
A two-trial stopwatch that averages the times, works out walking speed and compares with an earlier test.
The T25-FW is the walking test in the Multiple Sclerosis Functional Composite. The person walks a clearly marked 25-foot course as quickly as possible but safely, twice. The score is the average of the two times. This page is built for physical therapists and trained staff. It takes about 5 minutes and needs a measured 25-foot (7.62-meter) path.
Stand close enough to help if needed, keep the path clear and stop if the person feels dizzy, unsteady or has pain. Let them use their usual assistive device.
This is a measurement, not a diagnosis. The T25-FW shows how fast someone walks a short distance. It can’t tell you why walking is slow or what treatment is needed. Only a licensed health care provider who examines the person can do that.
Lower is better. The T25-FW is most useful for tracking the same person over time with the same course, instructions and device. In multiple sclerosis, a 20% or greater increase in time from an earlier test is commonly treated as clinically meaningful (Kaufman et al., 2000). For reference, one study found a median of 3.7 seconds in healthy volunteers and 4.4 seconds in people with MS (Phan-Ba et al., 2011, as listed by the Shirley Ryan AbilityLab).
Sources. National Multiple Sclerosis Society, Timed 25-Foot Walk (T25-FW), and the Multiple Sclerosis Functional Composite administration manual (Fischer et al.). Shirley Ryan AbilityLab, Rehabilitation Measures Database: Timed 25-Foot Walk. Kaufman M, et al. The significant change for the Timed 25-foot Walk in the multiple sclerosis functional composite. Mult Scler. 2000;6(4):286-290. Phan-Ba R, et al. Neurorehabil Neural Repair. 2011;25(7):672-679. Holsman Physical Therapy is not affiliated with these organizations, and they do not endorse this website.
Next step: Bring this printout to your next visit, or attach it to your referral. Holsman physical therapists treat walking, balance and endurance problems at 17 clinics in North Jersey, the Bronx and Brooklyn, plus in-home visits. Request an appointment or call 1-855-465-7626. No referral needed to start with most plans; we verify your insurance free.
The Timed 25-Foot Walk (T25-FW) measures how long it takes to walk a marked 25-foot course as quickly as possible but safely. It is the walking part of the Multiple Sclerosis Functional Composite (MSFC) and is used to track walking and leg function, most often in multiple sclerosis.
The person walks the 25 feet twice, back to back. The score is the average of the two trial times in seconds. Lower times mean faster walking.
In multiple sclerosis, a slowing of 20% or more from an earlier T25-FW is commonly treated as a real, clinically meaningful change (Kaufman et al., 2000). This tool shows the percent change if you enter a prior average.
Yes. The person may use their usual cane, walker or brace. Record the device so later tests use the same one.
No. Everything runs in your web browser. Nothing is sent to us or stored.
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