Physical Therapy Clinical Trial
Official title:
An Investigation of Upper Extremity Function in Patients With Multiple Sclerosis, and Its Relation With Shoulder Position Sense and Disability Level
NCT number | NCT03846336 |
Other study ID # | 25 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | June 1, 2018 |
Est. completion date | September 1, 2018 |
Verified date | February 2019 |
Source | Ankara Yildirim Beyazit University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purposes of this study is to investigate the relationship between upper extremity muscle
function and shoulder position sense in patients with Multiple Sclerosis (MS) and which best
projects the disability status.
Upper extremity dysfunction is considered to be the main cause of the loss performance of
activities of daily living and this problem was include all motor and somatosensory
components of function. Any failure in each of these components will likely create an
impairment in the normal function.
One of the most important components of the somatosensory system is joint position sense, a
sub-modality of proprioception. Position sense disorders are seen from the early stages of
the disease and upper extremity function problems is experienced depending on position sense
disorders in patients with MS.
Expanded Disability Status Scale (EDSS) is one of the most commonly outcome measures in
evaluating the level of disability in MS population. Because EDSS scale emphasis on
ambulation, so it is insensitive to upper extremity function. But the ability to use walking
aids (e.g., canes, walkers, wheelchairs, etc.) may be affected by the UE impairment so
shoulder position sense.
When literature is examined, there is no study which examines the relationship between upper
extremity muscle function and shoulder position sense in patients with Multiple Sclerosis and
which best projects the disability status. For all these reasons, we think that shoulder
position sense is changed both dominant and non-dominant side during flexion and abduction
movements in mild-moderate MS patients and that these deficits are correlated with upper
extremity function and disability level.
Status | Completed |
Enrollment | 41 |
Est. completion date | September 1, 2018 |
Est. primary completion date | July 1, 2018 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 60 Years |
Eligibility |
Inclusion Criteria: - Clinical diagnosis of Multiple Sclerosis Disease - The level of disability should be between 0.5-4 according to EDSS Exclusion Criteria: - Patients with acute attacks (three months prior to the study) - Mini-Mental State Examination (MMSE) score of less tahn 25 points - History of shoulder injury, surgery, medical problems or other neurological disorders in any of the participants |
Country | Name | City | State |
---|---|---|---|
Turkey | Ankara Yildirim Beyazit University, Faculty of Health Sciences,Department of Physiotherapy and Rehabilitation | Ankara | Esenboga |
Lead Sponsor | Collaborator |
---|---|
Ankara Yildirim Beyazit University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Upper extremity function | Upper extremity function was evaluated with the 9-Hole Peg Test (9-HPT). It consists of moving nine pegs into one of the nine holes on a peg board, then back into an open box. A stopwatch was used for the measurements and the scores were recorded in seconds (s). | 1 month | |
Secondary | Shoulder position sense | Shoulder position sense was evaluated with a Dualer IQTM digital inclinometer (J-TECH medical, Salt Lake City, UT, USA).The absolute error scores (in degrees) for shoulder abduction and flexion at 30° and 60° was calculated. The difference between the target angle and the observed angle was calculated and the absolute error score was recorded by taking the average of 3 trials. | 1 month |
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