EXAM AND OUTCOME MEASURE MS

Question 1

Common activity limitations outcome measures MS

Answer 1

T25FW
6MWT/2MWT
TUG -
–cognitive correlates with EDSS, ABC, TUG vs cog: 31% is an important change
9HPT - UE function; part of MS functional composite
MiniBest - anticipatory, sensory orientation, reactive postural control, dynamic gait
CTSIB/SOT- SOT is responsive to change following vestibular rehabilitation

Question 2

Common participation restrictions outcome measures MS

Answer 2

PATIENT REPORTED: MSWS-12- higher score means greater impairment, clinically meaningful change: 5 points
DHI - dizziness handicap inventory: 100= complete disability due to dizziness; good responsiveness to vestibular rehab; MDC: 22.5
MFIS - modified fatigue impact scale - rate impact on phys, cog, and psychosocial subscales (0-84) OR abbreviated measure with 5 items
Steps/PA- step count can aid in fall risk detection when combined with MSWS-12

Question 3

T25FW

Answer 3

GAIT SPEED TEST

> 6 seconds correlates with occupational changes
8 seconds correlates with medicare disability, dependence with ADLs

Question 4

6MWT correlates with

Answer 4

EDSS and 2MWT

mild: 603 m
moderate: 507 m
severe: 389 m

MCID: 21.6 M or 20% change

Question 5

CONTENTS OF MS functional composite

Answer 5

T25FW, 9HPT, PASAT - paced auditory serial additional test (cognition test)

Question 6

What is the cut-off for fall risk on the MiniBEST and MDC?

Answer 6

16/28 (in older adults)

MDC: 3.5-4.7

Question 7

What is a goal for steps/day that a person with MS can be given with the use of an accelerometer?

Answer 7

3279 steps/day= fully ambulatory

EDSS < 4

Question 8

Step count measured by an accelerometer can aid in fall risk detection when combined with:

Answer 8

MSWS-12

Question 9

Average steps in a day for ppl with MS:

Answer 9

5702