Pdf mapping of multiple sclerosis walking scale msws12 to. Twelve item ms walking scale msws12 sailing sclerosis. Identifying an important change estimate for the multiple. Italian validation of the 12item multiple sclerosis walking. The aim of this study was to crossculturally adapt and validate the msws12 for the italian population with ms. Crosssectional msws 12 to eq5d cross walking analysis. The 12item multiple sclerosis walking scale msws 12 is a patientreported outcome that assesses the impact of walking impairment in people with ms.
The numeric pain scale is an 11point scale for adults and children over 10 years old. Altered gait is one of the most common symptoms of multiple sclerosis. Italian validation of the 12item multiple sclerosis walking scale. Measurement characteristics and clinical utility of the 12item multiple sclerosis walking scale previous article neck pain driving index. This 12item questionnaire assesses the amount of time spent per day in the previous week on leisure activity time light, moderate and strenuous activities, household work, and time spent volunteering. Height and weight were taken from hospital records for participants receiving ccc and if multiple weight assessments were provided, the weight assessment time closest to the start date of the yoga program was used. Development, refinement, and psychometric validation using an online community. Of the instruments available, the clinicianobserved timed 25foot walk and patient selfreport 12item multiple sclerosis walking scale have properties that make them suitable for routine evaluation of walking performance. The numeric pain scale measures a persons pain intensity and is typically based on selfreporting. Multiple sclerosis outcome measures taskforce apta. One hundred fortynine patients in the community and 53 hospital outpatients with ms completed the msws12 and other outcome measures. Validity of minimal clinically important difference values for the multiple sclerosis walking scale12. Drawing upon the recent californiabased autism phenome project app longitudinal cohort, we investigate iq change between ages 2 to 7 years, and whether there are cognitive phenotypes defined by.
Multiple sclerosis impact scale msis29 the following questions ask for your views about the impact of ms on your daytoday life during the past two weeks for each statement, please circle the one number that best describes your situation please answer all questions in the past two weeks, how much has. Six ms outpatient clinics across italy enrolled subjects. Measurement characteristics and clinical utility of the 12item multiple sclerosis walking scale diane d. To obtain information about their physical activity, the physical activity scale for the elderly pase 49, 50 will be administered. To map the 12 item multiple sclerosis walking scale msws 12 onto the euroqol 5dimension eq5d healthutility index in multiple sclerosis ms patients participating in the north american research committee on multiple sclerosis narcoms registry.
Allen, pt, phd, kirsten potter, pt, dpt, ncs mobility impairments are among the most common symptoms reported by individuals with multiple sclerosis ms,1 with prevalence rates. The berg balance scale, use of walking aids and timed up and go cognitive best identified fallers 7394% and proprioception, expanded disability status score, 12item multiple sclerosis walking scale and four square step test best identified nonfallers 7593%. Hobart jc, riazi a, lamping dl, fitzpatrick r, thompson aj. This study aimed to describe the selfperceived walking limitations of those with multiple sclerosis ms using the swedish translation of the 12item ms walking scale msws12 s, and to investigate it for concurrent validity and internal consistency. The msws12v1 was completed at screening and all scheduled and unscheduled study visits. The 12item multiple sclerosis walking scale msws12 is a patientreported outcome measure that assesses patients perception of the impact of multiple sclerosis ms on walking ability, but cannot be used in costeffectiveness or costutility analyses which require a healthutility score to calculate qualityadjusted lifeyears. Mapping the 12item multiple sclerosis walking scale to the. Walking ability is a vital component of validated test procedures to assess mobility impairment in multiple sclerosis ms.
Evaluating walking in patients with multiple sclerosis. Pdf validity of minimal clinically important difference. Health and quality of life outcomes submitted wicks p, vaughan te, massagli mp. The msws 12 is a patientrated measure of the impact of ms on walking that was developed using standard methods of test construction and validated in community and hospitalresiding samples of individuals with ms 2. Effects of pilatesbased core stability training in ambulant. Identification of risk factors for falls in multiple sclerosis. Pdf mapping the 12item multiple sclerosis walking scale to. The ninehole peg test 9hpt is a standardized, quantitative assessment used to measure finger dexterity. A 12item assessment instrument intended to measure neuropathic pain based on qualities of pain as they are.
Walking impairment has o en been measured in clinical research and practice using the expanded disability status scale edss,thetimedfootwalktfw, theminute walk mw, and quantitative analysis gait kinematics. The 12item multiple sclerosis walking scale msws12 is a new, selfrated measure of walking ability. Both males and females participated in the yoga program. Participants must then remove the pegs from the holes, one by one, and replace them back. Self reported walking ability was measured using the multiple sclerosis walking scale 12 msws 12. It consists of 12 questions concerning the limitations to walking due to ms during the past 2 weeks. Jun 18, 2012 in developing the patientslikeme online platform for patients with multiple sclerosis ms, we required a patientreported assessment of functional status that was easy to complete and identified disability in domains other than walking. The higher the scorepercentage, the greater the perceived impact ms is having on walking ability.
Home psychology home research profile publications measuring the impact of ms on walking ability. The 12item multiple sclerosis walking scale msws12 is a selfreport measure of the impact of ms on the individuals walking ability. The effects of an 8week computerized cognitive training. The multiple sclerosis walking scale12 msws12 measures walking ability from the patients perspective. The 12item ms walking scale msws12 assesses patients measurement of walking quality.
An equation for mapping the msws 12 to the eq5d was previously developed and validated using a north american research committee on ms narcoms registry cohort. In developing the patientslikeme online platform for patients with multiple sclerosis ms, we required a patientreported assessment of functional status that was easy to complete and identified disability in domains other than walking. An equation for mapping the msws12 to the eq5d was previously developed and validated using a north american research committee on ms narcoms registry cohort. The msoac approach to developing performance outcomes to.
Aug 01, 2016 12 item multiple sclerosis walking scale msws 12, version 2. Administered by asking the client to take the pegs from a container, one by one, and place them into the holes on the board, as quickly as possible. The 12item multiple sclerosis walking scale msws12 is a patientreported outcome that assesses the impact of walking impairment in. Gait impairment is commonly in people with multiple sclerosis ms. It is suggested that the reference population be drawn from. Full text mapping of multiple sclerosis walking scale. Identification of risk factors for falls in multiple. Crosscultural adaptation and validation of the 12item. The 12item multiple sclerosis walking scale msws12 is a selfreport measure of the impact of.
Quantification of walking mobility in neurological disorders. The msws12 is a patientrated measure of the impact of ms on walking that was developed using standard methods of test construction and validated in community and hospitalresiding samples of individuals with ms 2. Measurement characteristics and clinical utility of the 12. Many other disabling neurological conditions affect patients ability to walk, and a generic measure of walking could provide valuable insights into patients perceptions in clinical trials and epidemiological studies as well as routine clinical practice. Fatigue has a major influence on the quality of life of people with multiple sclerosis. The 12item multiple sclerosis walking scale msws12 is a patientreported outcome that assesses the impact of walking impairment in people with ms. The aim of this study is to examine the psychometric properties of the walk12g in people with multiple sclerosis ms and parkinsons disease pd. To develop a patientbased measure of walking ability in ms. Mapping of multiple sclerosis walking scale msws12 to five.
An equation for mapping the msws12 to the eq5d was previously developed and validated using a north american research committee on. A change will be indicated by a reduction or increase. Functional electrical stimulation for foot drop in multiple. Relationships between trunk performance, gait and postural. The multiple sclerosis walking scale 12 msws 12 is a 12 item patientrated measure of the impact of ms on walking. Criteria diagnose neuromyelitis optica supported by alexion canada multiple sclerosis. Corboy, md associate professor of neurology, university of colorado school of medicine, director, university of colorado multiple sclerosis center, denver, colorado chapter 53 elizabeth a. Its clinical benefits are assessed by timed and subjective tests, such as the 12item ms walking scale msws12. Higher scores indicate a greater impact on walking than lower scores. The scale has not been independently validated for use in differing ms populations.
May 18, 20 the 12item multiple sclerosis walking scale msws12 is a patientreported outcome measure that assesses patients perception of the impact of multiple sclerosis ms on walking ability, but cannot be used in costeffectiveness or costutility analyses which require a healthutility score to calculate qualityadjusted lifeyears. Preliminary psychometric evaluation data quality, scaling assumptions, acceptability, reliability, validity was undertaken in the data. Using the fatigue severity scale to inform healthcare. Psychometric performance of a generic walking scale walk12g. Multiple sclerosis walking scale12 and oxygen cost of. The multiple sclerosis walking scale msws12 assesses the impact of ms on walking ability from the patients perspective, but in its current form, is not amenable for use in many policy decision making settings.
We examined the quality of the msws12 using an item response theory model, the graded response model grm. Full text mapping of multiple sclerosis walking scale msws. Functional electrical stimulation is an effective treatment strategy for the management of foot drop in various neurologic conditions, as demonstrated in improvements in gait performance, mobility, physiologic cost, perceived walking ability, balance, fall frequency, and quality of life. Feb 03, 2016 the 12 item multiple sclerosis walking scale msws 12 is a patientreported outcome that assesses the impact of walking impairment in people with ms. Questionnaires and all related subscales, translations, and adaptations facit system are owned and ed by david cella, ph. Research article italian validation of the 12item multiple. Mapping the 12item multiple sclerosis walking scale to the euroqol 5dimension index measure in north american multiple sclerosis patients.
The multiple sclerosis rating scale, revised msrsr. Coyle, pharmd clinical assistant professor, university of houston college of pharmacy, clinical specialist, infectious diseases, university of texas. In a version 2, three items are scored, and nine items are. Objective to map the 12item multiple sclerosis walking scale msws12 onto. The walk12g was adapted from the 12item multiple sclerosis walking scale as. Apr 01, 20 identification of risk factors for falls in multiple sclerosis. Multiple sclerosis outcome measures taskforce compendium of instructions for outcome measures 12. Objective to estimate the magnitude of an important change in msws12v1 scores for the interpretation of meaningful subjectlevel improvements across a 6month trial of ms patients. Validation of the functional assessment of multiple sclerosis quality of life instrument.
Frequently used assessment scales john zajicek, jennifer freeman and bernadette porter. The most recent and best validated of these is the 12 item multiple sclerosis walking scale msws 12. Mapping the 12item multiple sclerosis walking scale to the euroqol. Msws1212item multiple sclerosis walking scale, msmultiple sclerosis, edssexpanded disability status scale, rrrelapsing remitting, ppprimary progressive, spsecondary progressive, prprimary relapsing. Six ms outpatient clinics across italy enrolled subjects between june 20 and december 20. In a version 2, three items are scored, and nine items are scored 15.
Significance and utility of patientreported outcomes in multiple sclerosis. Relationships between trunk performance, gait and postural control in persons with multiple sclerosis. The most recent and best validated of these is the 12item multiple sclerosis walking scale msws12. Learn vocabulary, terms, and more with flashcards, games, and other study tools.
The functional independence measure fim the 12item multiple sclerosis walking scale msws12 the modified fatigue impact scale mfis fatigue severity scale fss multiple sclerosis quality of life54 instrument msqol54. Mapping of multiple sclerosis walking scale msws12 to. Request pdf measuring the impact of ms on walking ability. Walking impairment has a major influence on the qualityoflife of people with multiple sclerosis ms. The fatigue severity scale is a frequently used patientreported measure of fatigue impact, but does not generate the health state utility values required to inform costeffectiveness analysis, limiting its applicability within decisionmaking contexts. As validation of scores from a measure is an ongoing and evolving process, the provision of additional evidence is warranted that confirms and extends the validity of inferences from scores on the msws 12. Functional assessment of multiple sclerosis version 4 fams cella et al. The 12item multiple sclerosis walking scale msws12 is a patientreported outcome measure that assesses patients perception of the impact of ms on walking ability. Mapping the 12 item multiple sclerosis walking scale to the. Mapping from the multiple sclerosis walking scale msws12. Jun 24, 2016 the multiple sclerosis walking scale msws 12 is the predominant patientreported measure of multiple sclerosis ms elated walking ability, yet it had not been analyzed using item response theory irt, the emerging standard for patientreported outcome pro validation. Each item can be answered with 5 options, with 1 meaning no limitation and 5 extreme limitation. Existing measures of functional status were inadequate, clinicianreported, focused on walking, and burdensome to complete.
Patientreported outcomes have been defined as outcomes obtained directly from the patient, without interpretation of the patients response by a clinician or anyone else, 7 and are typically obtained through selfadministered questionnaires. Functional electrical stimulation for foot drop in. Pros can comprise a variety of topics and many of the most. Confirmation and extension of the validity of the multiple.
Mapping the 12item multiple sclerosis walking scale to. Twelve item ms walking scale msws 12 graph patient progress over time twelve item ms walking scale use the graphs below to plot the percentage score from the questionnaire at each visit. Aug 21, 2019 the ninehole peg test 9hpt is a standardized, quantitative assessment used to measure finger dexterity. The original scoring provides options 15 for each item, with 1 meaning no limitation and 5 meaning extreme limitation on the gaitrelated item. The dynamic gait index and the timed up and go test involve other aspects of mobility, including balance. Pdf mapping the 12item multiple sclerosis walking scale. The multiple sclerosis walking scale is a selfassessment scale which measures the impact of ms on walking. Evaluation of the multiple sclerosis walking scale12. The msoac approach to developing performance outcomes to measure and monitor multiple sclerosis disability. Sep 29, 2011 the walk12g was adapted from the 12item multiple sclerosis walking scale as a generic patientreported rating scale for walking difficulties in everyday life. Daclizumab beta is a humanized monoclonal antibody that binds to cd25 and selectively inhibits highaffinity il2 receptor signaling. The 12item ms walking scale msws12 assesses patients measurement.
Italian validation of the 12item multiple sclerosis. Identifying an important change threshold for the multiple. Evaluation of a specialized yoga program for persons. The multiple sclerosis walking scale msws 12 was developed to measure the impact of multiple sclerosis on walking. Multiple sclerosis the 12item multiple sclerosis walking scale msws 12 involves the damage to your email box.
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