María D Gor-García-Fogeda1, Silvia Tomé-Redondo1, Cristina Simón-Hidalgo1, Janis J Daly2,3, Francisco Molina-Rueda4, Roberto Cano-de-la-Cuerda4. 1. Physical Therapy Department, Multiple Sclerosis Foundation, Madrid, Spain. 2. National Brain Rehabilitation Research Center, Gainesville Veterans Affairs Medical Center, North Florida/South Georgia Veterans Health System, Gainesville, FL. 3. Department of Neurology, College of Medicine, University of Florida, Gainesville, FL. 4. Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine Department, Faculty of Health Sciences, Rey Juan Carlos University, Madrid, Spain.
Abstract
BACKGROUND: Gait impairment is one of the main causes of disability in people with multiple sclerosis. The Gait Assessment and Intervention Tool is an observational gait scale that assesses kinematic parameters using video recordings. OBJECTIVE: To study intra- and interrater reliability and the minimal detectable change of the Gait Assessment and Intervention Tool in individuals with multiple sclerosis. DESIGN: Observational study. SETTING: Multiple Sclerosis Foundation. PARTICIPANTS: Thirty-five participants with multiple sclerosis were assessed (12 men, 23 women; 47.7 ± 11 y; Expanded Disability Status Scale = 4.32 ± 1.4). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASUREMENTS: Intra- and interrater reliability of the Gait Assessment and Intervention Tool was assessed for each limb using the Intraclass Correlation Coefficient. In addition, the minimal detectable change was calculated. RESULTS: The Intraclass Correlation Coefficient for the intrarater reliability was found to be excellent for the total score both for the right side (.91; 95% confidence interval 95% CI .85-.95) and the left side (.93; 95% CI .88-.96). The intraclass correlation coefficient for the interrater reliability was .91 (95% CI .85-.95) for the right side, and .93 (95% CI .88-.96) for the left side. The minimal detectable change for the intrarater reliability was 1.19 points for the right side and .77 for the left side. CONCLUSIONS: The Gait Assessment and Intervention Tool exhibits excellent intra- and interrater reliability and a small minimal detectable change for people with multiple sclerosis.
BACKGROUND: Gait impairment is one of the main causes of disability in people with multiple sclerosis. The Gait Assessment and Intervention Tool is an observational gait scale that assesses kinematic parameters using video recordings. OBJECTIVE: To study intra- and interrater reliability and the minimal detectable change of the Gait Assessment and Intervention Tool in individuals with multiple sclerosis. DESIGN: Observational study. SETTING:Multiple Sclerosis Foundation. PARTICIPANTS: Thirty-five participants with multiple sclerosis were assessed (12 men, 23 women; 47.7 ± 11 y; Expanded Disability Status Scale = 4.32 ± 1.4). INTERVENTIONS: Not applicable. MAIN OUTCOME MEASUREMENTS: Intra- and interrater reliability of the Gait Assessment and Intervention Tool was assessed for each limb using the Intraclass Correlation Coefficient. In addition, the minimal detectable change was calculated. RESULTS: The Intraclass Correlation Coefficient for the intrarater reliability was found to be excellent for the total score both for the right side (.91; 95% confidence interval 95% CI .85-.95) and the left side (.93; 95% CI .88-.96). The intraclass correlation coefficient for the interrater reliability was .91 (95% CI .85-.95) for the right side, and .93 (95% CI .88-.96) for the left side. The minimal detectable change for the intrarater reliability was 1.19 points for the right side and .77 for the left side. CONCLUSIONS: The Gait Assessment and Intervention Tool exhibits excellent intra- and interrater reliability and a small minimal detectable change for people with multiple sclerosis.
Authors: J Marsden; M Pavlou; R Dennett; A Gibbon; R Knight-Lozano; L Jeu; C Flavell; J Freeman; D E Bamiou; C Harris; A Hawton; E Goodwin; B Jones; S Creanor Journal: BMC Neurol Date: 2020-11-27 Impact factor: 2.474