed, and climbing stairs.
Each item is scored between 0-3 points; 0 indicates that he is unable to perform that skill or severe gait or balance disorder is observed while performing that skill, and 3 indicates that he has achieved that skill normally.
Points 1 and 2 are scored for each task separately for specific situations.
Items are added to score the FGA and the maximum total score is set as 30.
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change from baseline at 15 day
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2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Timed 25-Foot Walk Test
기간: Baseline
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It is a performance test that provides information about the participant's mobility and leg function.
The standardized protocol is very simple.
The participant will be requested to walk as quickly and safely as possible (ie maximum walking speed) along a clearly marked, linear 25 feet or 7.62 m track.
The participant can use an assistive device while walking.
The person will walk two different times on the marked track and the average of two consecutive attempts in seconds will be recorded as a result of the test.
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Baseline
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Timed Up and Go Test
기간: Baseline
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It is a test used to evaluate dynamic balance.
The test measures the time it takes a participant to get up from the chair and walk 3 meters at a comfortable pace and return to the chair and sit down.
The test begins when the participant gets up from the chair and ends when the participant sits down on the chair again.
The time measured is recorded in seconds.
A shorter period represents better mobility.
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Baseline
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Berg Balance Test
기간: Baseline
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It is a scale containing 14 instructions and a score of 0-4 is given by observing the patient's performance for each instruction.
0 points are given in cases where the patient cannot perform the activity at all, while 4 points are given when the patient completes the activity independently.
The highest score is 56 and 0-20 points indicate balance disorder, 21-40 points indicate an acceptable balance, 41-56 points indicate the presence of a good balance.
It takes between 10 and 20 minutes to complete the scale.
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Baseline
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The Four Square Step Test
기간: Baseline
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The Four Square Step Test (FSST) is used to assess dynamic stability and the ability of the subject to step over low objects forward, sideways, and backward.
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Baseline
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12-item Multiple Sclerosis Walking Scale
기간: Baseline
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The Multiple Sclerosis Walking Scale (MSWS-12) is a self-assessment scale which measures the impact of MS on walking.
It consists of 12 questions concerning the limitations to walking due to MS during the past 2 weeks.
Each item can be answered with 5 options, with 1 meaning no limitation and 5 extreme limitation.
A total score can be generated and transformed to a 0 to 100 scale by subtracting the minimum score possible (12) from the patient's score, dividing by the maximum score possible minus the minimum possible (60-12 or 48), and multiplying the result by 100.
Walking improvement on the MSWS-12 is indicated by negative change scores.
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Baseline
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공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
수사관
- 수석 연구원: Perim Zengin, M.Sc, Istanbul University-Cerrahpasa Institute of Postgraduate Education
- 연구 의자: Burcu Ersöz Hüseyinsinoğlu, Assoc. Prof., Istanbul University-Cerrahpasa Faculty of Health Science
- 연구 의자: Burcu Altunrende, Prof. Dr., Memorial Sisli Hospital, Neurology Clinic
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
- Wrisley DM, Marchetti GF, Kuharsky DK, Whitney SL. Reliability, internal consistency, and validity of data obtained with the functional gait assessment. Phys Ther. 2004 Oct;84(10):906-18.
- Cattaneo D, Regola A, Meotti M. Validity of six balance disorders scales in persons with multiple sclerosis. Disabil Rehabil. 2006 Jun 30;28(12):789-95. doi: 10.1080/09638280500404289.
- Hobart JC, Riazi A, Lamping DL, Fitzpatrick R, Thompson AJ. Measuring the impact of MS on walking ability: the 12-Item MS Walking Scale (MSWS-12). Neurology. 2003 Jan 14;60(1):31-6. doi: 10.1212/wnl.60.1.31.
- Kieseier BC, Pozzilli C. Assessing walking disability in multiple sclerosis. Mult Scler. 2012 Jul;18(7):914-24. doi: 10.1177/1352458512444498. Epub 2012 Apr 24.
- Hatcher-Martin JM, Adams JL, Anderson ER, Bove R, Burrus TM, Chehrenama M, Dolan O'Brien M, Eliashiv DS, Erten-Lyons D, Giesser BS, Moo LR, Narayanaswami P, Rossi MA, Soni M, Tariq N, Tsao JW, Vargas BB, Vota SA, Wessels SR, Planalp H, Govindarajan R. Telemedicine in neurology: Telemedicine Work Group of the American Academy of Neurology update. Neurology. 2020 Jan 7;94(1):30-38. doi: 10.1212/WNL.0000000000008708. Epub 2019 Dec 4.
- Forsberg A, Andreasson M, Nilsagard Y. The Functional Gait Assessment in People with Multiple Sclerosis: Validity and Sensitivity to Change. Int J MS Care. 2017 Mar-Apr;19(2):66-72. doi: 10.7224/1537-2073.2015-061.
- Yeroushalmi S, Maloni H, Costello K, Wallin MT. Telemedicine and multiple sclerosis: A comprehensive literature review. J Telemed Telecare. 2020 Aug-Sep;26(7-8):400-413. doi: 10.1177/1357633X19840097. Epub 2019 May 1.
- Khan F, Amatya B, Kesselring J, Galea M. Telerehabilitation for persons with multiple sclerosis. Cochrane Database Syst Rev. 2015 Apr 9;2015(4):CD010508. doi: 10.1002/14651858.CD010508.pub2.
- Moore JL, Potter K, Blankshain K, Kaplan SL, O'Dwyer LC, Sullivan JE. A Core Set of Outcome Measures for Adults With Neurologic Conditions Undergoing Rehabilitation: A CLINICAL PRACTICE GUIDELINE. J Neurol Phys Ther. 2018 Jul;42(3):174-220. doi: 10.1097/NPT.0000000000000229.
- Motl RW, Snook EM. Confirmation and extension of the validity of the Multiple Sclerosis Walking Scale-12 (MSWS-12). J Neurol Sci. 2008 May 15;268(1-2):69-73. doi: 10.1016/j.jns.2007.11.003. Epub 2007 Dec 3.
- Kirkwood RN, Batista NCL, Marques LBF, de Melo Ocarino J, Neves LLA, de Souza Moreira B. Cross-cultural adaptation and reliability of the Functional Gait Assessment in older Brazilian adults. Braz J Phys Ther. 2021 Jan-Feb;25(1):78-85. doi: 10.1016/j.bjpt.2020.02.004. Epub 2020 Feb 28.
- Weber, C., Schwieterman, M., Fier, K., Berni, J., Swartz, N., Phillips, R. S., & Reneker, J. C. (2016). Reliability and Validity of the Functional Gait Assessment: A Systematic Review. Physical & Occupational Therapy In Geriatrics, 34(1), 88-103.
- Forsberg A, Andreasson M, Nilsagard YE. Validity of the dynamic gait index in people with multiple sclerosis. Phys Ther. 2013 Oct;93(10):1369-76. doi: 10.2522/ptj.20120284. Epub 2013 May 2.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (실제)
2021년 1월 26일
기본 완료 (예상)
2021년 7월 1일
연구 완료 (예상)
2021년 8월 1일
연구 등록 날짜
최초 제출
2021년 6월 6일
QC 기준을 충족하는 최초 제출
2021년 6월 13일
처음 게시됨 (실제)
2021년 6월 21일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
2021년 6월 21일
QC 기준을 충족하는 마지막 업데이트 제출
2021년 6월 13일
마지막으로 확인됨
2021년 6월 1일
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- 12015
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
예
IPD 계획 설명
A video recording of the Functional Gait Assessment conducted in the clinic for inter-rater reliability analysis will be shared.
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
아니
미국 FDA 규제 기기 제품 연구
아니
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .
다발성 경화증에 대한 임상 시험
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University Hospital, Montpellier종료됨제1형 당뇨병 | Basal-bolus multiple-dily 인슐린 주사 | 인슐린 펌프(CSII)프랑스