3 Meter Backwards Walk Test and Multiple Sclerosis

NCT04004026 | Completed

• 1 other identifier: SankoU
• Study Type: observational
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Multiple Sclerosis (MS) is an autoimmune, demyelinating disease of the central nervous system that causes different levels of disability with motor and sensory loss. Although the signs and symptoms of the disease vary according to the location of the lesion; loss of strength, spasticity, sensory disturbances, fatigue, ataxia, autonomic dysfunction and decreased visual acuity are frequently seen. One of the most important causes of loss of function is balance problems. Balance problems, on the other hand, result in falls that cause severe injuries. One of the most important goals in the rehabilitation of individuals with MS is to increase their performance by minimizing the risk of falling in their daily lives. For medical professionals, many medical history questionnaires, self-assessment measures and performance-based tests have been developed to determine the risk of falls. Performance-based functional assessments consist of a timed walk and walk test, functional skill, balance and fall risk, 5 times sit-and-go test and Berg Balance Test, 4 square step test and gait speed measurement tests. These tests include the ability to walk forward and revolve around ones priorities. However, walking is a more difficult activity as it involves neuromuscular control and is dependent on proprioception and protective reflexes. In daily life activities, there is a need to walk backwards to perform tasks such as leaning against a chair and opening the door. This movement can be quite challenging especially for elderly people with neurological deficits. It has been noted that the mechanical measurements of the back support, in particular the speed, the step length, and the double support surface are significantly reduced in older adults. In a study conducted in geriatric individuals, it was shown that walking backward was more sensitive to detect age-related changes in mobility and balance than walking forward. The aim of this study is to determine the validity and reliability of the 3-meter backwards walk test for evaluating performance-based fall risk in individuals with MS.

Conditions

Multiple Sclerosis; Walking, Difficulty; Balance; Distorted

Keywords

Multiple Sclerosis; 3-m backwards walk; Balance; Fall risk; validity; reliability

Outcome Measures

Primary Outcomes (1)

• 3 m backwards walk test

  465/5000 A distance of 3 m is measured and marked with black tape. Individuals are asked to follow the heel and black band. With the 'start' command they are asked to walk backwards quickly. When the distance of 3 m is completed, a stop is instructed. Individuals are not allowed to run during the test. They are allowed to look back if they wish. The assessor walks behind individuals throughout the test. The test is repeated 3 times, the averages are recorded

  First and second days

Secondary Outcomes (5)

• Timed up and go test

  First day

• 12 Items MS Walking Scale

  First day

• 2 min walk test

  First day

• 25 foot walk test

  First day

• 4 square step test

  First day

Study Arms (1)

Multiple sclerosis patient

First day, first evaluator will perform all tests, and second day, second evaluator will perform 3 m backwards walk test.

Other: Assesment

Interventions

Assesment OTHER

3-m backwards walk test, timed up and go test, 12-item MS Walking Scale, 2-min walk test, timed 25-foot walk test, 4-square step test.

Multiple sclerosis patient

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

Multiple Sclerosis patient

You may qualify if:

• EDSS score is 4 or less,

You may not qualify if:

• Pregnancy or in the first 3 months after birth,
• Corticosteroid treatment in the last month
• Using medication that will affect walking in the last 1 month

Sponsors & Collaborators

• Sanko University: lead

Study Sites (1)

SANKO University

Gaziantep, Şehitkamil, 27090, Turkey (Türkiye)

Location

Related Publications (1)

• Carter V, Jain T, James J, Cornwall M, Aldrich A, de Heer HD. The 3-m Backwards Walk and Retrospective Falls: Diagnostic Accuracy of a Novel Clinical Measure. J Geriatr Phys Ther. 2019 Oct/Dec;42(4):249-255. doi: 10.1519/JPT.0000000000000149.

  PMID: 29095771 BACKGROUND

Related Links

• The 3-m Backwards Walk and Retrospective Falls: Diagnostic Accuracy of a Novel Clinical Measure.

MeSH Terms

Conditions

Multiple Sclerosis; Mobility Limitation

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Zekiye İpek Katırcı Kırmacı, Ph.D(c)

  Sanko University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professor

Study Record Dates

• First Submitted: June 27, 2019
• First Posted: July 1, 2019
• Study Start: July 1, 2019
• Primary Completion: April 15, 2020
• Study Completion: June 30, 2020
• Last Updated: April 14, 2021

Record last verified: 2021-04

Locations

TU (1)