Visual gait analysis: the development of a clinical assessment and scale
Visual gait analysis: the development of a clinical assessment and scale
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DOI：
10.1191/026921598666182531
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发表时间：
1998-04-01
影响因子：
3
通讯作者：
Wade, DT
中科院分区：
文献类型：
--
作者：
Lord, SE;Halligan, PW;Wade, DT
目的：为了开发和评估一种四点量表视觉步态评估表，Rivermead视觉步态评估（RVGA），用于神经功能缺损患者的临床使用。设计：可靠性，有效性和变化敏感性的初步临床测试。设置：患者从Rivermead康复中心（RRC）招募，该中心专门从事神经系统疾病患者的康复。患者：10名住院患者由最多7名物理治疗师进行主要可靠性研究，8名不同的患者也由两名评分员间隔一周进行评估。20名门诊多发性硬化症（MS）患者接受物理治疗，以改善他们的流动性和27名住院患者与各种神经系统疾病也进行了评估和数据用于检查的有效性，可靠性和灵敏度changes.Outcome：其他比较措施使用步行时间，步长，步长不对称，平衡和Rivermead流动性指数。多个评分者之间的评分者间可靠性对于步态评估表的整体评分都是合理的（肯德尔一致性系数; p
Objectives: To develop and evaluate a four-point scale visual gait assessment form, the Rivermead Visual Gait Assessment (RVGA), for clinical use with patients with neurological deficits.Design: Preliminary clinical testing of reliability, validity and sensitivity to change.Setting: Patients were recruited from the Rivermead Rehabilitation Centre (RRC), a centre specializing in rehabilitation for patients with neurological disease.Patients: Ten inpatients were assessed by up to seven physiotherapists for the main reliability study, and eight different patients were also assessed by two raters one week apart. Twenty outpatients with multiple sclerosis (MS) who were receiving physiotherapy to improve their mobility and 27 inpatients with various neurological conditions were also assessed and the data used to examine validity, reliability and sensitivity to change.Outcome: The other comparative measures used were walking time, stride length, step length asymmetry, balance and the Rivermead Mobility Index.Results: Inter-rater reliability between multiple raters was reasonable both for the global scores from the gait assessment form (Kendall's coefficient of concordance; p