The purpose of the study is to describe the psychometric properties (validity, reliability and responsiveness) of the SQOL-6D instrument in the context of routine clinical treatment of upper limb spasticity.
The study qualifies as interventional not because of the use of an investigational product, but because the imposed specific data collection procedures include multiple questionnaire assessments and one on-site visit not necessarily part of routine clinical practice.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
OTHER
Masking
NONE
Enrollment
104
Subjects will be treated in accordance with usual medical practice during their participation in this study. No additional diagnostic or treatment procedures will be required. Subjects will be asked to complete electronic (or on paper when it's not possible to use electronic version) questionnaires.
Hull and East Yorkshire NHS Trust, Castle Hill Hospital
Cottingham, United Kingdom
Mid Yorkshire Hospitals NHS Trust, Dewsbury Hospital
Dewsbury, United Kingdom
London North West NHS Healthcare Trust - Regional Hyper-acute Rehabilitation Unit
Harrow, United Kingdom
Validation of SQOL-6D in upper limb spasticity
Validity - Reliability - Responsiveness
Time frame: Change from baseline (day 1) to 8 weeks +/-2 weeks (follow up visit)
EQ-5D-5L (EuroQoL 5 Dimensions, 5 Levels)
A summary index score will be calculated from responses given to the 5 domain items, measuring overall health on a scale 0 to 1 using United Kingdom (UK) value sets.
Time frame: Day 1 and then 8 weeks +/-2
Neurological Impairment Scale adapted for ULS (ULS-NIS)
Records functional impairment on a four-point scale (rated 0-3) across seven domains, including: motor impairment in the affected upper limb, sensation affected in the affected upper limb, communication, cognitive function, cortical function, emotional/behaviour and mobility of joints, as measured by soft tissue shortening (an assessment used for the evaluation of the deterioration in range of movement due to spasticity by percentage loss of range).
Time frame: Day 1
Modified Ashworth Scale (MAS)
Six-point scale (with available scores of 0, 1, 1+, 2, 3 and 4) evaluates muscle tone by reporting changes in this during muscle flexion or extension, depending on the (resistance in) joint mobility being assessed (shoulder, elbow, wrist or finger).
Time frame: Day 1 and then 8 weeks +/-2
Gaseous (Goal Attainment Scaling Evaluation of Outcome for Upper-Limb Spasticity)
Goal attainment will be recorded on a five point numerical scale (range -2 to +2) and goal scores combined to give an aggregated T score.
Time frame: Day 1 and then 8 weeks +/-2
ArmA (Arm Activity Measure) Scores
ArmA is a patient-reported outcomes questionnaire recording the difficulty in caring for, and completing tasks and activities with the affected arm. The ArmA contains a total of 29 items in four subscales. Difficulty for each item is assessed on a five-point scale (range 0 to 4).
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
University Hospitals of Leicester NHS Trust, Neurology Department, Leicester General Hospital
Leicester, United Kingdom
Northumberland Tyne and Wear NHS trust, Walkergate Park Neuro-Rehabilitation
Newcastle, United Kingdom
Staffordshire and Stoke-on-Trent Partnership NHS Trust, North Staffordshire Rehabilitation Centre, Haywood Hospital
Stoke-on-Trent, United Kingdom
City Hospitals Sunderland NHS Foundation Trust Research and Innovation Education Centre
Sunderland, United Kingdom
South Warwickshire NHS Foundation Trust, Central England Rehabilitation Unit Leamington Spa Hospital
Warwick, United Kingdom
Time frame: Day 1 and then 8 weeks +/-2
Global assessment of benefit
The Global Assessment of Benefit scale will be completed by the subject. Responses options will be: Much worse (-2)/Worse (-1)/Same (0)/Some benefit (+1)/Great benefit (+2).
Time frame: 8 weeks +/-2