Selecting Rehabilitation Outcome Measures: Applying the Findings of the Apta Msedge Task Force
Objectives: The purpose of this presentation is to illustrate use of the MSTF recommendations to select appropriate OMs for a patient with MS.
Methods: The patient was a 43-year-old man with a 10-year history of relapsing-remitting MS who recently had an exacerbation leading to increased difficulty walking and increased fatigue. The patient’s goal was to return to work as a computer programmer. Based on the case history, three health-related constructs were deemed most important for this patient: upper extremity (UE) function, fatigue, and gait. Using the recommendations of the MSTF, several candidate OMs were identified for each of the three constructs (seven for UE function; fourteen for fatigue; and nine for gait). A systematic decision-making process was used to evaluate the appropriateness of each OM, and determine the most appropriate for each construct.
Results: The systematic decision-making process led the team to select the following OMs: 9-Hole Peg Test for UE function, Modified Fatigue Impact Scale for fatigue, and two OMs for gait: the 12-Item MS Walking Scale (a self-report OM) and the Timed 25-foot Walk Test (a performance-based test).
Conclusions: Utilizing the recommendations established by the MSTF facilitated selection of OMs that pertained to the health-related constructs of interest, were clinically feasible, and had psychometric data relevant to individuals with MS.