The Edinburgh visual gait score – The minimal clinically important difference

Robinson, L.W.; Clement, Nick D; Herman, J.; Gaston, Mark S.

doi:10.1016/j.gaitpost.2016.12.030

Cited by 22 publications

(8 citation statements)

References 12 publications

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“…Limitations to this research include a small final yield of participants available to collect the full range of data, mainly due to the restrictions uncovered such as comprehension of the task, ability to follow direction, and ability to attend data collection. This may affect the strength of the results, although papers within the literature demonstrate a range of participant numbers whilst using the EVGS from 7 [ 30 ] to 151 [ 31 ]. With a longer recruitment period and implementation of this as ‘usual clinical practice’ in prescription of SMotOs, a larger group could be assessed for continuation of these research findings.…”

Section: Discussionmentioning

confidence: 99%

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Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy

2020

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Gait analysis is one aspect of evaluation in ambulatory children with cerebral palsy (CP). Ankle-foot orthoses (AFOs) improve gait and alignment through providing support. An alternative and under-researched orthosis are sensomotoric orthoses (SMotOs). The Edinburgh Visual Gait Score (EVGS) is a valid observational gait analysis scale to measure gait quality. The aim of this study was to use the EVGS to determine what effect AFOs and SMotOs have on gait in children with CP. The inclusion criteria were: mobilizing children with a CP diagnosis, no surgery in the past six weeks, and currently using SMotOs and AFOs. Eleven participants were videoed walking 5 m (any order) barefoot, in SMotOs and AFOs. Of the participants (age range 3–13 years, mean 5.5 ± 2.9), two were female and six used assistive devices. Seven could walk barefoot. Participants had spastic diplegia (4), spastic quadriplegia (6), and spastic dystonic quadriplegia (1). Gross Motor Functional Classification System (GMFCS) levels ranged I–IV. The total score for SMotOs (7.62) and AFOs (14.18) demonstrated improved gait when wearing SMotOs (no significant differences between barefoot and AFOs). SMotOs may be a viable option to improve gait in this population. Additional study is required but SMotOs may be useful in clinical settings.

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Section: Discussionmentioning

confidence: 99%

“…The EVGS is a valid, robust, reliable, and easy-to-use observational gait analysis scale to measure gait quality in children with CP [ 4 , 9 , 31 ]. It has been examined for the purpose of orthosis evaluation in adults [ 32 ] but not yet validated in children with orthoses.…”

Section: Methodsmentioning

confidence: 99%

Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy

2020

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“…There are various observational gait scales that can be used to assist the analysis of the video recording of gait. These include the Ranchos Los Amigos Observational Gait Assessment [19], Edinburgh Visual Gait Scale [20], Salford Gait Tool [21], and the Physician Rating Scale [22].…”

Section: Observation Of Appearance Of Limbs and Gaitmentioning

confidence: 99%

Selective peripheral neurotomy (SPN) as a treatment strategy for spasticity

Fan

Milosevic

Wang

2020

Brain Science Advances

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Spasticity can be caused by central nervous system dysfunction, such as cerebral palsy and stroke. The accepted pathogenesis of spasticity is that the muscles are in the state of uninhibited stretch reflex without enough control of central nervous system. So far, there is no ideal way about how to repair central nervous system. However, the uninhibited stretch reflex can be reduced, targeting the posterior root of the spinal cord and peripheral nerves innervating the limbs, which are called selective posterior rhizotomy (SPR) and selective peripheral neurotomy (SPN), respectively. SPN is indicated for focal or multifocal spasticity, which is well accepted due to its low invasiveness and ease of use. How does the operation work? What do we do before and during this operation? Is there any risk to the patients? Our review summarizes the mechanism, indications, preoperative assessments, techniques, and complications of SPN. We hope that the spastic patients, such as pediatric cerebral palsy patients and older stroke patients, will benefit from this surgery.

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“…Limitations of the Study: Limitations to this research include a final small yield of participants available to collect the full range of data, mainly due to the limitations uncovered such as comprehension of task, ability to follow direction, and ability to attend data collection. This may affect the strength of the results, although papers within the literature demonstrate a range of participant numbers whilst using the EVGS, from 7 (Bella et al, 2012) to 151 (Robinson et al, 2017). With a longer recruitment period and implementation of this as 'usual practice' in prescription of SMotOs, a larger group could be assessed for continuation of these research findings.…”

Section: Table 3 Bonferroni Comparison Between the Three Conditions Dmentioning

confidence: 99%

“…The EVGS is a valid, robust, reliable and easy-to-use observational gait analysis scale to measure of gait quality in CP (Read, Hazlewood, Hillman, Prescott, & Robb, 2003;Robinson L. W., Clement, Herman, & Gaston, 2017) and is a quick and easy gait assessment tool to use in a clinical setting where gait laboratories are not accessible (Thomai & Gita, 2017). The EVGS is shown to correlate with the Gait Profile Score and the GMFCS (Robinson L. W., et al, 2015), two relevant and valid measures relating to CP.…”

Section: Introductionmentioning

confidence: 99%

Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot on Gait Pattern in Children with Cerebral Palsy: A Cross-Sectional Cohort Study

MacFarlane

Hing

Orr

2019

Preprint

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Background: Gait analysis is one of the important aspects of evaluation in ambulatory children with cerebral palsy (CP). Typically prescribed for children with CP, ankle-foot orthoses (AFOs) improve gait and alignment through providing support and stability to the ankle complex. An alternative and under-researched orthosis being used in this population is the Sensomotoric orthotic (SMotO), which uses a different approach to correct alignment and improve gait. The Edinburgh Visual Gait Score (EVGS) is a valid, robust, reliable and easy-to-use observational gait analysis scale to measure of gait quality in CP. Improvements to gait could then be attributed to intervention, or regression of gait could be attributed to poor intervention or physical changes. Therefore, the aim of this study was to use the EVGS to determine the effect of SMotOs, AFOs and barefoot on gait pattern in children with CP. Methods: This cross-sectional cohort study investigated the differences in gait quality in children with CP between wearing SMotOs and AFOs through using the EVGS. Video imagery was taken when walking barefoot (where appropriate), in SMotOs and in AFOs for at least 5m at a self-directed pace. Individual scores and averages across the population were recorded. Data was analysed through SPSS statistics software (Version 20) and the Microsoft Office Excel 2007. A one-way ANOVA and post hoc Bonferroni were completed to identify significant differences with the alpha level set at p<.05. Results: One-way ANOVA analyses revealed significant differences between total left (p=0.011) and right (p=0.014) scores between SMotO and AFOs. Overall, results demonstrate improved gait in favour of SMotO vs AFO and that there are no significant differences between being barefoot and wearing AFOs. Conclusions: SMotOs are a viable orthotic option to improve gait in children with CP, but due to small yield of participants, a larger scale, blinded study should be performed to further determine results.

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The Edinburgh visual gait score – The minimal clinically important difference

Cited by 22 publications

References 12 publications

Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy

Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy

Selective peripheral neurotomy (SPN) as a treatment strategy for spasticity

Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot on Gait Pattern in Children with Cerebral Palsy: A Cross-Sectional Cohort Study

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