Reliability and Validity of the Functional Gait Assessment (German Version) in Subacute Stroke Patients

Thieme, Holm; Ritschel, Claudia; Zange, Christian

doi:10.1016/j.apmr.2009.03.007

Cited by 69 publications

(90 citation statements)

References 31 publications

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“…8 Thieme et al found that the FGA was moderately to highly associated with the Berg Balance Scale, 10MWT, and Functional Ambulatory Category in patients with subacute stroke. 12 In our study, the associations between the 3 measures and 10MWT and PASS were moderate to high. Our results are generally in accordance with the findings of previous studies.…”

Section: Discussionmentioning

confidence: 42%

“…8,12 However, such information is important in determining whether a measure assesses only a restricted functional range of patients with stroke. Whitney et al reported that the DGI showed notable ceiling effects in 247 patients with vestibular dysfunction.…”

Section: Discussionmentioning

confidence: 99%

“…8,12 However, the psychometric properties of the 3 measures have not been compared, which limits their use in both clinical and research settings. Therefore, we compared the reliability, validity, and responsiveness of the 3 measures in patients with stroke.…”

mentioning

confidence: 99%

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Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke

Lin

Hsu

et al. 2010

Stroke

145

103

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Background and Purpose-We compared the test-retest reliability, validity, and responsiveness of the Dynamic Gait Index, the 4-item Dynamic Gait Index, and the Functional Gait Assessment for assessment of walking in patients with stroke. Methods-Forty-five outpatients participating in the validity and responsiveness study were tested using the 3 walking measures as well as the 10-m walk test, Barthel Index, and Postural Assessment Scale for Stroke Patients. We tested them during the first week, then again after 2 months and 5 months of therapy. Another 48 chronic patients completed the 3 measures twice, 1 week apart, in the test-retest reliability study. Results-Thirty-five participants completed 3 time-point assessments. The Functional Gait Assessment showed the least floor and ceiling effects, indicating it has the best discriminative ability for patients with stroke with high walking function. We found the 3 measures were highly correlated with each other, indicating excellent concurrent validity, and all measures at the first week of therapy were moderately to highly correlated with the Barthel Index scores at 5 months, indicating good predictive validity. Responsiveness of the 3 measures was moderate during a 5-month period, and all showed good test-retest reliability. The minimal detectable changes between tests indicate acceptable random error. Conclusions-All 3 measures showed sufficient validity, responsiveness, and reliability for assessment of walking function in patients with stroke undergoing rehabilitation, but the Functional Gait Assessment is recommended for its psychometric properties.

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Section: Discussionmentioning

confidence: 42%

Section: Discussionmentioning

confidence: 99%

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Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke

Lin

Hsu

et al. 2010

Stroke

145

103

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“…Ten criteria were measured using a 4-point scale, ranging from 0 point to 3 points, with a maximum score of 30. Inter-rater reliability is r=0.94 and intra-rater reliability is r=0.97 [24].…”

Section: Measurementsmentioning

confidence: 98%

Effects of body weight-supported treadmill training combined with ball-kicking on balance and gait of subacute stroke patients

Cho

Lee

2015

PTRS

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Objective: This study focused on subacute stroke patients who were asked to kick a ball while walking on a treadmill. The aim of the study was to determine the effect of a body weight-supported treadmill training (BWSTT) combined with ball-kicking on muscle strength, balance, and gait. Design: Single blind, randomized controlled trial. Methods: Twenty stroke patients who volunteered to participate in this study were randomly assigned to either the BWSTT combined with ball-kicking (BWSTT-BK; 10 participants) group or the BWSTT group (10 participants). Participants in the BWSTT-BK group performed treadmill walking combined with simultaneous ball-kicking for 30 minutes daily for 5 weeks. Participants from the BWSTT group performed only treadmill walking. The muscular strength, balance, and gait ability were measured before and after the 5-week training. To assess for muscular strength, a digital muscle tester was used to measure hip flexor, knee extensor, and dorsiflexor strength. To assess for balance, the Berg Balance Scale (BBS) and Timed Up and Go Test (TUG) was used. To assess for gait, the 10 meter walk test (10MWT) and Functional Gait Assessment (FGA) was used. Results: The BWSTT-BK group showed significantly improved muscular strength, balance, and gait according to BBS, TUG, 10MWT, FGA, and digital muscle testing scores compared to the BWSTT group (p<0.05). In addition, within-group comparison showed significant improvement in all variables (p<0.05). Conclusions: These findings suggest that BWSTT-BK results in more favourable outcomes for stroke patients. Therefore, BWSTT-BK may be useful for the recovery of gait ability of stroke patients.

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“…Another study reported that the BBS was the single best predictor of fall risk for the community-dwelling elderly without any neurologic pathologies 13) . However, most of these studies focused on correlations associated with balance abilities, walking, and activities of daily living [14][15][16] .…”

Section: Introductionmentioning

confidence: 99%

Assessment of the Influence of Balance on Gait of Persons with Stroke

Woo

2012

J Phys Ther Sci

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Reliability and Validity of the Functional Gait Assessment (German Version) in Subacute Stroke Patients

Cited by 69 publications

References 31 publications

Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke

Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke

Effects of body weight-supported treadmill training combined with ball-kicking on balance and gait of subacute stroke patients

Assessment of the Influence of Balance on Gait of Persons with Stroke

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