Reliability and Minimum Detectable Change of the Gait Deviation Index (GDI) in post-stroke patients

Corrêa, Katren Pedroso; Devetak, Gisele Francini; Martello, Suzane Ketlyn; Almeida, Juliana Carla de; Pauleto, Ana Carolina; Manffra, Elisängela Ferretti

doi:10.1016/j.gaitpost.2016.12.012

Cited by 26 publications

(12 citation statements)

References 34 publications

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“…First, we have found that there was no difference between ROM of the paretic and the nonparetic limbs for the pelvic obliquity and hip flexion during the swing phase and for the ankle dorsiflexion during both phases (Table 2). Although this result might seem counter-intuitive, it is in accordance with previous studies that identified that curves of joint angles of both P and NP limbs present abnormalities (OLNEY ANF RICHARDS,1996;KIM AND ENG, 2008;DEVETAK et al, 2016;CORREA et al, 2017) the aim of this study was to determine the reliability and Minimum Detectable Change Moreover, the results of (PAILLARD et al, 2010) indicated that the presence of fatigue mainly occurs in the unaffected side, caused by the effort to compensate the deficits of the other side. Actually, the relevance of compensations during hemiparetic gait, mainly the circumduction and the pelvic elevation, has been discussed extensively in the literature (CHEN et al, 2003;YAVUZER et al, 2008;CATY et al, 2009;CARMO et al, 2012;STANHOPE et al, 2015) and our results indicate that the ROM of the corresponding joints might be used as measures to investigate them.…”

Section: Discussionsupporting

confidence: 92%

“…Considering the ICC values in Table 4, it can be said that the inter-day repeatability was excellent irrespective of the joint or gait phase. Inter-day repeatability was better than intra-day one because we have used the average of eight strides to calculate the former one, similarly to what was done in (CORREA et al, 2017) where the same behavior was observed. Curiously, the joint with the worse ICC values was the ankle of the NP limb, what might be related to the exaggerate propulsion of non-paretic limb to compensate the abnormal ankle dorsiflexion at toe-off (ÖKEN et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

“…However, they focused only in the paretic limb and performed the two measurements in the same day. Previous studies that investigated the repeatability of the summary measures from kinematic angles of stroke patients (DEVETAK et al, 2016;CORREA et al, 2017) found out that there are differences between repeatability of the paretic (P) and non-paretic (NP) limbs and different.…”

Section: Introductionmentioning

confidence: 99%

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A New Measure to Evaluate Subthreshold Resonance in Neurons

Pena¹,

Cordeiro²,

Ceballos³

et al. 2019

A Produção Do Conhecimento Na Engenharia Biomédica

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A New Measure to Evaluate Subthreshold Resonance in Neurons

Pena¹,

Cordeiro²,

Ceballos³

et al. 2019

A Produção Do Conhecimento Na Engenharia Biomédica

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“…In a literature review we found only one reference of minimal detectable change (MDC) for GDI scores related to post stroke patients. They suggest a MDC of 9.4 and 7.4 points for paretic and non-paretic limbs respectively [42]. For spatiotemporal parameters we found these values for MDC: Gait speed This is a tool used to evaluate balance control.…”

Section: -D Gait Analysis (3-dga)mentioning

confidence: 67%

Effects of Lower Extremities Constraint Induced Movement Therapy on Gait and Balance of Chronic Hemiparetic Patients After Stroke: Description of a Study Protocol for a Randomized Controlled Clinical Trial.

Oliveira

Matuti²,

Oliveira

et al. 2021

Preprint

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BackgroundProtocols involving intensive practice have shown positive outcomes. Constraint Induced Movement Therapy (CIT) appears to be one of the best options for better outcomes in upper limb rehabilitation, but we still have little data about Lower Extremities - Constraint Induced Movement Therapy (LE-CIT) and its effects on gait and balance.ObjectiveTo evaluate the effects of an LE-CIT protocol on gait functionality and balance in chronic hemiparetic patients following a stroke.MethodsThe study adopts a randomized, controlled, single-blinded study design. 42 patients who suffered a stroke event, in the chronic phase of recovery (>6 months), with gait disability (no community gait), able to walk at least 10 meters with or without the advice or support of 1 person, will be randomly allocated to 2 groups: the LE-CIT Group or the Control Group (Intensive Conventional Therapy). People will be excluded if they have speech deficits that render them unable to understand and/or answer properly to evaluation scales and exercises selected for the protocol and/or if they have suffered any clinical event between the screening and the beginning of the protocol. Outcome will be assessed at baseline (T0), immediately after the intervention (T1), and after 6 months (T2). The outcome measures chosen for this trial are: 6 minute walk test (6minWT), 10 meter walk test (10mWT), Timed Up and Go (TUG), 3-D gait analysis (3DGA), Mini Balance Evaluation Systems Test (Mini-BESTest) and, as a secondary measure, Lower Extremity Motor Activity Log will be evaluated (LE-MAL). The participants in both groups will receive 15 followed days of daily exercise. The participants in the LE-CIT Group will be submitted to this protocol 2.5 hour/day for 15 followed days. It will include: 1) intensive supervised training, 2) use of shaping as strategy for motor training, and 3) application of a transfer package (plus 30 minutes). The Control Group will receive conventional physiotherapy for 2.5 hours/day over 15 followed days (the same period as the CIT intervention). Repeated measures analyses will be made to compare differences and define clinically relevant changes between groups.ResultsData collection is currently on-going and results are expected in 2021.Discussion: LE-CIT seems to be a good protocol for inclusion into stroke survivors’ rehabilitation as it has all the components needed for positive results, as well as intensity and transference of gains to daily life activities.Trial Registration: www.ensaiosclinicos.gov.br (Register Number: RBR-467cv6). Date of registration: October 10, 2017. “Effects of Lower Extremities - Constraint Induced Therapy on gait and balance function in chronic hemipretic post-stroke patients”.

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“…This method is valuable because it provides an objective description of gait quality. [16] Our researchers will conduct the retrospective review to assess whether it is useful to treat left- and right-sided diseases separately as in Donguibogam. For stroke patients who satisfy our selection criteria, statistical analysis will be used to assess difference in gait parameters (spatiotemporal parameters from GAITRite, symmetric parameters from G-walk, and parameters while standing from Treadmill).…”

Section: Discussionmentioning

confidence: 99%