• Title/Summary/Keyword: Dynamic gait index

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The Correlations among the Dynamic Gait Index the Berg Balance Scale and Timed Up & Go Test in people with stroke (뇌졸중 환자에서 Dynamic Gait Index와 Berg Balance Scale 및 Timed Up & Go 검사간의 상관관계)

  • Lee, Sang-Ho;Hwang, Byoung-Yong
    • Journal of Korean Physical Therapy Science
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    • v.15 no.3
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    • pp.1-8
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    • 2008
  • The purpose of this study was to compare the relationship among the Dynamic Gait Index(DGI), Berg Balance Scale(BBS) scores, Timed Up & Go Test(TUG), and subject characteristics. The subjects were fifteen stroke with hemiplegia were chosen in the Konyang University Hospital. Dynamic balance was measured Dynamic Gait Index(DGI), and balance was measured using Berg Balance Scale(BBS). Timed Up & Go Test(TUG) was used to evaluate functional mobility. Data were analyzed using Spearman correlation. There was significant correlated among Dynamic Gait Index(DGI), Berg Balance Scale(BBS) and Timed Up & Go Test(TUG)(p<.01). The correlation among subject characteristics and Dynamic Gait Index(DGI), Berg Balance Scale(BBS), Timed Up & Go Test(TUG) score was significant result in r = -.527 from Dynamic Gait Index(DGI) and pathogenesis(p<.05). There were no significant statistical differences among the types of spasticity and Dynamic Gait Index(DGI), Berg Balance Scale(BBS), Timed Up & Go Test(TUG). The comparison among the sex, type of hemiplegia, pain, pathogenesis and Dynamic Gait Index(DGI), Berg Balance Scale(BBS), Timed Up & Go Test(TUG) score was significant result in pathogenesis(p<.05). The results of this study showed that there was high correlations among the Dynamic Gait Index(DGI) and balance test of people with stroke.

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Intrarater and Interrater Reliability of the Dynamic Gait Index in Persons With Parkinson's Disease

  • Hwang, Su-Jin;Woo, Young-Keun
    • Physical Therapy Korea
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    • v.17 no.4
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    • pp.55-60
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    • 2010
  • Clinical measures that Quantify falling risk factors are needed for the accurate evaluation of patients and to plan an intervention strategy. The purpose of this study was to examine the test-retest and interrater reliability of the dynamic gait index (DGI) for persons with Parkinson's disease (PD). A total of 22 idiopathic PD patients were recruited from rehabilitation hospital, Korea in this study. The DGI was assessed in two sessions that were, three days apart. We also measured Berg balance test (BBT) and geriatric depression scale (GDS) for concurrent validity with DGI. Intrarater and interrater reliability (.96 and .98 respectively) for DGI were high. indicating good agreement. The DGI was showed a good positive correlation with the BBS (r=.852). but not GDS (r=-.462). Intrarater and interrater reliability of DGI were high in people with PD. The DGI could be a reliable measure to evaluate functional postural control during gait activities in the PD population, and the ability of DGI to detect real change is acceptable in research and clinical settings.

Validation of the Korean Translated Dynamic Gait Index in Community-Dwelling Elderly (지역사회에 거주하는 노인을 대상으로 한 한글판 동적보행지수의 타당성)

  • Park, So-Yeon;Hwang, Su-Jin
    • Physical Therapy Korea
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    • v.17 no.1
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    • pp.43-52
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    • 2010
  • The Dynamic Gait Index (DGI) was developed and widely used as a clinical tool to assess balance performance during gait. The purpose of this study was to validate the Korean translated DGI using Rasch analysis. A total of 105 community-dwelling elderly was participated in this study (age range = 65~95 years; mean = 78.0 years). The translated DGI showed sound item psychometric properties, and the 8 items were arranged in order of difficulty for the total participants. The most difficult item was 'Steps' and the easiest item was 'Level surface'. Also, each of the original 4 rating scale categories satisfied the Linacre's essential criteria suggestions for optimal rating scale category effectiveness. Although, thirty eight person (36.2%) showed the maximal high score, but the most of them was no history of fall in the preceding year. For subjects who has falling history, all of the person's ability was arranged within the item's difficulty. The 8-item Korean translated DGI can be used to measure gain in elderly person with balance disorders without compromising important clinical measurement characteristics in Korea.

The Relationship between Dynamic Balance Measures and Center of Pressure Displacement Time in Older Adults during an Obstacle Crossing

  • Park, Seol;Park, Ji-Won
    • The Journal of Korean Physical Therapy
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    • v.23 no.3
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    • pp.1-5
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    • 2011
  • Purpose: This study examined the relationship between the center of pressure (COP) displacement time during the stance phase and dynamic balance ability when older adults cross a 10 cm obstacle. Methods: Fifteen older adults were enrolled in this study (all ${\geq}65$ years of age). The F-scan was used to measure the COP displacement time when subjects cross a 10 cm obstacle, and the Dynamic gait index. Berg's balance scale and the Four square step test were used to measure dynamic balance ability. Results: The Dynamic gait index, Berg's balance scale and the Four square step test were correlated with each other. Dynamic balance ability was correlated with COP displacement time during the stance phase at an obstacle crossing in older adults. Conclusion: People with higher dynamic balance ability show a smaller COP displacement time during the stance phase at an obstacle crossing. Therefore, dynamic balance ability can be predicted by measuring the center of pressure displacement time.

The Effect of Action Observation with Observation Type on Limits of Stability and Dynamic Gait Ability in Stroke Patients (관찰형태에 따른 동작관찰 훈련이 뇌졸중 환자의 안정성 한계와 동적보행능력에 미치는 영향)

  • Yang, Yong-Pil;Kim, Su-Jin
    • Journal of the Korean Society of Physical Medicine
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    • v.12 no.1
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    • pp.67-74
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    • 2017
  • PURPOSE: The purpose of this study was to determine the effect of action observation with observation type on the limits of stability and dynamic gait ability in stroke patients. METHODS: The 20 stroke patients who participated in this study were randomly divided into two experimental groups who underwent training three times a week for 4 weeks. Their balance was tested as the limit of stability with Biorescue. Their Dynamic gait ability was tested with the Dynamic Gait Index (DGI) before the intervention, and after 4 weeks. Independent and paired t-tests were used to analyze the results. RESULTS: The results confirmed the limit of stability on the moving areas of the paralyzed and non-paralyzed sides. The limit of stability and dynamic gait index measurements confirmed that the moving area showed a significant difference after the intervention in the whole movement observation group (p<.05), but the partial movement observation group showed no significant difference (p>.05). A significant difference was also noted for the comparison between the both groups after the interventions (p<.05). The functional walking ability showed a significant difference when compared to the ability before the intervention, as determined by the changes in scores obtained for the dynamic gait index (p<.05). CONCLUSION: Interventions utilizing whole movement confirm that training improves stability and functional walking ability in stroke patients with disabilities in balance and walking ability.

The immediate effects of spiral taping on improvement of gait ability in patients with chronic stroke (나선형 테이핑 적용이 만성 뇌졸중 환자의 보행능력 개선에 미치는 즉각적인 효과)

  • Kim, Dong-Dae;Park, Shin-Jun
    • Journal of Digital Convergence
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    • v.15 no.4
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    • pp.529-536
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    • 2017
  • The purpose of this study is to examine the immediate effects of spiral taping applied to an affected leg on gait ability in stroke patients. Forty two stroke patients were divided into a spiral taping group (n=21) and a quadriceps femoris group (n=21), and each taping method was applied. Spatiotemporal Gait Parameters (Cadence, speed, gait cycle duration, stance phase duration, double support duration) were measured using the 10-meter walk test, the dynamic gait index (DGI) and an accelerometer for both groups. Both groups showed a significant increase in a 10-minute walk, the DGI, cadence, speed before and after the intervention, whereas no significant difference was detected in stance phase duration, gait cycle duration and double support duration on the affected side in all groups. All groups revealed no significant difference in variation. It has been found that the two taping methods augment gait ability in patients with stroke. This study suggests that spiral taping can be an easily applicable method at home.

Interrater and Intrarater Reliability for Three Clinical Measures of Balance and Gait in Individuals With Hemiparetic Stroke (뇌졸중 환자률 대상으로 한 균형 및 보행에 관한 3가지 임상평가도구의 측정자간 및 측정자내 신뢰도)

  • Woo, Young-Keun;Park, So-Yeon;Hwang, Su-Jin;Kim, Hyouk-Il;Yoo, Kyoung-Hoon
    • PNF and Movement
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    • v.9 no.2
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    • pp.45-53
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    • 2011
  • Purpose : Many researchers have attempted to identity the reliability used in clinical examination of balance and gait performance for individuals of hemiparetic stroke. The study aims to evaluate whether the reliabilities of three popular clinical measures of balance and gait performance was consistency regardless of applicate experience of those clinical measures compared with previous studies for persons with hemiparetic stroke. Methods : A total of three hemiparetic stroke populations and twenty-six physical therapists were recruited from Glory hospital, Inchen, Korea in this study. The three clinical measures, involving Berg balance test (BBT), dynamic gait index (DGI), and Tinetti performance-oriented mobility assessment (POMA), were assessed in two sessions that were seven days apart. Results : The POMA was showed a good intrarater and interrater reliabilities in people with hemiparetic stroke regardless of measure's experience in clinical field. However BBT and DGI were showed below moderate intrarater and interrater reliabilities. Conclusion : The POMA could be a reliable measure to evaluate functional postural stability and gait performance in hemiparetic stroke patients compared with other two clinical measures regardless of measure's experience of physical therapists.

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The Effects of Yoga Exercise on Balance and Gait Velocity in Stroke Patient (요가운동이 뇌졸중 환자의 균형과 보행속도에 미치는 영향)

  • Song, Hyun-Seung;Kim, Jin-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.1
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    • pp.294-300
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    • 2013
  • The purpose of this study was to analyse the effects of yoga exercise on balance ability and gait velocity in stroke patients. Subjects were categorized in to a control group and yoga program group with 9 for each group. Yoga program was conducted for 60minute for 8weeks, three times a week. For the purposes, the study measured Stability Index(SI, postural sway) and Weight Distribution Index(WDI) using Tetrax, Functional Reach Test(FRT), Dynamic Gait index(DGI) and 10 meter walking test. At pre- and post-exercise after appling the yoga exercise, the data was analyzed. Yoga exercise group's SI and WDI were decreased, FRT and DGI were increased in comparison with control group. But 10 meter walking test was no significance. It suggests that the yoga exercise could promote recovery from balance disorder after stroke.

Group Locomotor Imagery Training-Combined Knowledge of Performance in Community-Dwelling Individuals With Chronic Stroke: A Pilot Study

  • Choi, Bo-Ram;Hwang, Su-Jin;Lee, Hee-Won;Kang, Sun-Young;Jeon, Hye-Seon
    • Physical Therapy Korea
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    • v.20 no.1
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    • pp.74-80
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    • 2013
  • We evaluated whether group locomotor imagery training-combined knowledge of performance (KP) lead to improvements in gait function in community dwelling individuals with chronic stroke. Ten adults who had suffered a hemiparetic stroke at least 6 months earlier participated in group locomotor imagery training-combined KP for 5 weeks, twice per week, with 2 h intensive training. Dynamic gait index scores increased significantly after the group locomotor imagery training-combined KP. However, times for the timed up-and-go test did not improve significantly after the training. Group locomotor imagery training-combined KP may be a useful option for the relearning of gait performance for community dwelling individuals with chronic hemiparetic stroke.

Effect of Gait Training Using PNF on Balance and Walking Ability in Person with Chronic Stroke(Single Subject Design) (PNF를 이용한 보행 훈련이 만성 뇌졸중 환자의 균형 및 보행에 미치는 영향(단일사례설계))

  • Lee, Moon-Kyu;Yun, Tae-Won;Kim, Yoon-Hwan;Lim, Jae-Heon
    • PNF and Movement
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    • v.10 no.1
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    • pp.43-52
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    • 2012
  • Purpose : The purpose of this study was to observe the effect of a gait training using PNF on a gait and balance ability of a person with chronic stroke. Methods : The subject was left hemiplegia due to cerebral infarction. The subject participated in PNF gait training session as well as baseline for 30 minutes a day for 4 weeks. we used the 10-meter walking test(10MWT), figure-8-of walk test(F8WT), dynamic gait index(DGI) for measuring the gait ability and four square step test(FSST), Berg balance scale(BBS) for measuring the balance ability through the whole sessions. Results : The gait ability was enhanced compared to first baseline, as measured by 10MWT(27.3%), F8WT(36.6%), DGI(8 points increased). The balance ability was improved compared to first baseline, as measured by FSST(49.1%), BBS(10 points increased). The increase was maintained in second baseline session. Conclusion : The PNF gait training program is helpful to enhance the adaptation of the gait and balance according to the various environmental demands.

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