doiSerbia

Subscales correlations between MSSS-88 and PRISM scales in evaluation of spasticity for patients with multiple sclerosis

Knežević Tatjana (University Children’s, Hospital, Belgrade)
Rodić Sindi (Clinic for Rehabilitation, Belgrade)
Foti Calogero (Tor Vergata University, Rome, Italy)
Nikolić-Drulović Jelena (Faculty of Medicine, Belgrade + Clinic of Neurology, Clinical Center of Serbia, Belgrade, Serbia)
Dujmović Irena (Faculty of Medicine, Belgrade + Serbia Clinic of Neurology, Clinical Center of Serbia, Belgrade, Serbia)
Konstantinović Ljubica (Faculty of Medicine, Belgrade + Clinic for Rehabilitation, Belgrade)

Introduction/Objective. Patient-reported outcomes have been recognized as an important way of assessing health and well-being of patients with multiple sclerosis (MS). The aim of the study is to determine the correlation between different subscales of Patient-Reported Impact of Spasticity Measure (PRISM) and Multiple Sclerosis Spasticity Scale (MSSS-88) scales in the estimation of spasticity influence on different domains Methods. The study is a cross-sectional observational study. MSSS-88 and PRISM scales were analyzed in five domains (body-function domain, activity domain, participation domain, personal factors/wellbeing domain, and hypothesis). For statistical interpretation of the correlation we performed the Spearman’s ρ-test, concurrent validity, divergent validity, and the linear regression model. Results. We found a significant correlation between subscales of evaluated MSSS-88 and PRISM scales for body domains; the highest correlation was between the need for assistance/positioning (NA/P) and walking (W). Spasticity has the weakest correlation with the need for intervention (NI). The presence of pain has a negative impact and significant positive correlation between pain discomfort and NI. In the domain of body function for males, there was a non-significant correlation between muscle spasms and NI. The same applies for social functioning and social embarrassment domains, as well as for emotional health and psychological agitation for personal factors / wellbeing domain. The differences between genders of MS patients persist in different domains; muscle spasms are strong predictors for NI, and body movement is a strong predictor versus W for NA/P. Conclusion. MSSS-88 and PRISM scales can be considered reliable in measuring different domains of disability for MS patients with spasticity. Because it is shorter, quicker, and simple to use, it is concluded that the PRISM scale can successfully compete with and replace the MSSS-88 scale in certain domains.

Keywords: multiple sclerosis, spasticity, scales, patient orientid scales