Reliability and clinical feasibility of measuring dual-task gait in the inpatient rehabilitation setting following traumatic brain injury.

Background: To prepare patients with traumatic brain injury (TBI) for discharge from inpatient rehabilitation, physical therapists may incorporate dual-task gait activities. Reliability of common dual-task measures for people with TBI in inpatient rehabilitation is undetermined. Our purpose was to a...

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Published in:Physiotherapy Theory & Practice Vol. 35; no. 12; pp. 1336 - 1343
Main Authors: Rachal, Lauren, Swank, Chad, Trudelle-Jackson, Elaine, Driver, Simon
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Dec2019
Online Access:View this record in EBSCOhost
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      dt: Dec2019
      vid: 35
      iid: 12
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2018.1474305
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        atl: Reliability and clinical feasibility of measuring dual-task gait in the inpatient rehabilitation setting following traumatic brain injury.
      aug:
        au:
          Rachal, Lauren
          Swank, Chad
          Trudelle-Jackson, Elaine
          Driver, Simon
        affil: Baylor Institute for Rehabilitation, Dallas, TX, USA
      sug:
        subj:
          Instrument Validation
          Brain Injuries Rehabilitation
          Task Performance and Analysis Evaluation
          Gait Analysis
          Clinical Assessment Tools
          Interrater Reliability Evaluation
          Intrarater Reliability Evaluation
          Human
          Funding Source
          Physical Therapists
          Validation Studies
          Videorecording
          Inpatients
          Surveys
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Brain Injuries Diagnosis
          Consent
          Scales
          Data Analysis Software
          Descriptive Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: Background: To prepare patients with traumatic brain injury (TBI) for discharge from inpatient rehabilitation, physical therapists may incorporate dual-task gait activities. Reliability of common dual-task measures for people with TBI in inpatient rehabilitation is undetermined. Our purpose was to assess inter-rater and intra-rater reliability and clinical feasibility of dual-task measures [Walking While Talking Test (WWTT), Modified Walking and Remembering Task (mWART), Timed Up and Go-cognitive (TUG-COG)] in inpatient rehabilitation for patients with TBI. Methods: A total of 22 individuals with TBI completing the dual-task measures (WWTT, Walking and Remembering Task (WART), and TUG-COG) in inpatient rehabilitation were rated concurrently by two physical therapists in a single testing session. Sessions were video recorded and rated by the same raters viewing the video 7–10 days later. Raters completed a survey assessing feasibility of conducting the dual-task measures in patients with TBI in inpatient rehabilitation. Data were analyzed by calculating ICC(2,1) for inter-rater reliability and ICC(3,1) for intra-rater reliability. Results: All dual-task measures (WWTT, mWART, TUG-COG) had excellent inter-rater and intra-rater reliability. Raters considered dual-task measures feasible for patients with TBI during inpatient rehabilitation. Conclusions: The WWTT, mWART, and TUG-COG have excellent reliability and appear clinically feasible for incorporation into clinical practice in inpatient rehabilitation following TBI.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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