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Reliability of Visual Gait Analysis according to Clinical Experience Level of Physical Therapists  

Lee, In-Hee (Department of Physical Medicine and Rehabilitation, Dongsan Medical Center, Keimyung University)
Publication Information
The Journal of Korean Physical Therapy / v.25, no.4, 2013 , pp. 174-179 More about this Journal
Abstract
Purpose: Visual gait analysis plays a pivotal role in determining the important gait problem of patients. A few studies have been published and have received little attention regarding visual gait analysis on patients with orthopedic problems. The purposes of this study were to investigate the difference of reliability levels according to experience of clinical physical therapists. Methods: Thirty-five clinical physical therapists, 5 high experienced, 15 experienced, and 15 inexperienced, were recruited and individually evaluated these videotaped gait patterns of the participants, and filled up the structured gait analysis form. The gait of nine participants was videotaped. Reliability levels were calculated by the Intraclass Correlation Coefficients (ICC). Results: The inter-rater reliability of high experienced group (ICC=0.56; 95% CI: 0.50-0.62) was comparable to that of the experienced raters (ICC=0.48; 95% CI: 0.43-0.53) and inexperienced group (ICC=0.42; 95% CI: 0.38-0.46). High experienced group reached a higher inter-rater reliability level. The average intra-rater reliability of the high experienced group was 0.70 (ICCs ranging from 0.54 to 0.82). The experienced group reached an average intra-rater reliability of 0.61 (ICCs ranging from 0.47 to 0.81). The inexperienced group attained average ICC values of 0.53 (ICCs ranging from 0.30 to 0.74). Conclusion: Use of a structured gait analysis form as described in this study was found to be moderately reliable. Clinical experience appears to increase the reliability of visual gait analysis.
Keywords
Reliability; Structured gait analysis form; Visual gait analysis;
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1 Brach JS, Studenski SA, Perera S, et al. Gait variability and the risk of incident mobility disability in community-dwelling older adults. J Gerontol A Biol Sci Med Sci. 2007;62(9):983-8.   DOI
2 Brunnekreef JJ, van Uden CJ, van Moorsel S, et al. Reliability of videotaped observational gait analysis in patients with orthopdeic impairments. BMC Musculoskelet Disord. 2005;6:17.   DOI
3 Gage JR. The role of gait analysis in the treatment of cerebr al palsy. J Pediatr Orthop. 1994;14(6):701-2.   DOI
4 Coutts F. Gait analysis in the therapeutic environment. Man Ther. 1999;4(1):2-10.   DOI
5 Craik R, Oatis CA. Gait analysis: theory and application: 1st edition, Missouri, Mosby, 1995.
6 Smidt GL. Methods of studying gait. Phys Ther. 1974;54(1):13-7.   DOI
7 Saleh M, Murdoch G. In defence of gait analysis. Observationn ad measurement in gait assessment. J Bone Joint Surg Br. 1985;67(2):237-41.
8 Koman LA, Mooney JF, 3rd, Smith B, et al. Managemenft coerebral palsy with botulinum-A toxin: preliminary investigation. J Pediatr Orthop. 1993;13(4):489-95.   DOI
9 Koman LA, Mooney JF, 3rd, Smith BP, et al. Management of spasticity in cerebral palsy with botulinum-A toxin: report of a preliminary, randomized, double-blind trial. J Pediatr Orthop. 1994;14(3):299-303.   DOI
10 Lord SE, Halligan PW, Wade DT. Visual gait analysis: the development of a clinical assessment and scale. Clin Rehabil. 1998;12(2):107-19.   DOI
11 Toro B, Farren P, Nester C. Review of Observational Gait Assessment in Clinical Practice. Physiotherapy. 2002;88(11):701.
12 Eastlack ME, Arvidson J, Snyder-Mackler L, et al. Interrater reliability of videotaped observational gait-analysis assessments. Phys Ther. 1991;71(6):465-72.   DOI
13 Kim JH, Park JW. Concurrent validity between figure of 8 walking test and functional tests included tasks for dynamic balance and walking in patient with stroke. J Korean Soc Phys Ther. 2012;24(5):325-33.
14 Corry IS, Cosgrove AP, Duffy CM, et al. Botulinum toxin A compared with stretching casts in the treatment of spastic equinus: a randomised prospective trial. J Pediatr Orthop. 1998;18(3): 304-11.
15 Kim JH. A study on the correlation between static, dynamic standing balance symmetry and walking function in stroke. J Korean Soc Phys Ther. 2012;24(2):73-81.   DOI
16 Seong DY, Kim JH, Park JW. The effect of changes in foot cutaneous sensation on plantar pressure distribution during gait. J Korean Soc Phys Ther. 2012;24(5):306-12.
17 Kim MG, Kim JH, Park JW. The effect of turning training on figure of 8 tract on stroke patients' balance and walking. J Korean Soc Phys Ther. 2012;24(2):143-50.   DOI
18 Wren TA, Rethlefsen SA, Healy BS, et al. Reliability and validity of visual assessments of gait using a modified physician rating scale for crouch and foot contact. J Pediatr Orthop. 2005. 25(5):646-50.   DOI
19 McGinley JL, Goldie PA, Greenwood KM, et al. Accuracy and reliability of observational gait analysis data: judgments of push-off in gait after stroke. Phys Ther. 2003;83(2):146-60.
20 Neuhauser G. Methods of assessing and recording motor skills and movement patterns. Dev Med Child Neurol. 1975;17(3):369-86.