Form Structure: Computerized Dynamic Posturography Adaptation Test

Short Name:
CDPADT
Description:
CDP is comprised of a Sensory Organization Test (SOT), Motor Control Test (MCT), and an Adaptation Test (ADT).The Adaptation Test (ADT) assesses the patientÂ’s ability to modify motor reactions and minimize sway when the support moves unpredictably in the toes-up or toes-down direction. For each platform rotation, a sway energy score quantifies the magnitude of the force response required to overcome induced postural instability.
Disease:
Traumatic Brain Injury , General (For all diseases)
Organization:
NIH/CIT/BRICS
Required Program Form:
No
Standardization:
Standard
Version:
1.0
Date Created:
2017-02-06
Created By:
Number of Data Elements:
20
eForms:
N

Attached Data Elements

# Title Short Description Variable Name Required? Type
1 GUID   Global Unique ID which uniquely identifies a subject GUID Required CDE
2 Subject identifier number   An identification number assigned to the participant/subject within a given protocol or a study. SubjectIDNum Optional CDE
3 Age in years   Value for participant's subject age recorded in years. AgeYrs Recommended CDE
4 Vital status   Status of participant/subject as alive or dead VitStatus Optional CDE
5 Visit date   Actual interview or visit date VisitDate Recommended CDE
6 Site name   The name of the site for the study SiteName Recommended CDE
7 Days since baseline   The number of days since baseline DaysSinceBaseline Optional CDE
8 Case control indicator   Indicator of whether subject is in the case or control arm of the study. CaseContrlInd Optional CDE
9 General notes text   General notes GeneralNotesTxt Optional CDE

Additional Element Groups

Listed below are your additional element groups.

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Form Administration (Appears Up To 1 Time)

# Title Short Description Variable Name Required? Type
1 Language form administration ISO code  Code (ISO 639-2) for the language that was used for CRF/instrument/scale/etc. administration LangCRFAdministratISOCode Recommended CDE
2 Language form administration ISO code other text  The free-text field related to 'Language used for CRF/instrument/scale/etc. administration ISO code' specifying other text. LangCRFAdministratISOCodeOTH Recommended CDE
3 Context type  The context to which the questions were answered ContextType Recommended CDE
4 Context type other text  The free-text related to ContextType specifying other text ContextTypeOTH Recommended CDE
5 Data source  Source of the data provided on the case report form DataSource Recommended CDE
6 Data source other text  The free-text field related to Data source specifying other text. Source of the data provided on the case report form DataSourceOTH Recommended CDE

CDP ADT (Appears Up To 5 Times)

# Title Short Description Variable Name Required? Type
1 Trial number (numeric)  The number representing the sequence for any repeated measure test or assessment when it is performed multiple times. TrialNumber Recommended CDE
2 Computerized Dynamic Posturography-Adaptation test rotation type 

(Draft)

 		Rotation type, as part of adaptation test of Computerized Dynamic Posturography CDPADTRotationTyp Recommended UDE
3 Computerized Dynamic Posturography-Adaptation test response time duration 

(Draft)

 		Response time duration, as part of adaptation test of Computerized Dynamic Posturography CDPADTResponseTimeDur Recommended UDE
4 Computerized Dynamic Posturography-Adaptation test sway energy value 

(Draft)

 		Sway energy level value, as part of adaptation test of Computerized Dynamic Posturography CDPADTSwayEnergyVal Recommended UDE
5 Computerized Dynamic Posturography-Adaptation test force value 

(Draft)

 		Force value, as part of adaptation test of Computerized Dynamic Posturography CDPADTForceVal Recommended UDE