Systematic and random error in repeated measurements of temporal and distance parameters of gait after stroke

Evans, M.; Goldie, Patricia A.; Hill, Keith

doi:10.1016/s0003-9993(97)90080-0

Cited by 82 publications

(72 citation statements)

References 11 publications

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“…outcomes research with children functioning at GMFCS levels IV and V and provided information on the tools psychometric properties and clinical utility. The tools include the 10-meter (10-m) walk test [26,27], 10-minute (10-min) walk test [27], Directional Mobility Assessment (DMA) [24,25], Gross Motor Function Measure (GMFM) [28], Pediatric Evaluation of Disability Inventory (PEDI) [29], Physical Abilities and Mobility Scale (PAMS) [30], School Function Assessment (SFA)-Travel subscale [31], Step/leg movement count [16,20,21,32], Step length and velocity footprint analysis [24,25], Top Down Motor Milestone Test (TDMMT) [33], Videoing indices of happiness [19,21], and the Functional Independence Measure for children (Wee FIM) [34,35].…”

Section: Resultsmentioning

confidence: 99%

“…Timed walking tests such as the 10-m walk test have excellent test-retest reliability [26,70] and acceptable inter-rater reliability [70] in adults with neurological impairments. However, the reliability of the three included spatiotemporal tests (10-m walk test [26,27]; 10 min-walk test [27]; 6-min walk test [41]) has not been confirmed for children functioning at GMFCS levels IV or V.…”

Section: Reliabilitymentioning

confidence: 99%

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Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Livingstone

Paleg

2016

Technologies

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Gait trainers are walking devices that provide additional trunk and pelvic support. The primary population of children using gait trainers includes children with cerebral palsy (CP) functioning at Gross Motor Function Classification System (GMFCS) levels IV and V. A recent systematic review found that evidence supporting the effectiveness of gait trainer interventions for children was primarily descriptive and insufficient to draw firm conclusions. A major limitation identified was the lack of valid, sensitive and reliable tools for measuring change in body structure and function, activity and participation outcomes. Twelve different clinical tools were identified in the systematic review and in this paper we review and discuss the evidence supporting their reliability, validity and clinical utility for use with children using gait trainers. We also describe seven additional clinical measurement tools that may be useful with this intervention and population. The Pediatric Evaluation of Disability Inventory (PEDI) rated highest across all areas at this time. Individualized outcome measures, such as the Canadian Occupational Performance Measure (COPM) and Goal Attainment Scaling and measuring user satisfaction with tools, such as the Quebec User Evaluation of Satisfaction with assistive Technology, show potential for gait trainer outcomes research. Spatiotemporal measures appear to be less useful than functional measures with this intervention and population. All tools would benefit from further development for use with children with CP functioning at GMFCS levels IV and V.

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Section: Resultsmentioning

confidence: 99%

Section: Reliabilitymentioning

confidence: 99%

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Livingstone

Paleg

2016

Technologies

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“…Additionally, it has been suggested that administering a familiarization trial may be an effective method for reducing random error. 23 Similar to intersession reliability, overall intrasession reliability was found to range from good to excellent. Intrasession reliability values for week 2 and week 3 were found to be excellent, with ICC's of 0.78 (SEM 0 5.82) and 0.75 (SEM 0 5.77) respectively, while week 1 was found to be good (ICC 0 0.47; SEM 0 7.56).…”

Section: Original Articlementioning

confidence: 70%

“…21,22 A population-based study found that African -American mothers reported higher levels of restriction, pressure-to-eat, and monitoring of their child's food intake compared to white mothers. 23 These feeding practices can negatively influence their child's eating behaviors and food intake; leading to overeating and obesity. 24,25 Therefore, it is imperative to help parents change their feeding practices and their perceptions on child's weight status and child's eating behaviors.…”

Section: Discussionmentioning

confidence: 99%

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Untitled

2015

JournalMTM

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Evidence for a disorder of locomotor timing in Huntington's disease

Bilney

Morris

Churchyard³

et al. 2004

Movement Disorders

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Disturbances of walking have been described in people with Huntington's disease (HD), although the nature of the deficits have not yet been well defined. The purpose of this investigation was to determine whether people with HD have a deficit in the regulation of footstep timing during walking. The footstep patterns of 30 people with HD and 30 matched comparisons were measured at self-selected slow, preferred, and fast speeds. Subjects were also instructed to match their footsteps to auditory metronome cues set at 80 and 120 beats per minute. Gait speed, cadence, stride length, and double limb support as a percentage of the gait cycle were measured using a computerized foot-switch system. People with HD demonstrated a disorder in their ability to regulate cadence, manifest as a reduced step frequency when walking at preferred speed and when required to increase their speed. For all walking conditions, people with HD had increased variability of footstep cadence. They also had difficulty synchronizing their footstep timing to an auditory cue. For all walking conditions, people with HD had reduced stride length. Thus, in HD, there is a disorder in the regulation of footstep timing, with increased variability, a restricted cadence range, difficulty synchronizing footsteps to an auditory cue and reduced stride length. The exact neural correlates of this timing disorder are yet to be determined.

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Systematic and random error in repeated measurements of temporal and distance parameters of gait after stroke

Cited by 82 publications

References 11 publications

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Measuring Outcomes for Children with Cerebral Palsy Who Use Gait Trainers

Untitled

Evidence for a disorder of locomotor timing in Huntington's disease

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