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Comparison of trunk impairment scale versions 1.0 and 2.0 in people with multiple sclerosis: A validation study
Örebro University, School of Health Sciences. Örebro University Hospital. (Health Care Management)ORCID iD: 0000-0002-9760-3785
Örebro University, School of Medical Sciences. Department of Physiotherapy, Faculty of Medicine and Health , Örebro University , Örebro , Sweden.
NeuroRehab, Nyköping Hospital, Nyköping, Sweden.
NeuroRehab, Nyköping Hospital, Nyköping, Sweden.
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2017 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040, Vol. 33, no 10, p. 772-779Article in journal (Refereed) Published
Abstract [en]

Background: Trunk control impairment often accompanies multiple sclerosis (MS). Trunk stability is necessary for movements of extremities, as are selective trunk movements for normal gait. Measuring trunk function is thus of interest.

Methods: We examined the relationships between the Trunk Impairment Scale (TIS1.0 and TIS2.0) and the Berg Balance Scale (BBS), 5 sit-to-stand test (5STS), Timed Up and Go test (TUG), 10-m timed walk test (10TW), 2-min walk test (2MWT), Falls Efficacy Scale - International, and 12-item MS Walking Scale (MSWS-12) in 47 outpatients. We determined construct validity by calculating the degree to which the TIS versions produced different scores between known groups: use or nonuse of walking aid, MS disability status, and whether participants experienced a fall or not during 14 weeks.

Results: TIS correlated moderately with BBS and 5STS; moderately (TIS1.0) or weakly (TIS2.0) with TUG, 10TW, and 2MWT; and weakly to moderately with MSWS-12 in subgroups with Expanded Disability Status Scale (EDSS) > 6.0. No other clear correlation patterns were found. TIS did not discriminate between known groups.

Conclusions: TIS1.0 is recommended for individuals with MS (EDSS score 4.0-7.5). Better trunk function correlates with better balance and walking ability. TIS has limited value in fall risk screening.

Place, publisher, year, edition, pages
Taylor & Francis, 2017. Vol. 33, no 10, p. 772-779
Keywords [en]
Multiple sclerosis, postural balance, torso, validity
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:oru:diva-60733DOI: 10.1080/09593985.2017.1346025ISI: 000407975000004PubMedID: 28715271Scopus ID: 2-s2.0-85024405409OAI: oai:DiVA.org:oru-60733DiVA, id: diva2:1140070
Note

Funding Agencies:

Uppsala-Örebro Regional Research Council  467731 

Örebro County Research Committee  456981 

Norrbacka-Eugenia Foundation  812/14 

Neuro Sweden 

Available from: 2017-09-11 Created: 2017-09-11 Last updated: 2018-08-06Bibliographically approved

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Nilsagård, YlvaCarling, AnnaForsberg, Anette

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