The Reliability and Validity of the Functional Reach Test in Patients With Multiple Sclerosis

Multiple Sclerosis Clinical Trial

Official title:

The Reliability and Validity of the Functional Reach Test in Patients With Multiple Sclerosis

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04185688
• Other study ID #: 2019-153
• Status: Completed
• Start date: December 6, 2019
• Est. completion date: February 7, 2020

Study information

• Verified date: April 2020
• Source: Gazi University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Loss of limits of stability ability is one of the major components of balance dysfunction in MS. The functional reach test is quick and clinically available tool for assessing limits of stability but reliability and validity of this test has not yet been systematically examined in people with Multiple Sclerosis.The aim of the study is to investigate reliability and validity of the functional reach test in patients with Multiple Sclerosis.

Description:

At baseline, the functional reach test, limits of stability test by using Biodex Balance System, Berg Balance Scale, four step square test, and timed up and go test was applied to the patients with Multiple Sclerosis. The functional reach test was repeated after seven days from the first application to evaluate its reliability.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 79
• Est. completion date: February 7, 2020
• Est. primary completion date: February 7, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• at least 18 years,

• neurologist-diagnosed Multiple Sclerosis,

• Expanded Disability Status Scale (EDSS) score < 7,

• able to walk 20 m with or without aids,

• no MS exacerbation within the last 2 months,

• use of stable medication in the last 2 months.

Exclusion Criteria:

• other neurologic disorder,

• pregnancy,

• orthopedic problems affecting gait and stance,

• visual, auditory, orientational problems that could affect study results,

• cardiovascular, pulmonary, and humoral disease.

Related Conditions & MeSH terms

• Multiple Sclerosis
• Sclerosis

Intervention

Other:
• Functional Reach Test
The Functional Reach Test assesses balance by measuring the limits of stability while the patient reaches forwards as far as possible, having the arms in 90° flexion and without lifting the heels off the floor.

Locations

Country	Name	City	State
Turkey	Fatih Söke	Ankara

Sponsors (1)

Lead Sponsor	Collaborator
Gazi University

Country where clinical trial is conducted

Turkey, 

References & Publications (7)

Cameron MH, Nilsagard Y. Balance, gait, and falls in multiple sclerosis. Handb Clin Neurol. 2018;159:237-250. doi: 10.1016/B978-0-444-63916-5.00015-X. Review. — View Citation

Duncan PW, Studenski S, Chandler J, Prescott B. Functional reach: predictive validity in a sample of elderly male veterans. J Gerontol. 1992 May;47(3):M93-8. — View Citation

Duncan PW, Weiner DK, Chandler J, Studenski S. Functional reach: a new clinical measure of balance. J Gerontol. 1990 Nov;45(6):M192-7. — View Citation

Ganesan M, Kanekar N, Aruin AS. Direction-specific impairments of limits of stability in individuals with multiple sclerosis. Ann Phys Rehabil Med. 2015 Jun;58(3):145-50. doi: 10.1016/j.rehab.2015.04.002. Epub 2015 May 8. — View Citation

Katz-Leurer M, Fisher I, Neeb M, Schwartz I, Carmeli E. Reliability and validity of the modified functional reach test at the sub-acute stage post-stroke. Disabil Rehabil. 2009;31(3):243-8. doi: 10.1080/09638280801927830. — View Citation

Lynch SM, Leahy P, Barker SP. Reliability of measurements obtained with a modified functional reach test in subjects with spinal cord injury. Phys Ther. 1998 Feb;78(2):128-33. — View Citation

Martins EF, de Menezes LT, de Sousa PH, de Araujo Barbosa PH, Costa AS. Reliability of the Functional Reach Test and the influence of anthropometric characteristics on test results in subjects with hemiparesis. NeuroRehabilitation. 2012;31(2):161-9. doi: 10.3233/NRE-2012-0786. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Functional Reach Test	Functional Reach Test is clinically used to assess limits of stability.	30 seconds
Secondary	Biodex Balance System	Biodex Balance System is used to assess limits of stability.	2 minutes
Secondary	Berg Balance Scale	Berg Balance Scale is used to assess functional balance. Berg Balance Scale is a 14-item related to daily living activities that is scored between 0 and 4. The maximum score is 56 points and higher scores represent better balance.	10 minutes
Secondary	Four Square Step Test	Four Square Step Test is used to assess dynamic balance.	20 seconds
Secondary	Timed Up and Go Test	Timed Up and Go Test is used to assess functional mobility.	15 seconds