The minimal clinically important difference for the Gait Profile Score

被引:140
作者
Baker, Richard [1 ,2 ,3 ]
McGinley, Jennifer L. [2 ,3 ]
Schwartz, Mike [4 ]
Thomason, Pam [5 ]
Rodda, Jill [5 ]
Graham, H. Kerr [2 ,3 ,5 ]
机构
[1] Univ Salford, Sch Hlth Sci, Manchester M6 6PU, England
[2] Murdoch Childrens Res Inst, Melbourne, Vic, Australia
[3] Univ Melbourne, Melbourne, Vic 3010, Australia
[4] Univ Minnesota, Minneapolis, MN 55455 USA
[5] Royal Childrens Hosp, Melbourne, Vic, Australia
关键词
Gait; Gait Profile Score; Kinematics; Outcome measures; Gait index; GROSS MOTOR FUNCTION; CEREBRAL-PALSY; AMBULATORY CHILDREN; SYSTEM; RELIABILITY; VALIDITY; INDEX;
D O I
10.1016/j.gaitpost.2011.12.008
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The minimally clinically important difference (MCID) is an important concept for interpreting the results of clinical research. This paper proposes a rationale for defining an MCID for the Gait Profile Score (GPS) based on an analysis of the difference in median GPS for children classified at different levels of the Functional Assessment Questionnaire. A strong linear correlation between median score and FAQ level was found. An MCID of 1.6 degrees is therefore suggested, reflecting the mean difference between adjacent FAQ levels. Comparison of this value with (i) the standard deviation of GPS from typically developing children (1.4 degrees) and (ii) the percentage of the difference between the median GPS for each FAQ level and that for typically developing children offers further support to suggest that 1.6 degrees is an appropriate figure. (C) 2011 Elsevier B.V. All rights reserved.
引用
收藏
页码:612 / 615
页数:4
相关论文
共 16 条
[1]   The Gait Profile Score and Movement Analysis Profile [J].
Baker, Richard ;
McGinley, Jennifer L. ;
Schwartz, Michael H. ;
Beynon, Sarah ;
Rozumalski, Adam ;
Graham, H. Kerr ;
Tirosh, Oren .
GAIT & POSTURE, 2009, 30 (03) :265-269
[2]   Correlations of the Gait Profile Score and the Movement Analysis Profile relative to clinical judgments [J].
Beynon, Sarah ;
McGinley, Jennifer L. ;
Dobson, Fiona ;
Baker, Richard .
GAIT & POSTURE, 2010, 32 (01) :129-132
[3]   Defining clinically meaningful change in health-related quality of life [J].
Crosby, RD ;
Kolotkin, RL ;
Williams, GR .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 2003, 56 (05) :395-407
[4]   Core outcome measures for chronic pain clinical trials: IMMPACT recommendations [J].
Dworkin, RH ;
Turk, DC ;
Farrar, JT ;
Haythornthwaite, JA ;
Jensen, MP ;
Katz, NP ;
Kerns, RD ;
Stucki, G ;
Allen, RR ;
Bellamy, N ;
Carr, DB ;
Chandler, J ;
Cowan, P ;
Dionne, R ;
Galer, BS ;
Hertz, S ;
Jadad, AR ;
Kramer, LD ;
Manning, DC ;
Martin, S ;
McCormick, CG ;
McDermott, MP ;
McGrath, P ;
Quessy, S ;
Rappaport, BA ;
Robbins, W ;
Robinson, JP ;
Rothman, M ;
Royal, MA ;
Simon, L ;
Stauffer, JW ;
Stein, W ;
Tollett, J ;
Wernicke, J ;
Witter, J .
PAIN, 2005, 113 (1-2) :9-19
[5]  
Gage JR., 2009, Clinics in Developmental Medicine, V2nd
[6]   Minimal Clinically Important Difference [J].
Gatchel, Robert J. ;
Lurie, Jon D. ;
Mayer, Tom G. .
SPINE, 2010, 35 (19) :1739-1743
[7]   MEASUREMENT OF HEALTH-STATUS - ASCERTAINING THE MINIMAL CLINICALLY IMPORTANT DIFFERENCE [J].
JAESCHKE, R ;
SINGER, J ;
GUYATT, GH .
CONTROLLED CLINICAL TRIALS, 1989, 10 (04) :407-415
[8]   Reliability and validity of the Gillette Functional Assessment Questionnaire as an outcome measure in children with walking disabilities [J].
Novacheck, TF ;
Stout, JL ;
Tervo, R .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2000, 20 (01) :75-81
[9]   Outcome tools used for ambulatory children with cerebral palsy: responsiveness and minimum clinically important differences [J].
Oeffinger, D. ;
Bagley, A. ;
Rogers, S. ;
Gorton, G. ;
Kryscio, R. ;
Abel, M. ;
Damiano, D. ;
Barnes, D. ;
Tylkowski, C. .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2008, 50 (12) :918-925
[10]   Development and reliability of a system to classify gross motor function in children with cerebral palsy [J].
Palisano, R ;
Rosenbaum, P ;
Walter, S ;
Russell, D ;
Wood, E ;
Galuppi, B .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 1997, 39 (04) :214-223