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The Multiple Sclerosis Performance Test MSPT: An iPad-Based Disability Assessment Tool
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Reliability and Validity of the Supine-to-Stand Test in Patients with Multiple Sclerosis
Hakan Polat1, Tuba Maden2, Emine Kiliçparlar Cengiz3
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, SANKO University, Gaziantep, Turkey.
Neurorehabilitation
|January 21, 2026
Summary
The Supine-to-Stand Test (SST) reliably measures functional movement in patients with Multiple Sclerosis (pwMS). This test shows strong correlations with balance and mobility, aiding in fall risk assessment and predicting walking ability.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Biomedical Engineering
Background:
- The Supine-to-Stand Test (SST) assesses muscle strength, flexibility, and dynamic balance.
- It holds potential as a comprehensive measure of functional movement in patients with Multiple Sclerosis (pwMS).
Purpose of the Study:
- To determine the validity and reliability of the SST in pwMS.
- To explore the correlation between SST performance and other functional assessments in pwMS.
Main Methods:
- A cross-sectional observational study involving 34 pwMS (mean EDSS: 4.80 ± 1.13).
- Evaluated ankle muscle strength, manual dexterity (9-Hole Peg Test), balance (Berg Balance Scale), endurance (6-Minute Walk Test), and functional mobility (Timed Up and Go test).
- Assessed fear of falling (Activity-specific Balance Confidence scale) and quality of life (MSQOL-54). Test-retest reliability was measured using the intraclass correlation coefficient (ICC).
Main Results:
- The SST demonstrated excellent test-retest reliability (ICC = 0.984).
- SST performance showed moderate correlations with the Berg Balance Scale (r = -0.547), Timed Up and Go test (r = 0.619), and 6-Minute Walk Test (r = -0.642).
- A moderate correlation was observed between dominant plantar flexor strength and SST (r = 0.349); no significant correlations were found with other strength measures, the 9-Hole Peg Test, or MSQOL-54.
Conclusions:
- The SST is a reliable and valid tool for assessing functional movement ability in pwMS.
- Its correlation with established balance and mobility measures suggests utility in clinical decision-making for fall risk and walking independence prediction in patients with moderate disability (EDSS 4-6).
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