The Reliability and Validity of the Functional Reach Test in Patients With Multiple Sclerosis

NCT04185688 | Completed

• 1 other identifier: 2019-153
• Study Type: observational
• Target: 79
• Locations: 1 country
• Sites: 1

Brief Summary

Loss of limits of stability ability is one of the major components of balance dysfunction in MS. The functional reach test is quick and clinically available tool for assessing limits of stability but reliability and validity of this test has not yet been systematically examined in people with Multiple Sclerosis.The aim of the study is to investigate reliability and validity of the functional reach test in patients with Multiple Sclerosis.

Conditions

Multiple Sclerosis

Keywords

Multiple Sclerosis; Functional reach test; Reliability; Validity

Outcome Measures

Primary Outcomes (1)

• Functional Reach Test

  Functional Reach Test is clinically used to assess limits of stability.

  30 seconds

Secondary Outcomes (4)

• Biodex Balance System

  2 minutes

• Berg Balance Scale

  10 minutes

• Four Square Step Test

  20 seconds

• Timed Up and Go Test

  15 seconds

Study Arms (2)

Multiple Sclerosis

Functional Reach Test: It measures the maximum distance an individual is able to reach forward beyond arm's length in the standing position when maintaining a fixed base of support. Biodex Balance System: Biodex Balance System is used to evaluate limits of stability. The limits of stability test consists of standing on the platform and leaning in eight directions to make a cursor displayed on the system's screen hit a target. Berg Balance Scale: It has 14 items, each of which is scored from 0 (i.e, severely impaired balance) to 4 (i.e., no balance impairment). Timed Up and Go test: It requires individual to stand up from an armed chair, walk 3m, turn around, walk back to the armed chair, and sit down again. Four square step test: It requires an individual to step over obstacles in various directions including forward, backward, and sideways.

Other: Functional Reach Test

Healthy People

Functional Reach Test: It measures the maximum distance an individual is able to reach forward beyond arm's length in the standing position when maintaining a fixed base of support.

Other: Functional Reach Test

Interventions

Functional Reach Test OTHER

The Functional Reach Test assesses balance by measuring the limits of stability while the patient reaches forwards as far as possible, having the arms in 90° flexion and without lifting the heels off the floor.

Healthy People; Multiple Sclerosis

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Patients with Multiple Sclerosis who apply to Gazi University, Department of Physiotherapy and Rehabilitation will be invited to this study.

You may qualify if:

• at least 18 years,
• neurologist-diagnosed Multiple Sclerosis,
• Expanded Disability Status Scale (EDSS) score \< 7,
• able to walk 20 m with or without aids,
• no MS exacerbation within the last 2 months,
• use of stable medication in the last 2 months.

You may not qualify if:

• other neurologic disorder,
• pregnancy,
• orthopedic problems affecting gait and stance,
• visual, auditory, orientational problems that could affect study results,
• cardiovascular, pulmonary, and humoral disease.

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Fatih Söke

Ankara, 06560, Turkey (Türkiye)

Location

Related Publications (7)

• Ganesan M, Kanekar N, Aruin AS. Direction-specific impairments of limits of stability in individuals with multiple sclerosis. Ann Phys Rehabil Med. 2015 Jun;58(3):145-50. doi: 10.1016/j.rehab.2015.04.002. Epub 2015 May 8.

  PMID: 25960358 BACKGROUND

• Cameron MH, Nilsagard Y. Balance, gait, and falls in multiple sclerosis. Handb Clin Neurol. 2018;159:237-250. doi: 10.1016/B978-0-444-63916-5.00015-X.

  PMID: 30482317 BACKGROUND

• Martins EF, de Menezes LT, de Sousa PH, de Araujo Barbosa PH, Costa AS. Reliability of the Functional Reach Test and the influence of anthropometric characteristics on test results in subjects with hemiparesis. NeuroRehabilitation. 2012;31(2):161-9. doi: 10.3233/NRE-2012-0786.

  PMID: 22951711 BACKGROUND

• Katz-Leurer M, Fisher I, Neeb M, Schwartz I, Carmeli E. Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke. Disabil Rehabil. 2009;31(3):243-8. doi: 10.1080/09638280801927830.

  PMID: 18608433 BACKGROUND

• Lynch SM, Leahy P, Barker SP. Reliability of measurements obtained with a modified functional reach test in subjects with spinal cord injury. Phys Ther. 1998 Feb;78(2):128-33. doi: 10.1093/ptj/78.2.128.

  PMID: 9474105 BACKGROUND

• Duncan PW, Studenski S, Chandler J, Prescott B. Functional reach: predictive validity in a sample of elderly male veterans. J Gerontol. 1992 May;47(3):M93-8. doi: 10.1093/geronj/47.3.m93.

  PMID: 1573190 BACKGROUND

• Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990 Nov;45(6):M192-7. doi: 10.1093/geronj/45.6.m192.

  PMID: 2229941 BACKGROUND

MeSH Terms

Conditions

Multiple Sclerosis

Condition Hierarchy (Ancestors)

Demyelinating Autoimmune Diseases, CNS; Autoimmune Diseases of the Nervous System; Nervous System Diseases; Demyelinating Diseases; Autoimmune Diseases; Immune System Diseases

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: December 2, 2019
• First Posted: December 4, 2019
• Study Start: December 6, 2019
• Primary Completion: February 7, 2020
• Study Completion: February 7, 2020
• Last Updated: May 4, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)