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The Multiple Sclerosis Performance Test (MSPT): An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
The reliability of the MSFC and its components.
E Rosti-Otajärvi1, P Hämäläinen, K Koivisto
1Department of Neurology, Seinäjoki Central Hospital, Seinäjoki, Finland. eija.rosti@helsinki.fi
Acta Neurologica Scandinavica
|December 18, 2007
Summary
The Finnish Multiple Sclerosis Functional Composite (MSFC) demonstrates excellent reliability for measuring MS. However, the Nine-Hole Peg Test (9HPT) and Paced Auditory Serial Addition Test (PASAT) show practice effects.
Area of Science:
- Neurology
- Clinical Assessment
- Rehabilitation Science
Background:
- The Multiple Sclerosis Functional Composite (MSFC) is a key tool for assessing multiple sclerosis (MS) progression.
- It integrates measures of ambulation (Timed 25-foot Walk), upper limb function (Nine-Hole Peg Test), and cognition (Paced Auditory Serial Addition Test).
Purpose of the Study:
- To evaluate the reliability and practice effects of the Finnish version of the MSFC and its individual components.
- This study aimed to validate the MSFC for use in a Finnish population.
Main Methods:
- Ten individuals with relapsing-remitting MS and ten healthy controls participated.
- Participants completed five MSFC testing sessions over a four-week period.
Main Results:
- The MSFC demonstrated excellent intra-rater (0.99) and inter-rater (1.0) reliability.
- Significant practice effects were observed, particularly in the Nine-Hole Peg Test (9HPT) and Paced Auditory Serial Addition Test (PASAT).
- While controls' 9HPT performance remained stable, MS patients improved; both groups improved on the PASAT.
Conclusions:
- The MSFC is a highly reliable assessment tool for multiple sclerosis.
- The 9HPT and PASAT components are susceptible to practice effects, which should be considered during repeated assessments.
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