Correlação entre a Visual Gait Assessment Scale, Edinburgh Visual Gait Scale e Escala Observacional da Marcha em crianças com paralisia cerebral diparética espástica

Bella, Geruza Perlato; Rodrigues, Nádia Baggio Barreto; Valenciano, Paola Janeiro; Silva, Luciana M. A. E.; Souza, Regina C. T.

doi:10.1590/s1413-35552012000200009

Cited by 31 publications

(9 citation statements)

References 35 publications

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“…Some of the most common methods are electromyography, which registers the electrical activity of the muscle [9], and 3D systems of motion analysis, which allows reconstruction of the position and orientation of corporal segments in the space [10]. The instrumented gait analysis has been accepted as the Gold Standard for the evaluation of this function, as it provides reliable and accurate information in the three planes movement [3, 11]. However, these new techniques have disadvantages that distance them from the clinical setting [4].…”

Section: Introductionmentioning

confidence: 99%

“…The disadvantages of instrumented gait analysis have led to the development of a variety of observational tools [14]. Visual gait assessment by scales is more viable than instrumented analysis in the clinical setting since it has low cost and does not require specialized equipment or location [11, 13, 15]. It is an available and interesting help, specifically when standardised scales are used, as well as an accurate and reliable tool that issues clinical assessments [16].…”

Section: Introductionmentioning

confidence: 99%

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Observational Gait Assessment Scales in Patients with Walking Disorders: Systematic Review

Ridao-Fernández

Piñero-Pinto

Chamorro-Moriana

2019

BioMed Research International

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Objective To compile and analyze the characteristics and methodological quality of observational gait assessment scales validated to date. Methods PubMed, Scopus, the Cochrane Library, Physiotherapy Evidence Database, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Dialnet, Spanish Medical Index, and Nursing, Physiotherapy, and Podiatry databases were searched up to August 2019. The main inclusion criteria were validated tools based on a conceptual framework developed to evaluate gait, validation design studies of observational scales in their entirety, and articles written in English or Spanish. Evaluators extracted descriptive information of the scales and the metric properties of the studies, which were further analyzed with Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) and COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN checklist). Results Eighteen articles based on 14 scales were included. The populations were neurological patients (72.22%), musculoskeletal disorders (11.11%), and other areas such as vestibular disorders (11.11%). The most addressed items were orthopedic aids (64.29%); phases of the gait cycle and kinematics of the leg and trunk (57.14% each one); and spatial and temporal parameters (50%). All studies analyzed criterion validity, and five included content or structural validity (27.78%). Fifteen articles considered reliability (83.33%). Regarding the seven-item scale QUADAS-2, five studies obtained six results on “low” risk of bias or “low” concerns regarding applicability. Nine articles obtained at least a “fair” result on COSMIN checklist. Conclusions A necessary compilation of the observational gait assessment scales validated to date was conducted. Besides, their characteristics and methodological quality were analyzed. Most scales were applied in neurological signs. The most approached topics were orthopedic aids, phases of the gait cycle, and kinematics of the leg and trunk. The scale that demonstrated a higher methodological quality was Visual Gait Assessment Scale, followed by CHAGS, Salford Gait Tool, and Edinburgh Visual Gait Score.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Observational Gait Assessment Scales in Patients with Walking Disorders: Systematic Review

Ridao-Fernández

Piñero-Pinto

Chamorro-Moriana

2019

BioMed Research International

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“…These include goniometric measurements, video analysis, 3D marker tracking and surface scanning. Some of these methods are supplemented with scales of gait assessment, e.g., by the Edinburgh Visual Gait Scale (EVGS), Visual Gait Assessment Scale (VGAS) and Observational Gait Scale (OGS) [11].…”

Section: Introductionmentioning

confidence: 99%

Monitoring Improvement in Infantile Cerebral Palsy Patients Using the 4DBODY System—A Preliminary Study

Krasowicz

Michoński

Liberadzki

et al. 2020

Sensors

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Monitoring the patient’s condition during rehabilitation is the key to success in this form of treatment. This is especially important in patients with infantile cerebral palsy (ICP). Objective assessment can be achieved through modern optical measurement techniques. The 4DBODY system allows to capture dynamic movement with high accuracy. Eight patients with ICP participated in the study. The group underwent therapy lasting seven days using neurodevelopmental treatment (NDT) and functional training (FT). The patients’ condition was monitored by the 4DBODY system. The measurements were taken three times: before the therapy, after, and then again after one week. We have developed the Trunk Mobility in the Frontal Plane Index (TMFPI) for its assessment. The results were compared with a score obtained using the Gross Motor Function Measure scale (GMFM 88). An improvement of the TMFPI parameter was observed in five patients, inconsistent results in two and deterioration in one. The reference GMFM score was higher in all patients relative to pre-treatment values. We found that surface scanning with the 4DBODY system allows to precisely track body movement in ICP patients. The decrease in the TMFPI parameter reflects the improvement in the dysfunction of body alignment, balance and symmetry of movement on the L and R body side.

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“…Instrumented gait analysis (IGA), providing objective, accurate and highly reliable information in the three planes of movement, has generally been approved as the gold standard for evaluation of walking skills [5][6][7] . However, IGA is based on novel technologies and instruments, and as a result it presents certain disadvantages from the viewpoint of daily clinical practice.…”

mentioning

confidence: 99%

“…In addition to the high economical cost and the resulting insufficient availability of the related tools for medical professionals, IGA is a complex time-consuming process requiring high level of expertise [4][5][6][8][9][10] . Due to the above, observational gait assessment is far more viable and more commonly used in many clinical settings than IGA, because of the low cost, speed and simple procedures involved 5,7,8,[11][12][13] .…”

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confidence: 99%

Inter- and intra-rater reliability of new application software for computerised paediatric version of Wisconsin Gait Scale

Guzik

Wolan-Nieroda

Drużbicki

2023

Sci Rep

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The paediatric version of Wisconsin Gait Scale (WGS) is a reliable tool for gait assessment in children with spastic hemiplegic cerebral palsy (CP). We decided to develop a solution which will make it possible to objectify the descriptive paediatric version of the WGS, and which, consequently, will allow researchers/clinicians to more easily perform accurate assessment of gait patterns in patients. The aim of the study was to assess inter- and intra-rater reliability of new application software for computerised paediatric version of the WGS in children with hemiplegic CP. The study involved 31 children with hemiplegic CP. The app was designed using a model based on thematic categories of the paediatric WGS, and utilising auxiliary lines between specific points on the patient’s body, and taking into account angular values, duration and length of the specific gait phases, in order to enable acquisition of quantitative data corresponding to the components of the WGS. The gait of the study participants was recorded, in series of videos. These provided material for three independent raters who reviewed the recordings twice and assessed the participants’ gait using the app. After the evaluation was completed, the data were retrieved from the software. The new application software for the computerised paediatric WGS presents very good inter- and intra-rater reliability. Intra-class correlation coefficient (ICC) was very high in measurement 1 (ICC > 0.9) and 2 (ICC > 0.8), which reflects a very high degree of agreement between the three examiners; there was also high agreement for the specific examiners, between the two measurements (ICC > 0.9). The observational gait scale, objectified through the new software, and enabling computer-aided use of the paediatric WGS, presents practical advantages for examiners since it facilitates decisions taken in the process of WGS-based assessment in children with spastic hemiplegic CP.

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Correlação entre a Visual Gait Assessment Scale, Edinburgh Visual Gait Scale e Escala Observacional da Marcha em crianças com paralisia cerebral diparética espástica

Abstract: Background: Gait disorders are very common in children with spastic diplegia cerebral palsy (CP). In order to improve the CP children`s

Cited by 31 publications

References 35 publications

Observational Gait Assessment Scales in Patients with Walking Disorders: Systematic Review

Observational Gait Assessment Scales in Patients with Walking Disorders: Systematic Review

Monitoring Improvement in Infantile Cerebral Palsy Patients Using the 4DBODY System—A Preliminary Study

Inter- and intra-rater reliability of new application software for computerised paediatric version of Wisconsin Gait Scale

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