Reliability and validity of Edinburgh visual gait score as an evaluation tool for children with cerebral palsy

Orozco, Maria del Pilar Duque; Abousamra, Oussama; Church, Chris; Lennon, Nancy; Henley, John; Rogers, Kenneth; Sees, Julieanne P.; Connor, Justin; Miller, Freeman

doi:10.1016/j.gaitpost.2016.06.017

Cited by 49 publications

(31 citation statements)

References 17 publications

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“…The respective inter-and intrarater reliability in our study was excellent (ICC = 0:93 and ICC = 0:95) and compa-rable to the original English version (ICC = 0:83 and ICC = 0:98 [26]. The higher interrater reliability of the distal segments in our study was comparable to del Pilar et al who reported on the Edinburgh Visual Gait Score for cerebral palsy, noting that there was more variation in the reliability in proximal segments such as pelvic rotation [30].…”

Section: Discussionsupporting

confidence: 79%

Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)

Saengsuwan

Sirasaporn

2020

Stroke Research and Treatment

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Introduction. The Gait Assessment and Intervention Tool (G.A.I.T.) is well-accepted for determining changes in gait quality in neurological patients. This study is aimed at translating the G.A.I.T. to Thai and to examine its validity and reliability. Methods. The Thai translation and back-translation into English were done according to international guidelines. Sixty-eight patients with subacute to chronic stroke were recruited. Concurrent validity was determined by the correlation coefficient between the Thai G.A.I.T. scale and a comfortable vs. fast gait speed. The convergent validity was determined by the correlation coefficient between the Thai G.A.I.T. and the lower extremity Motricity Index, the Functional Ambulation Category (FAC), and the National Institutes of Health Stroke Scale (NIHSS). Interrater reliability was assessed using videos of 68 patients analysed by two independent raters. Each rater was randomly assigned to rescore the Thai G.A.I.T. for each patient over at least two weeks to assess intrarater reliability. Results. The concurrent validity of the Thai G.A.I.T. vs. the respective comfortable and fast gait speeds was excellent (Rs=−0.79 and Rs=−0.68, p<0.001). The respective convergent validity with the lower extremity Motricity Index, NIHSS, and FAC was Rs=−0.62, 0.57, and -0.51, respectively. The respective inter- and intrarater reliabilities were excellent (ICC=0.93, 95% CI 0.88-0.96 and 0.95, 95% CI 0.91-0.97). Conclusion. A Thai version of the G.A.I.T. was developed, and its validity and reliability for use among patients with subacute to chronic stroke were established. Further work regarding the responsiveness of the tool is needed.

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Section: Discussionsupporting

confidence: 79%

Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)

Saengsuwan

Sirasaporn

2020

Stroke Research and Treatment

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“…The scale has been reported to have high intraobserver but poor interobserver reliability . Del Pilar Duque Orozco et al . found that the Edinburgh Visual Gait Analysis Interval Testing Scale had higher reliability in experienced gait observers in more distal segments.…”

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confidence: 99%

The Pediatric Temporal‐spatial Deviation Index: quantifying gait impairment for children with cerebral palsy

Zhou

Zhang

Cahill‐Rowley

et al. 2019

Develop Med Child Neuro

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Aim To develop an easily‐administered metric to quantify gait impairment in children and to assess its use in children with cerebral palsy (CP). Method The Pediatric Temporal‐spatial Deviation Index (TDI) was developed from gait data collected from 75 typically developing children (37 males, 38 females; mean age 9y 4mo; interquartile range [IQR] 8–10y) and 17 children diagnosed with spastic CP (nine males, eight females; mean age 9y 9mo; IQR 9–11y), in Gross Motor Function Classification System (GMFCS) levels I to III, aged 7 to 11 years. Children walked on a pressure‐sensitive mat. Children with CP also completed 3D gait analysis. The Kaiser‐Meyer‐Olkin test of sampling adequacy was used for temporal‐spatial feature selection. Principal components obtained from temporal‐spatial gait parameters quantified deviation from typically developing gait. Deviation was normalized to a Pediatric TDI score mean (standard deviation [SD]) of 100 (10). The Pediatric TDI for children with CP was compared to 3D motion capture‐based Gait Deviation Index (GDI). Results The Pediatric TDI was significantly lower for children with CP compared to typically developing children (p<0.001), correlated with average GDI (r=0.610, p=0.009), and demonstrated sensitivity (0.78) and specificity (0.88) to gait function, assessed with GDI. Interpretation The Pediatric TDI is an easily administered, revealing gait metric that can be used in children with CP in pediatric clinics and for research. Detection of gait abnormalities in the clinic can expedite diagnosis and treatment. What this paper adds The Pediatric Temporal‐spatial Deviation Index (TDI) is a single‐score index of gait deviation, based on nine parameters. The Pediatric TDI was more revealing than single temporal‐spatial gait parameters. The Pediatric TDI is quick and simple to administer in the clinic.

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“…The scale has stringent instructions to ensure reliability. Its agreement and validity with three-dimensional gait analysis have been documented [ 8 ] and was noted to be 52%–73%. The essential properties of an observation scale are validity, reliability, and ability to detect change [ 33 ].…”

Section: Methodsmentioning

confidence: 97%

“…One observational tool used in clinical settings is the Edinburgh Visual Gait Score (EVGS). The EVGS has been demonstrated as a valid and reliable [ 8 , 9 ], clinically applicable visual gait analyses tool for children with CP [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy

2020

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Gait analysis is one aspect of evaluation in ambulatory children with cerebral palsy (CP). Ankle-foot orthoses (AFOs) improve gait and alignment through providing support. An alternative and under-researched orthosis are sensomotoric orthoses (SMotOs). The Edinburgh Visual Gait Score (EVGS) is a valid observational gait analysis scale to measure gait quality. The aim of this study was to use the EVGS to determine what effect AFOs and SMotOs have on gait in children with CP. The inclusion criteria were: mobilizing children with a CP diagnosis, no surgery in the past six weeks, and currently using SMotOs and AFOs. Eleven participants were videoed walking 5 m (any order) barefoot, in SMotOs and AFOs. Of the participants (age range 3–13 years, mean 5.5 ± 2.9), two were female and six used assistive devices. Seven could walk barefoot. Participants had spastic diplegia (4), spastic quadriplegia (6), and spastic dystonic quadriplegia (1). Gross Motor Functional Classification System (GMFCS) levels ranged I–IV. The total score for SMotOs (7.62) and AFOs (14.18) demonstrated improved gait when wearing SMotOs (no significant differences between barefoot and AFOs). SMotOs may be a viable option to improve gait in this population. Additional study is required but SMotOs may be useful in clinical settings.

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Reliability and validity of Edinburgh visual gait score as an evaluation tool for children with cerebral palsy

Cited by 49 publications

References 17 publications

Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)

Validity and Reliability of the Thai Version of the Gait Assessment and Intervention Tool (G.A.I.T.)

The Pediatric Temporal‐spatial Deviation Index: quantifying gait impairment for children with cerebral palsy

Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy

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