Responsiveness of 2 Procedures for Measurement of Temporal and Spatial Gait Parameters in Older Adults

Youdas, James W.; Childs, Katherine B.; McNeil, M.; Mueller, Amy C.; Quilter, Christopher M.; Hollman, John H.

doi:10.1016/j.pmrj.2010.02.008

Cited by 26 publications

(17 citation statements)

References 40 publications

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“…"walk at a comfortable pace" versus " walk as if you are taking a stroll through the park") (Nascimento et al, 2012), and timing instrument (e.g. stopwatch, automatic timer, instrumented walkway) (Peters, Fritz, et al, 2013;Youdas et al, 2010). Although a standardized protocol has not been adopted, there is evidence available to help guide WS test selection.…”

Section: Recommendations On Assessment Proceduresmentioning

confidence: 99%

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Walking Speed: The Functional Vital Sign

Middleton¹,

Fritz²,

Lusardi³

2015

Journal of Aging and Physical Activity

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Walking speed (WS) is a valid, reliable, sensitive measure appropriate for assessing and monitoring functional status and overall health in a wide range of populations. These capabilities have led to its designation as the "6 th vital sign". By synthesizing the available evidence on WS, this scholarly review article provides clinicians with a reference tool regarding this robust measure. Recommendations on testing procedures for assessing WS, including optimal distance, inclusion of acceleration/deceleration phases, instructions, and instrumentation are given. After assessing an individual's WS, clinicians need to know what this value represents. Therefore, WS cut-off values and the corresponding predicted outcomes, as well as minimal detectable change values for specific populations and settings are provided.

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Section: Recommendations On Assessment Proceduresmentioning

confidence: 99%

“…Another electronic option is an instrument walkway. Evidence suggests that WSs captured via instrumented walkways are less variable than those calculated using a stopwatch and marked walkway (Youdas et al, 2010). However, the expense of instrumented walkways limits their clinical feasibility.…”

Section: Recommendations On Assessment Proceduresmentioning

confidence: 99%

Walking Speed: The Functional Vital Sign

Middleton¹,

Fritz²,

Lusardi³

2015

Journal of Aging and Physical Activity

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“…In clinical practice, even a small change, either an improvement or deterioration, can make a difference in terms of further treatment. Responsiveness data certify that a change in a measurement output represents a real change, not a measurement error or biological variability [3]. …”

Section: Introductionmentioning

confidence: 99%

Responsiveness of a modified version of the postural assessment scale for stroke patients and longitudinal change in postural control after stroke- Postural Stroke Study in Gothenburg (POSTGOT) -

Persson

Sunnerhagen

Danielsson

et al. 2013

J NeuroEngineering Rehabil

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BackgroundResponsiveness data certify that a change in a measurement output represents a real change, not a measurement error or biological variability. The objective was to evaluate the responsiveness of the modified version of the Postural Assessment Scale for Stroke Patients (SwePASS) in patients with a first event of stroke. An additional aim was to estimate the change in postural control during the first 12 months after stroke onset.MethodsThe SwePASS assessments were conducted during the first week and 3, 6 and 12 months after stroke in 90 patients. Svensson’s method, Relative Position (RP), Relative Concentration (RC) and Relative Rank Variance (RV), were used to estimate the scale’s responsiveness and the patients’ change in postural control over time.ResultsFrom the first week to 3 months after stroke, the patients improved in terms of postural control with 2 to 12 times larger systematic changes in Relative Position (RP), for which 9 items and the total score showed a significant responsiveness to change when compared to the intrarater reliability measurement error of the SwePASS reported in a previous study. When SwePASS was used to assess change in postural control between the first week and 3 months, 74% of the patients received higher scores while 10% received lower scores, RP 0.31 (95% CI 0.219-0.402). The corresponding figures between 3 and 6 and between 6 and 12 months were 37% and 16%, RP 0.09 (95% CI 0.030-0.152), and 18% and 26%, RP −0.07 (95% CI −0.134- (−0.010)), respectively.ConclusionsThe SwePASS is responsive to change. Postural control evaluated using the SwePASS showed an improvement during the first 6 months after stroke. The measurement property, in the form of responsiveness, shows that the SwePASS scoring method can be considered for use in rehabilitation when assessing postural control in patients after stroke, especially during the first 3 months.

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“…Changes in spatiotemporal gait parameters that are equal or greater than the MDC can be considered "real" changes. 34 Youdas et al 34 performed GAITRite analyses at comfortable self-selected walking speed in older adults and determined an MDC of 12.6 cm/s for walking speed, 8.4 steps/min for cadence, and 7.0 cm for stride length. Although a lot of statistically signifi cant differences could be found when comparing the shoe types with each other, MDC values were not always reached.…”

Section: Discussionmentioning

confidence: 99%

“…33 Cadence and stride length were selected because minimal detectable changes (MDCs) have previously been determined for these parameters. 34 Participants were asked to walk across the walkway under 4 conditions: barefoot, wearing their own open heel slippers, wearing their own high heeled (min. 3.5 cm) shoes, and wearing a standard shoe offered by the investigators.…”

Section: Experimental Designmentioning

confidence: 99%

Does Footwear Matter When Performing Spatiotemporal Gait Analysis Among Older Women?

Mettelinge

Danneels²,

Geeroms³

et al. 2015

Journal of Geriatric Physical Therapy

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Footwear matters when analyzing gait in older women. It should be described in greater detail by gait researchers. Footwear should also be considered by clinicians in light of the study findings and its effects on gait. Older women are strongly discouraged to walk barefoot because barefoot walking adversely affects gait patterns. A well-fitting standard shoe with laces, a low and wide heel, firm heel collar and a grooved, moderately hard sole is recommended in research, rehabilitation, and daily use.

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Responsiveness of 2 Procedures for Measurement of Temporal and Spatial Gait Parameters in Older Adults

Cited by 26 publications

References 40 publications

Walking Speed: The Functional Vital Sign

Walking Speed: The Functional Vital Sign

Responsiveness of a modified version of the postural assessment scale for stroke patients and longitudinal change in postural control after stroke- Postural Stroke Study in Gothenburg (POSTGOT) -

Does Footwear Matter When Performing Spatiotemporal Gait Analysis Among Older Women?

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