NCT03209960

Validity and Inter-Rater Reliability of a Novel Bedside Referral Tool for Spasticity

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 60 (actual)
• Sponsor: Vanderbilt University Medical Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

The purpose of this study is to improve spasticity diagnosis through development of a simple physical examination guide for primary care providers to identify patients who would benefit from being referred to a movement disorders neurologist for a spasticity evaluation.

Detailed description

The aim of this study is to improve spasticity (a form of muscle rigidity) diagnosis through development of a simple physical examination guide for primary care providers/clinicians. This guide will assist in the identification of patients who would benefit from being referred to a movement disorders neurologist for spasticity evaluation and subsequent treatment. The examination tool will be tested for bedside implementation in all consenting participants residing in Tennessee State Veteran's Home, which is a long-term care facility in Murfreesboro, TN. Each of the 140 residents will receive one neurological examination and two physical examinations guided by the referral tool. A medical record review will also be performed.

Conditions

• Spasticity, Muscle
• Muscular Diseases
• Musculoskeletal Disease
• Muscle Hypertonia
• Muscle Spasticity
• Neuromuscular Manifestations
• Signs and Symptoms
• Nervous System Diseases
• Neurologic Manifestations

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	Bedside Referral Tool	Two Vanderbilt primary care providers (a nurse practitioner and a primary care physician) will examine all consented residents. Each primary care provider will perform elements of a physical exam guided by the bedside referral tool to determine if a referral to a movement disorders neurologist is required for a spasticity consultation.
OTHER	Neurological Examination	The subject will undergo elements of the neurological examination during which the movement disorders neurologist will look specifically for the presence of spasticity. If spasticity is found to be present during the examination, the neurologist will rate the severity of the spasticity in all affected limbs and record whether they would recommend treatment for spasticity, and if so, which treatment(s) they believe would be beneficial for the subject.

Timeline

• Start date: 2018-01-30
• Primary completion: 2018-08-01
• Completion: 2018-08-01
• First posted: 2017-07-06
• Last updated: 2018-10-09

Locations

1 site across 1 country: United States