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Updated: Jun 7, 2025

The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
Published on: June 30, 2014
Innovative multidisciplinary tool for screening bowel and bladder symptoms in multiple sclerosis
Giampaolo Brichetto1,2, Stefania Musco3, Margherita Monti Bragadin4,5
1AISM Rehabilitation Service, Italian Multiple Sclerosis Society, Genoa, Italy. giampaolo.brichetto@aism.it.
A new questionnaire, the Bowel and Bladder Symptoms Screening in Multiple Sclerosis (BBSS-MS), was developed to help screen for bowel and bladder issues in people with Multiple Sclerosis (PwMS). This tool aids in early detection and management, improving quality of life.
Area of Science:
- Neurology
- Gastroenterology
- Urology
Background:
- Bowel and bladder symptoms are common in Multiple Sclerosis (MS).
- Early detection and treatment of these symptoms are vital for improving the quality of life (QoL) for people with MS (PwMS).
Purpose of the Study:
- To design a multidisciplinary questionnaire for screening bladder and bowel symptoms in PwMS.
- To develop the Bowel and Bladder Symptoms Screening in Multiple Sclerosis (BBSS-MS) questionnaire.
Main Methods:
- A three-step process was used to design the BBSS-MS questionnaire in Italian.
- Expert consensus and the Delphi method were employed to refine and validate the questionnaire items.
- Statistical analyses were performed using Stata 16.1 software.
Main Results:
- An initial pool of 22 items was identified by an expert board.
- A panel of 44 experts evaluated the relevance of each item.
- The final BBSS-MS questionnaire consists of 21 items.
Conclusions:
- The BBSS-MS is the first self-reported hybrid questionnaire designed for screening bowel and bladder symptoms in the Italian MS population.
- This questionnaire can facilitate early identification and management of these debilitating symptoms.
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