| Titre : | Are Changes in Gait and Balance Across the Disease Step Rating Scale in Multiple Sclerosis Statistically Significant and Clinically Meaningful? (2016) |
| Auteurs : | Katrina L. Williams ; Nancy L. Low Choy ; Sandra G. Brauer |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2016/9, 2016) |
| Article en page(s) : | pp. 1502–1508 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Rééducation et réadaptation ; Sclérose en plaques |
| Mots-clés: | Disability evaluation ; Évaluation de l'incapacité ; Gait ; Démarche ; Multiple sclerosis ; Postural balance ; Équilibre postural ; Treatment outcome ; Résultat thérapeutique |
| Résumé : |
Objectives To explore differences in gait endurance, speed, and standing balance in people with multiple sclerosis (MS) across the Disease Step Rating Scale, and to determine if differences are statistically significant and clinically meaningful. Design Observational study. Setting Community rehabilitation - primary health care center. Participants Community-dwelling people with MS (N=222; mean age, 48+12y; 32% men). Interventions Not applicable. Main Outcome Measures Participants were categorized using the Disease Step Rating Scale. Demographics and clinical measures of gait endurance (6-minute walk test [6MWT]), gait speed (10-m walk test [10MWT] and 25-foot walk test [25FWT]), and balance (Berg Balance Scale [BBS]) were recorded in 1 session. Differences in these parameters across categories of the Disease Step Rating Scale were explored, and clinically meaningful differences were identified. Results The 6MWT showed a greater number of significant differences across adjacent disease steps in those with less disability (P<.001 whereas the and demonstrated more significant changes in those with greater disability bbs differences across span of disease step rating scale categories gait balance between adjacent met most previously established levels minimally detectable change all important scores.> Conclusions Our findings support the Disease Step Rating Scale is an observational tool that can be used by health professionals to categorize people with MS, with the categories reflective of statistically significant and clinically meaningful differences in gait and balance performance. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316300715 |
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