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Related Concept Videos

Multiple Sclerosis l: Introduction01:19

Multiple Sclerosis l: Introduction

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Multiple sclerosis is a chronic autoimmune disease of the central nervous system (CNS) that affects the brain, spinal cord, and optic nerves. It is an inflammatory demyelinating disorder and a leading cause of neurological disability in young adults.EpidemiologyMS commonly begins between 20 and 40 years of age and is twice as common in women. Its exact cause remains unclear, but genetic susceptibility contributes, with higher risk in first-degree relatives and identical twins. A greater...
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Related Experiment Video

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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
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Adapting the Multiple Sclerosis Functional Composite for Telehealth Administration Using Videoconference Delivery:

Toni Van Denend1, Virgil Mathiowetz2, Katharine Preissner1

  • 1Department of Occupational Therapy, University of Illinois Chicago, Chicago, IL.

Archives of Rehabilitation Research and Clinical Translation
|July 15, 2024
PubMed
Summary

The telehealth Multiple Sclerosis Functional Composite (tele-MSFC) is a reliable and feasible assessment for adults with mild to moderate multiple sclerosis (MS). Adaptations were made, and it showed excellent interrater reliability, though space and technical issues were noted.

Keywords:
Disability evaluationPatient outcome assessmentTelemedicineTelerehabilitation

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Digital Health

Background:

  • The Multiple Sclerosis Functional Composite (MSFC) is a standard in-person assessment for multiple sclerosis (MS).
  • Adaptations were necessary to transition the MSFC to a telehealth format for remote administration.
  • The MSFC includes the timed 25-Foot Walk Test (T25FWT), Nine-Hole Peg Test (NHPT), and Paced Auditory Serial Addition Test (PASAT).

Purpose of the Study:

  • To describe adaptations made for a telehealth version of the MSFC (tele-MSFC).
  • To examine the interrater reliability of the tele-MSFC.
  • To assess the feasibility of administering the tele-MSFC to community-dwelling adults with MS.

Main Methods:

  • The MSFC was adapted for videoconference administration, including a timed 12.5-Foot Walk Test (T12.5FWT) for limited spaces.
  • Participants (n=61) with mild-to-moderate MS symptoms completed the tele-MSFC from home via laptop or smartphone.
  • Examiners remotely scored the tests in real-time, and interrater reliability was assessed using intraclass correlation coefficients (ICC).

Main Results:

  • Interrater reliability for all tele-MSFC tests, including the T12.5FWT, was excellent (ICC > 0.90).
  • Participants reported high satisfaction with the tele-MSFC.
  • Challenges included space limitations for the T25FWT, technical difficulties, and safety/privacy concerns for those with moderate impairments.

Conclusions:

  • The tele-MSFC is a reliable and feasible assessment tool for community-dwelling adults with mild to moderate MS.
  • Adaptations allow for remote administration of key MSFC components.
  • Further validation of the T12.5FWT is recommended.