Established gait assessments for subjects with spinal cord injury (SCI) (6MWT, 10MWT, TUG, SCIM III and WISCI II) are widely used in the clinical and research setting. So far, no valid measurement exists that assesses the patients' perspective of walking ability in SCI. As there is the 12-item Multiple Sclerosis Walking Scale (12-WS) to assess the patients' perspective on gait ability in patients with multiple sclerosis, it is hypothesized that the 12-WS would also be a valid instrument for subjects with incomplete SCI. The main goal of this study is to collect data from clinical gait assessments in subjects with spinal lesions and to demonstrate that the 12-WS is a valid and reliable patient-reported outcome measurement for individuals with incomplete spinal cord injury.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
67
The subject has to perform different gait assessments and fill out the 12-item multiple sclerosis walking scale questionnaire in one visit. Maximum 8 weekes after the first visit the subject has to fill out the same questionnaire again.
Swiss Paraplegic Center
Nottwil, Switzerland
Balgrist University Hospital
Zurich, Switzerland
Re-test reliability of the subjective perceived limitations in ambulation of the 12-item Multiple Sclerosis Walking Scale (12-WS) in subjects with incomplete SCI.
The scale is numeric and ranges from 0-100. A lower score means a better outcome.
Time frame: Change from day 1 to day 2
Validity of the 12-item Multiple Sclerosis Walking Scale (12-WS) in subjects with incomplete SCI.
The scale is numeric and ranges from 0-100. A lower score means a better outcome.
Time frame: Day 1
Clinical examination (a neurological examination including the ASIA score (categoric outcome grade A-E) - International Standards for Neurological Classification of Spinal Cord Injury
Grade "A" means most impaired, grade "E" means less impaired.
Time frame: Day 1
Walking impairment (numeric value from 0-20) - WISCI II
The scale is numeric and ranges from 0-20. A higher score means a better outcome.
Time frame: Day 1
Walking distance (m) and number of rests - 6MWT
High distance and low number of rests means better outcome.
Time frame: Day 1
Walking speed (m/s) - 10-meter walkint test (10MWT)
High speed means better outcome.
Time frame: Day 1
Walking speed including sit-stand transfer (s) - Timed Up and Go-test (TUG)
The fewer seconds needed, the better the outcome.
Time frame: Day 1
Functional independence (numeric value from 0-40) - Spinal Cord Independence Measure III (SCIM III), Items 9-17
The scale is numeric and ranges from 0-30). A higher score means a better outcome.
Time frame: Day 1
Dynamic balance (numeric value from 0-30) - Functional Gait Assessment (FGA)
The scale is numeric and ranges from 0-30). A higher score means a better outcome.
Time frame: Day 1
Change in impairment level (nominal outcome Yes - No) - Follow up questions in telephone interview
Only subjects with NO changes in impairment level will be used for reliability testing.
Time frame: Day 2, maximum 8 weeks after day 1
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