Walking adaptability and foot tapping measurements in people with multiple sclerosis

Measurement Properties of the Walking Adaptability Ladder Test and Foot Tap Test in People With Multiple Sclerosis With Mild Disability

Observational Hasselt University · NCT07505355

This test compares the Walking Adaptability Ladder Test and Foot Tap Test in people with mild multiple sclerosis and matched healthy adults to see if they reliably detect subtle walking and motor changes.

Quick facts

Study typeObservational
Enrollment100 (estimated)
Ages18 Years to 65 Years
SexAll
SponsorHasselt University Academic / other
Locations4 sites (Diepenbeek and 3 other locations)
Trial IDNCT07505355 on ClinicalTrials.gov

What this trial studies

This observational study will recruit 50 people with multiple sclerosis (EDSS 0–3.5) and 50 age- and sex-matched healthy controls across Spain, Italy, and Belgium to examine measurement properties of the Walking Adaptability Ladder Test (WALT) and Foot Tap Test (FTT). In Spain, WALT, FTT, balance, and gait-specific measures will be repeated one week apart to estimate test–retest reliability, while validation analyses will combine single-time-point measures from collaborating centers. Objective recordings will include inertial measurement units alongside clinical tests such as the Timed 25-Foot Walk, 6-Minute Walk, and Mini-BESTest, plus the Symbol Digit Modalities Test for processing speed. Patient-reported outcomes on walking limitations, fatigue, balance confidence, and falls will be collected to relate test performance to everyday function.

Who should consider this trial

Good fit: Ideal candidates are adults with a confirmed MS diagnosis, EDSS 0–3.5, relapse-free for at least 30 days, and without other neurological, orthopedic, or visual problems that affect gait.

Not a fit: People with higher disability (EDSS >3.5), recent relapses, significant cognitive impairment, or other conditions affecting gait are unlikely to benefit from these specific measurement results.

Why it matters

Potential benefit: If successful, these measures could give clinicians more sensitive tools to spot early mobility decline and tailor interventions sooner.

How similar studies have performed: Gait adaptability and tapping tests have shown promise in other neurological populations, but applying the WALT specifically in multiple sclerosis remains relatively novel and not yet widely validated.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria:

* confirmed diagnosis of definite MS,
* relapse free at least 30 days,
* Expanded Disability Status Scale (EDSS) score between 0 and 3.5

Exclusion Criteria:

* diagnosed with neurological disease other than MS
* cognitive decline that renders the patient incapable of performing tests and questionnaires.
* other neurological, orthopedic, or visual impairments affecting gait

Where this trial is running

Diepenbeek and 3 other locations

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Multiple SclerosisHealthy Controls Group - Age and Sex-matchedmultiple sclerosiswalkingtappingmotor functionwalking adaptabilityfalls
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.