Capability of 2 Gait Measures for Detecting Response to Gait Training in Stroke Survivors: Gait Assessment and Intervention Tool and the Tinetti Gait Scale

Zimbelman, Janice L.; Daly, Janis J.; Roenigk, Kristen; Butler, Kristi; Burdsall, Richard; Holcomb, John P.

doi:10.1016/j.apmr.2011.08.011

Cited by 20 publications

(22 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The time required to complete the outcome measure is a consideration in the selection of an instrument to document walking kinematics after a stroke. Ferrarello and colleagues suggest that the Gait Assessment and Intervention Tool (GAIT) might be a better alternative to the WGS based on the total number of items included in the instrument and the research conducted to date demonstrating its reliability and responsiveness [ 31 , 48 , 49 ]. In examining the literature and considering issues affecting clinical utility, such as the amount of time required to complete the outcome measure, the WGS has fewer items, while demonstrating similar interrater reliability as the GAIT scale (ICC = 0.83) [ 48 ].…”

Section: Discussionmentioning

confidence: 99%

Interrater and intrarater reliability and minimal detectable change of the Wisconsin Gait Scale when used to examine videotaped gait in individuals post-stroke

et al. 2015

View full text Add to dashboard Cite

BackgroundOften, interventions targeting the kinematic and temporal and spatial changes in gait commonly seen after a stroke are based on observations of walking. Having the capacity to objectively identify such changes and track improvements over time using reliable and valid measures is important. The Wisconsin Gait Scale (WGS), which is comprised of 14 items, was developed specifically to examine and document gait changes occurring after a stroke. The purpose of the study was to explore the interrater and intrarater reliability and minimal detectable change (MDC) of the WGS when used by physical therapists to examine gait in adults post-stroke.MethodsFourteen physical therapists from 3 different acute inpatient rehabilitation centers rated videotapes of the gait of 6 adults post-stroke using the WGS. To minimize subject variability from fatigue, videotapes created by using 4 cameras provided right and left lateral, anterior, and posterior views of walking on a level surface. One complete ambulation trial from each subject post-stroke, which included 4 views of the same ambulation trial, was examined by the licensed physical therapists using the WGS. An opportunity was provided to review the tool and a practice trial was performed using an additional videotape not included in the analysis. Gait was examined on 2 different occasions separated by a period of approximately 21 days to minimize the effects of recall bias. Intraclass Correlation Coefficients (ICC) were used to examine the interrater and intrarater reliability of the WGS.ResultsInterrater (ICC = 0.83) and intrarater (ICC = 0.91) reliability were both good. The standard error of the measurement (SEM) was 1.47 and the MDC95 was 4.24. There was no statistically significant difference between the scores on the WGS when comparing the 2 different sessions.ConclusionsThe WGS shows promise as an instrument that can make observational gait analysis more reliable. High intrarater reliability and low SEM suggests that the WGS is stable when administered across multiple sessions by the same rater. The ICC for interrater reliability was also good, which suggests that multiple examiners can effectively use the instrument. With minimal training, the physical therapists in the study were able to produce highly reliable results using the WGS to objectively document gait dysfunction.

show abstract

Section: Discussionmentioning

confidence: 99%

Interrater and intrarater reliability and minimal detectable change of the Wisconsin Gait Scale when used to examine videotaped gait in individuals post-stroke

et al. 2015

View full text Add to dashboard Cite

show abstract

“…- Published evidence : A comprehensive and critical literature review was carried out to identify the variables of interest and to guide the selection of item format and characteristics as well as the creation of the scoring model. The chosen scales were Tinetti Scale[ 5 ], Clinical Gait and Balance Scale[ 1 ], Dynamic Parkinson Gait Scale[ 9 ], Coding of eight criteria of qualitative gait analysis or “Codification des huit critères d´analyse qualitative de la marche” by Viel (Viel Coding)[ 28 ], Rivermead Visual Gait Assessment form[ 29 ] and Shaw Gait Assessment Tool[ 30 ]. The items extracted were: step symmetry, step length, step duration, step continuity and rhythmicity, trunk deviations, synchrony between arms and legs, attitude during gait, gait variability and walking while performing a cognitive dual-task.…”

Section: Methodsmentioning

confidence: 99%

“…Systems based on observational analysis have become an interesting option due to their ease-of-use and low cost. Besides, they are feasible for daily practice[ 3 , 4 ] as well as in the research field[ 5 ]. Thus, scales and questionnaires are frequently used effectively among health professionals to describe gait alterations and their evolution during re-education[ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Currently, the existing specific functional gait measures are aimed at patients with neurological, geriatric and cardiovascular diseases. Amongst these tools are: Tinetti Scale to assess gait and balance[ 5 ] which contains adaptations for neurological patients and elderly people; Gait and balance[ 1 ] and Parkinson Dynamic Gait Scale[ 9 ], amongst others, intended for Parkinson patients[ 10 ]; Wisconsin Gait Scale useful in hemiplegia[ 11 ]; Observational Gait Scale for children with cerebral palsy[ 3 ]; Ten-Meter Walk Test, used in strokes and other neurological disorders[ 12 ]; or Six-Minute Walk Test[ 13 ], designed for patients with cardiovascular diseases. However, there are many patients who do not have these pathologies, yet require assessment for abnormal gait over a long time due to a lower limb musculoskeletal injury[ 14 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Reliability and Validity Study of the Chamorro Assisted Gait Scale for People with Sprained Ankles, Walking with Forearm Crutches

et al. 2016

View full text Add to dashboard Cite

ObjectiveThe aim of this study was to design and validate a functional assessment scale for assisted gait with forearm crutches (Chamorro Assisted Gait Scale—CHAGS) and to assess its reliability in people with sprained ankles.DesignThirty subjects who suffered from sprained ankle (anterior talofibular ligament first and second degree) were included in the study. A modified Delphi technique was used to obtain the content validity. The selected items were: pelvic and scapular girdle dissociation(1), deviation of Center of Gravity(2), crutch inclination(3), steps rhythm(4), symmetry of step length(5), cross support(6), simultaneous support of foot and crutch(7), forearm off(8), facing forward(9) and fluency(10). Two raters twice visualized the gait of the sample subjects which were recorded. The criterion-related validity was determined by correlation between CHAGS and Coding of eight criteria of qualitative gait analysis (Viel Coding). Internal consistency and inter and intra-rater reliability were also tested.ResultsCHAGS obtained a high and negative correlation with Viel Coding. We obtained a good internal consistency and the intra-class correlation coefficients oscillated between 0.97 and 0.99, while the minimal detectable changes were acceptable.ConclusionCHAGS scale is a valid and reliable tool for assessing assisted gait with crutches in people with sprained ankles to perform partial relief of lower limbs.

show abstract

“…This is a normal reflex also seen in humans. For instance, measurement of track width is included in the Tinetti Gait Scale, used to assess gait of patients after stroke, and is described as a compensatory strategy for balance deficits [10]. The increase in track width cannot be attributed to perfusion problems in the hind paws, since no atherosclerosis was observed in the femoral arteries.…”

Section: Discussionmentioning

confidence: 99%

Impaired gait pattern as a sensitive tool to assess hypoxic brain damage in a novel mouse model of atherosclerotic plaque rupture

Roth

Dam

Donckt

et al. 2015

Physiology & Behavior

View full text Add to dashboard Cite

Capability of 2 Gait Measures for Detecting Response to Gait Training in Stroke Survivors: Gait Assessment and Intervention Tool and the Tinetti Gait Scale

Abstract: The G.A.I.T. is more sensitive than the TGS for individual patients and group treatment response in identifying recovery of volitional control of gait components in response to gait training.

Cited by 20 publications

References 29 publications

Interrater and intrarater reliability and minimal detectable change of the Wisconsin Gait Scale when used to examine videotaped gait in individuals post-stroke

Interrater and intrarater reliability and minimal detectable change of the Wisconsin Gait Scale when used to examine videotaped gait in individuals post-stroke

Reliability and Validity Study of the Chamorro Assisted Gait Scale for People with Sprained Ankles, Walking with Forearm Crutches

Impaired gait pattern as a sensitive tool to assess hypoxic brain damage in a novel mouse model of atherosclerotic plaque rupture

Contact Info

Product

Resources

About