Validation of the "Six Step Spot Test" for gait among patients with multiple sclerosis in Brazil

Arquivos de Neuro-Psiquiatria

Karina Pavan¹  Charles Peter Tilbery¹  Sergio Lianza¹  Bruna Eriko Matsuda Marangoni¹ 

[1] ,Santa Casa Sisters of Mercy Hospital of São Paulo Department of Neurology São Paulo SP ,Brazil

关键词: gait;    multiple sclerosis;    disability evaluation;    validation studies;    reproducibility of results;    marcha;    esclerose múltipla;    avaliação da deficiência;    estudos de validação;    reprodutibilidade dos testes;   

DOI  :  10.1590/S0004-282X2010000200009

来源: SciELO

【 摘 要 】

The clinical manifestations of multiple sclerosis (MS) are variable among patients, and the course of disease is not linear. Different symptoms are presented, with gradual accumulation of disability. These variations are difficult to quantify in clinical practice, and several studies have attempted to create instruments capable of measuring these disabilities. The Six Step Spot Test (SSST) was developed for quantitative evaluation of the lower limbs (LL) over time. Performance in this test reflects the complexity of sensory-motor function, including LL strength, spasticity, coordination and balance, going beyond vision and cognition. The aim of the present study was to validate the SSST in a population of MS patients in Brazil. This prospective study included 75 patients with MS, with EDSS 0 to 6.5 in the study group. Ninety-one healthy subjects were randomly selected for the control group. The results showed that the groups were similar, and that the SSST is a reliable and reproducible test. According to the statistical analysis on the data in this study, the SSST is a valid, reliable and reproducible tool for use in the Brazilian MS patient population.

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