Multiple Sclerosis Functional Composite
Visit Info
text
Patient ID (derived)
MSFC+ Quest.: add. quarterly inf. consent yes/no
MSFC+ Quest.: add. semiannual inf. consent yes/no
MSFC + Questionnaires: Date
date
MSFC + Questionnaires: Date Status
Timed 25-Foot Walk: AFO yes/no
Timed 25-Foot Walk: assistive device yes/no
Timed 25-Foot Walk: Unilateral Ass.
Timed 25-Foot Walk: Unilateral Ass. (Category)
Timed 25-Foot Walk: Bilateral Ass.
Timed 25-Foot Walk: Bilateral Ass. (Category)
Timed 25-Foot Walk: Time (sec) Trial 1
float
Timed 25-Foot Walk: not completed Trial 1
Timed 25-Foot Walk: Time (sec) Trial 2
Timed 25-Foot Walk: not completed Trial 2
9-Hole Peg Test: dominant hand
9-Hole Peg Test: Time (sec) dom. Trial 1
9-Hole Peg Test: not completed dom. Trial 1
9-Hole Peg Test: Time (sec) non-dom. Trial 1
9-Hole Peg Test: not completed non-dom. Trial 1
9-Hole Peg Test: Time (sec) dom. Trial 2
9-Hole Peg Test: not completed dom. Trial 2
9-Hole Peg Test: Time (sec) non-dom. Trial 2
9-Hole Peg Test: not completed non-dom. Trial 2
PASAT Form used
PASAT3: Total correct
integer
PASAT3: not completed
PASAT2: Total correct
PASAT2: not completed
Comment MSFC