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Updated: Jul 9, 2026

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
Background:
The Multiple Sclerosis Functional Composite (MSFC) is a multidimensional measurement tool for multiple sclerosis (MS) including a measure of ambulation (Timed 25-foot Walk [TWT]), arm function (Nine-Hole Peg Test [9HPT]) and cognition (Paced Auditory Serial Addition Test [PASAT]).
Objectives:
To assess the reliability and practice effects in the Finnish version of the MSFC and its components.
Materials And Methods:
Ten relapsing-remitting MS patients and 10 healthy controls underwent five testing sessions with the MSFC over a 4-week period.
Results:
The MSFC showed excellent intra- (0.99) and inter-rater (1.0) reliability. The MSFC, especially the 9HPT and the PASAT showed significant practice effects. On the 9HPT the controls remained stable whereas the patients improved their performance; on the PASAT both groups improved.
Conclusions:
The MSFC showed excellent intra- and inter-rater reliability although the 9HPT and the PASAT were prone to considerable practice effects.
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