37 Protocol: gait-adaptability training in people with HSP Figure 2. Overview of the C-Mill training Demographic and clinical assessments The demographic and clinical assessments are collected during the first assessment in the movement laboratory. The demographic characteristics consist of age; sex; height; weight; presence (or absence) of a genetic diagnosis and inheritance pattern; disease duration (i.e. the number of years since symptom onset); regular use of medication, orthopedic shoes or orthotic devices, or other walking aids; presence and severity of visual deficits; and number of falls in the preceding year. Clinical assessments consist of the Spastic Paraplegia Rating Scale (SPRS) to determine disease severity.19 Bilateral muscle strength is scored with the Medical Research Council (MRC) scale for hip adduction, abduction, flexion and extension; knee flexion and extension; and ankle plantar and dorsiflexion.4, 20, 21 Bilateral muscle tonus is scored with the Modified Ashworth Scale (MAS) for the hip adductors 3
RkJQdWJsaXNoZXIy MjY0ODMw