Observational Gait Assessment Scales in Patients with Walking Disorders: Systematic Review.

Objective. To compile and analyze the characteristics and methodological quality of observational gait assessment scales validated to date. Methods. PubMed, Scopus, the Cochrane Library, Physiotherapy Evidence Database, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Dialne...

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Published in:BioMed Research International pp. 1 - 13
Main Authors: Ridao-Fernández, Carmen, Pinero-Pinto, Elena, Chamorro-Moriana, Gema
Format: research systematic review tables/charts Journal Article
Published: Wiley-Blackwell 10/31/2019
Online Access:View this record in EBSCOhost
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      dt: 10/31/2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2019/2085039
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        atl: Observational Gait Assessment Scales in Patients with Walking Disorders: Systematic Review.
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        au:
          Ridao-Fernández, Carmen
          Pinero-Pinto, Elena
          Chamorro-Moriana, Gema
        affil: Department of Physiotherapy, Research Group "Area of Physiotherapy CTS-305", University of Seville, 41009 Seville, Spain
      sug:
        subj:
          Instrument Validation
          Gait Analysis
          Movement Disorders Diagnosis
          Human
          Systematic Review
          PubMed
          Cochrane Library
          Physiotherapy Evidence Database
          CINAHL Database
          Podiatry
          Conceptual Framework
          Clinical Assessment Tools
          Checklists
          Nervous System Diseases Diagnosis
          Musculoskeletal Diseases Diagnosis
          Vestibular Diseases Diagnosis
          Ambulation Aids
          Kinematics
          Leg Physiology
          Torso Physiology
          Criterion-Related Validity
          Content Validity
      ab: Objective. To compile and analyze the characteristics and methodological quality of observational gait assessment scales validated to date. Methods. PubMed, Scopus, the Cochrane Library, Physiotherapy Evidence Database, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Dialnet, Spanish Medical Index, and Nursing, Physiotherapy, and Podiatry databases were searched up to August 2019. The main inclusion criteria were validated tools based on a conceptual framework developed to evaluate gait, validation design studies of observational scales in their entirety, and articles written in English or Spanish. Evaluators extracted descriptive information of the scales and the metric properties of the studies, which were further analyzed with Quality Assessment of Diagnostic Accuracy Studies (QUADAS-2) and COnsensus-based Standards for the selection of health Measurement Instruments (COSMIN checklist). Results. Eighteen articles based on 14 scales were included. The populations were neurological patients (72.22%), musculoskeletal disorders (11.11%), and other areas such as vestibular disorders (11.11%). The most addressed items were orthopedic aids (64.29%); phases of the gait cycle and kinematics of the leg and trunk (57.14% each one); and spatial and temporal parameters (50%). All studies analyzed criterion validity, and five included content or structural validity (27.78%). Fifteen articles considered reliability (83.33%). Regarding the seven-item scale QUADAS-2, five studies obtained six results on "low" risk of bias or "low" concerns regarding applicability. Nine articles obtained at least a "fair" result on COSMIN checklist. Conclusions. A necessary compilation of the observational gait assessment scales validated to date was conducted. Besides, their characteristics and methodological quality were analyzed. Most scales were applied in neurological signs. The most approached topics were orthopedic aids, phases of the gait cycle, and kinematics of the leg and trunk. The scale that demonstrated a higher methodological quality was Visual Gait Assessment Scale, followed by CHAGS, Salford Gait Tool, and Edinburgh Visual Gait Score.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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