Validity and Reliability of the Modified Four Square Step Test in Multiple Sclerosis Patients
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|ClinicalTrials.gov Identifier: NCT05182398|
Recruitment Status : Not yet recruiting
First Posted : January 10, 2022
Last Update Posted : April 19, 2022
Balance disorder is common in people with MS. As the disease worsens, it is associated with impaired balance, difficulty walking, decreased mobility, and an increased risk of falling. Given the prevalence and clinical significance of balance dysfunction in individuals with MS, the assessment of balance has become an important focus in MS clinical practice and research. The Four Square Step Test is a standard clinical measure used to assess dynamic standing balance. It is a timed test in which the individual is instructed to step rapidly forward, backward, and to the right and left over a low obstacle (a cane). The test assesses the ability to quickly change direction of movement and is a timed test involving the use of assistive devices.
In the modified four-square stepping test, the floor is divided into four equal squares with tape instead of a cane. Performing the test with tape, instead of patients at risk of being stuck with a cane, will ensure its applicability to a wider patient population.
The aim of the study is to examine the validity and reliability of the modified four-frame stepping test in MS patients.
|Condition or disease||Intervention/treatment|
|Multiple Sclerosis||Other: Assesment|
|Study Type :||Observational [Patient Registry]|
|Estimated Enrollment :||50 participants|
|Target Follow-Up Duration:||1 Day|
|Official Title:||Investigation of Validity and Reliability of the Modified Four Square Step Test in Multiple Sclerosis Patients|
|Estimated Study Start Date :||May 15, 2022|
|Estimated Primary Completion Date :||July 15, 2022|
|Estimated Study Completion Date :||August 15, 2022|
Multiple sclerosis patient
First day, first evaluator will perform all tests, and second day, second evaluator will perform Modified Four Square Step Test.
Modified Four Square Step Test, Berg Balance Scale, Dynamic Gait Index ,Activity-Specific Balance Confidence Scale
- Modified Four Square Step Test [ Time Frame: First day ]The square drawn on the floor is divided by tape into 4 equal parts. The number 1 is written in the lower right corner, and the number 4 is written clockwise. With the start command, individuals are asked to step on the numbers in order. First of all, he is asked to take a step forward (to the number 1 and 2), then to the left (to the number 3), then to the back (to the number 4). Then he is asked to take steps from 4 to 1 again. Time is saved
- Modified Four Square Step Test [ Time Frame: second day ]The square drawn on the floor is divided by tape into 4 equal parts. The number 1 is written in the lower right corner, and the number 4 is written clockwise. With the start command, individuals are asked to step on the numbers in order. First of all, he is asked to take a step forward (to the number 1 and 2), then to the left (to the number 3), then to the back (to the number 4). Then he is asked to take steps from 4 to 1 again. Time is saved
- Berg Balance scale [ Time Frame: First day ]It is a 14-item scale that measures the ability to maintain balance while performing functional tasks. Each item is scored between 0 and 4. Balance is considered good if the total score is 45 and above.
- Dynamic Gait Index [ Time Frame: First day ]It consists of 8 walking activities: normal walking, fast-slow walking, walking with horizontal and vertical head movements, walking by jumping from the disabled floor and walking around the obstacle, and turning 360 degrees abruptly on command, going up and down the stairs. During these 8 activities, the patient's performance is scored between 0-3 (0=severe, 3=normal) and the total score is recorded.
- Activity-Specific Balance Confidence Scale [ Time Frame: First day ]It is a scale that evaluates how confidently people can do 16 activities outside and inside the home. Activities are scored between 0 (unsafe) and 100 (completely confident). A score is obtained by dividing the total score by 16. A higher score indicates greater confidence.
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05182398
|Contact: Zekiye İpek KATIRCI KIRMACI||+90 544 261 82 email@example.com|
|Principal Investigator:||Zekiye İpek Katırcı Kırmacı||Kahramanmaraş Sütçü İmam University|