Reliability and validity of the Visual Gait Assessment Scale for children with hemiplegic cerebral palsy when used by experienced and inexperienced observers

被引:34
作者
Brown, C. R. [1 ]
Hillman, S. J. [2 ]
Richardson, A. M. [3 ]
Herman, J. L. [3 ]
Robb, J. E. [3 ]
机构
[1] Univ Edinburgh, Edinburgh, Midlothian, Scotland
[2] Univ Strathclyde, Natl Ctr Training & Educ Prosthet & Orthot, Glasgow G1 1XQ, Lanark, Scotland
[3] Anderson Gait Anal Lab, Edinburgh, Midlothian, Scotland
关键词
visual observation; gait; cerebral palsy; hemiplegia;
D O I
10.1016/j.gaitpost.2007.08.008
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
This study investigated the reliability and validity of the Visual Gait Assessment Scale when used by experienced and inexperienced observers. Four experienced and six inexperienced observers viewed videotaped footage of four children with hemiplegic cerebral palsy on two separate occasions. Validity of the Scale was obtained by comparison with three-dimensional gait analysis (3DGA). The experienced observers generally had higher inter-observer and intra-observer reliability than the inexperienced observers. Both groups showed higher agreement for assessments made at the ankle and foot than at the knee and hip. The experienced observers had slightly higher agreement with 3DGA than the inexperienced observers. The inexperienced observers showed a learning effect and had higher inter-observer agreement and higher agreement with 3DGA in the second assessment of the videotapes. This scale can be used by inexperienced observers but is limited to observations in the sagittal plane and by poor reliability at the knee and hip for experienced and inexperienced observers. (c) 2007 Elsevier B.V. All rights reserved.
引用
收藏
页码:648 / 652
页数:5
相关论文
共 14 条
[1]   STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT [J].
BLAND, JM ;
ALTMAN, DG .
LANCET, 1986, 1 (8476) :307-310
[2]   Botulinum toxin A compared with stretching casts in the treatment of spastic equinus: A randomised prospective trial [J].
Corry, IS ;
Cosgrove, AP ;
Duffy, CM ;
McNeill, S ;
Taylor, TC ;
Graham, HK .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1998, 18 (03) :304-311
[3]   Validation of a visual gait assessment scale for children with hemiplegic cerebral palsy [J].
Dickens, WE ;
Smith, MF .
GAIT & POSTURE, 2006, 23 (01) :78-82
[4]   Botulinum toxin A versus fixed cast stretching for dynamic calf tightness in cerebral palsy [J].
Flett, PJ ;
Stern, LM ;
Waddy, H ;
Connell, TM ;
Seeger, JD ;
Gibson, SK .
JOURNAL OF PAEDIATRICS AND CHILD HEALTH, 1999, 35 (01) :71-77
[5]   Recommendations for the use of botulinum toxin type A in the management of cerebral palsy [J].
Graham, HK ;
Aoki, KR ;
Autti-Rämö, I ;
Boyd, RN ;
Delgado, MR ;
Gaebler-Spira, DJ ;
Gormley, ME ;
Guyer, BM ;
Heinen, F ;
Holton, AF ;
Matthews, D ;
Molenaers, G ;
Motta, F ;
Ruiz, PJG ;
Wissel, J .
GAIT & POSTURE, 2000, 11 (01) :67-79
[6]   Correlation of the Edinburgh Gait Score with the Gillette Gait Index, the Gillette Functional Assessment Questionnaire, and dimensionless speed [J].
Hillman, Susan J. ;
Hazlewood, M. Elizabeth ;
Schwartz, Michael H. ;
van der Linden, Marietta L. ;
Robb, James E. .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2007, 27 (01) :7-11
[7]   MANAGEMENT OF SPASTICITY IN CEREBRAL-PALSY WITH BOTULINUM-A TOXIN - REPORT OF A PRELIMINARY, RANDOMIZED, DOUBLE-BLIND TRIAL [J].
KOMAN, LA ;
MOONEY, JF ;
SMITH, BP ;
GOODMAN, A ;
MULVANEY, T .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1994, 14 (03) :299-303
[8]   Botulinum toxin type A neuromuscular blockade in the treatment of lower extremity spasticity in cerebral palsy: A randomized, double-blind, placebo-controlled trial [J].
Koman, LA ;
Mooney, JF ;
Smith, BP ;
Walker, F ;
Leon, JM .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2000, 20 (01) :108-115
[9]   Gait in children with cerebral palsy - Observer reliability of Physician Rating Scale and Edinburgh Visual Gait Analysis Interval Testing Scale [J].
Maathuis, KGB ;
van der Schans, CP ;
van Iperen, A ;
Rietman, HS ;
Geertzen, JHB .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2005, 25 (03) :268-272
[10]   Reliability and validity of the Observational Gait Scale in children with spastic diplegia [J].
Mackey, AH ;
Lobb, GL ;
Wait, SE ;
Stott, NS .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2003, 45 (01) :4-11