Condition | Established disability measure | MCID |
Chronic inflammatory demyelinating polyneuropathy | MRC sum score*58 | ±2 points |
CIDP-RODS†59 60 | ±4 points (logit scale) | |
Vigorimeter (kPa)‡61 | ±8 kPa | |
10 m timed walk (s)62 | ±28% change | |
ONLS60 63 | ||
Other neuropathy /neuromyotonia | INCAT†64 | ±1 point |
Berg balance scale†62 | ±8 points | |
ABC balance score†65 | <50%: low function | |
Tremor scale†66 | ||
Myotonia behaviour scale†67 | ||
Multifocal motor neuropathy | MRC sum score*58 | ±2 points |
Vigorimeter (kPa)‡61 | ±8 kPa | |
MMN-RODS†68 | ±4 points (logit scale) | |
ONLS60 63 | ||
Inflammatory myopathy | MRC sum score*58 | ±2 points |
Timed up and go 3 m walk (s)69 | ||
CK | ±30% change | |
HAQ Score†57 | ±15% change | |
Physician global activity assessment70 | ±20% change | |
Patient/parent global activity assessment70 | ±20% change | |
Manual muscle testing71 | ±15% change | |
MDAAT72 | ||
Myasthenia gravis | MG composite†73 | |
MG-ADL Score74 | ±3 points | |
Respiratory function, for example, forced vital capacity | ±10% change |
*At our centre, measurement of first dorsal interosseous is added to the standard six pairs of muscle groups, to better reflect the pattern of weakness in neuropathy.
†Validated.
‡Responsive.
ABC, activities-specific balance confidence; CIDP, chronic inflammatory demyelinating polyneuropathy; CK, creatine kinase; HAQ, health assessment questionnaire; INCAT, inflammatory neuropathy cause and treatment; MCID, minimal clinical indication of change; MDAAT, myositis disease activity assessment tool; MG, myasthenia gravis; MG-ADL, myasthenia gravis activities of daily living; MMN, multifocal motor neuropathy; MRC, Medical Research Council; ONLS, overall neuropathy limitations scale; RODS, rasch-built overall disability scale.