The study aimed to provide insights in the coordination between trunk, shoulder and upper limb while reaching. Two main phases are present in this study: In phase A: the psychometric properties of two tests: Clinical Scapular protocol (ClinScaP) in PwMS (Persons with Multiple Sclerosis) and healthy controls. 1. To investigate the test-retest reliability of the Clinical Scapular Protocol (ClinScaP) and the Reaching Performance Scale (RPS) in PwMS 2. To investigate the discriminative of the ClinScaP between PwMS and healthy controls 3. To investigate the discriminative of the RPS between PwMS and healthy controls 4. To investigate the concurrent validity of ClinScaP and RPS in PwMS, compared with upper limb dysfunction measurements. In phase B: 5. To investigate the prevalence of trunk, scapula and upper limb impairments in PwMS and stroke patients. 6. To investigate the interaction between trunk, scapula and upper limb impairments in PwMS and stroke patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
78
the psychometric properties of two tests: Clinical Scapular protocol (ClinScaP) in PwMS and healthy controls.
To investigate the prevalence of trunk, scapula and upper limb impairments in PwMS and stroke patients.
To investigate the interaction between trunk, scapula and upper limb impairments in PwMS and stroke patients.
Ziekenhuis Oost-Limburg
Genk, Belgium
Jessa Ziekenhuis- Campus St. Ursula
Herk-de-Stad, Belgium
National MS Center Melsbroek
Melsbroek, Belgium
Noorderhart MS & Revalidatie
Overpelt, Belgium
The Reaching performance scale (RPS)
The Reaching performance scale (RPS) evaluates 6 components during reaching to a cup. The first four components: 1. trunk displacement, 2. movement smoothness, 3. shoulder movements, and 4. elbow movements. The components are evaluated during reaching movements to targets placed close or far from the person. The 2 additional components globally rate 5. the quality of prehension and 6. the accomplishment of the task.
Time frame: baseline
The Reaching performance scale (RPS)
The Reaching performance scale (RPS) evaluates 6 components during reaching to a cup. The first four components: 1. trunk displacement, 2. movement smoothness, 3. shoulder movements, and 4. elbow movements. The components are evaluated during reaching movements to targets placed close or far from the person. The 2 additional components globally rate 5. the quality of prehension and 6. the accomplishment of the task.
Time frame: Day 1
The clinical scapular protocol
The clinical scapular protocol consists of five items. A score is given between 0 and 2, based on observation of tilting and winging, shoulder girdle position (measuring acromial and pectoralis minor index and scapular distance test), scapular lateral rotation, maximal active humeral elevation, medial rotation test
Time frame: Baseline
The clinical scapular protocol
The clinical scapular protocol consists of five items. A score is given between 0 and 2, based on observation of tilting and winging, shoulder girdle position (measuring acromial and pectoralis minor index and scapular distance test), scapular lateral rotation, maximal active humeral elevation, medial rotation test
Time frame: day 1
Trunk Impairment Scale
Trunk Impairment Scale used to measure static and dynamic sitting balance and trunk coordination in a sitting position.
Time frame: Baseline
Trunk Impairment Scale
Trunk Impairment Scale used to measure static and dynamic sitting balance and trunk coordination in a sitting position.
Time frame: day 1
Box and Block test
This test assess gross manual dexterity by grasping each time one block and transporting the block to the other side over a wooden panel for one minute, while sitting.
Time frame: Baseline
Box and Block test
This test assess gross manual dexterity by grasping each time one block and transporting the block to the other side over a wooden panel for one minute, while sitting.
Time frame: day 1
The Brunnström Fugl Meyer (BFM)
The Brunnström Fugl Meyer (BFM) used to measure motor control at the body functions and structures level. The upper limb section is applied: shoulder, elbow, forearm, wrist movements and grip.
Time frame: Baseline
The Brunnström Fugl Meyer (BFM)
The Brunnström Fugl Meyer (BFM) used to measure motor control at the body functions and structures level. The upper limb section is applied: shoulder, elbow, forearm, wrist movements and grip.
Time frame: day 1
The Action Research Arm Test (ARAT)
Action Research arm test, which assessed the patient's ability to handle objects varying in size, weight and shape. The Action Research Arm Test (ARAT) assess the ability to manipulate objects in different size, weight and shape and finally results in a maximum score of 57
Time frame: Baseline
The Action Research Arm Test (ARAT)
Action Research arm test, which assessed the patient's ability to handle objects varying in size, weight and shape. The Action Research Arm Test (ARAT) assess the ability to manipulate objects in different size, weight and shape and finally results in a maximum score of 57
Time frame: day 1
The Nine Hole Peg Test (NHPT)
The Nine Hole Peg Test (NHPT) was used to assess manual dexterity by the time needed to place and remove nine pegs in a board.
Time frame: baseline
The Nine Hole Peg Test (NHPT)
The Nine Hole Peg Test (NHPT) was used to assess manual dexterity by the time needed to place and remove nine pegs in a board.
Time frame: day 1
The Manual Ability Measure-36 (MAM-36)
The Manual Ability Measure-36 (MAM-36) was used to assess perceived upper limb performance. The sum score is converted and resulted in a score between 0-100, with 100 as a perfect manual ability.
Time frame: baseline
The Manual Ability Measure-36 (MAM-36)
The Manual Ability Measure-36 (MAM-36) was used to assess perceived upper limb performance. The sum score is converted and resulted in a score between 0-100, with 100 as a perfect manual ability.
Time frame: day 1
Arm Function in Multiple Sclerosis Questionnaire
: A Questionnaire Fatigue to evaluate the perceived performance of Arm Function in Multiple Sclerosis
Time frame: Baseline
Arm Function in Multiple Sclerosis Questionnaire
: A Questionnaire Fatigue to evaluate the perceived performance of Arm Function in Multiple Sclerosis
Time frame: Day 1
Active and passive range of motion of shoulder, elbow and wrist movement
Active and passive range of motion of shoulder, elbow and wrist movement is measured with a goniometer Safety Issue?: Yes/No
Time frame: Baseline
Active and passive range of motion of shoulder, elbow and wrist movement
Active and passive range of motion of shoulder, elbow and wrist movement is measured with a goniometer Safety Issue?: Yes/No
Time frame: Day 1
Modified Ashworth Scale
Spasticity is evaluated with Modified Ashworth Scale
Time frame: Baseline
Modified Ashworth Scale
Spasticity is evaluated with Modified Ashworth Scale
Time frame: day 1
Maximal hand grip strength test (HGS)
HGS was assessed with the Jamar digital HGD (the hand grip dynamometer). Each participant performed three maximum contractions of each hand on three handle positions progressing from first to third position.
Time frame: Baseline
Maximal hand grip strength HGS)
HGS was assessed with the Jamar digital HGD (the hand grip dynamometer). Each participant performed three maximum contractions of each hand on three handle positions progressing from first to third position.
Time frame: Day 1
Symbol digit modalities test
Information of processing speed with the Symbol digit modalities test
Time frame: Baseline
Symbol digit modalities test
Information of processing speed with the Symbol digit modalities test
Time frame: Day 1
Modified fatigue impact scale
: Fatigue is evaluated a questionnaire: the modified fatigue impact scale
Time frame: Baseline
Modified fatigue impact scale
: Fatigue is evaluated a questionnaire: the modified fatigue impact scale
Time frame: Day 1
National Institutes of Health Stroke Scale (NIHSS)
The National Institutes of Health Stroke Scale is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment.\[1\] The individual scores from each item are summed in order to calculate a patient's total NIHSS score. The maximum possible score is 42, with the minimum score being a 0
Time frame: Baseline
National Institutes of Health Stroke Scale (NIHSS)
The National Institutes of Health Stroke Scale is a tool used by healthcare providers to objectively quantify the impairment caused by a stroke. The NIHSS is composed of 11 items, each of which scores a specific ability between a 0 and 4. For each item, a score of 0 typically indicates normal function in that specific ability, while a higher score is indicative of some level of impairment.\[1\] The individual scores from each item are summed in order to calculate a patient's total NIHSS score. The maximum possible score is 42, with the minimum score being a 0
Time frame: Day 1
10 Meter loop test (10MWT)
The 10MWT assesses walking speed in meters per second over a short duration. (specific for stroke)
Time frame: baseline
10 Meter loop test (10MWT)
The 10MWT assesses walking speed in meters per second over a short duration. (specific for stroke)
Time frame: Day 1
Modified Rankin Scale (MRS)
The modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke
Time frame: Baseline
Modified Rankin Scale (MRS)
The modified Rankin Scale (mRS) is a commonly used scale for measuring the degree of disability or dependence in the daily activities of people who have suffered a stroke
Time frame: day 1
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