Yıl: 2022 Cilt: 52 Sayı: 3 Sayfa Aralığı: 658 - 666 Metin Dili: İngilizce DOI: 10.55730/1300-0144.5358 İndeks Tarihi: 27-07-2022

Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy

Öz:
Background/aim: Cerebral Palsy (CP) is the most frequent cause of physical disability in childhood. CP causes primary deficits such as impairments in muscle tone, muscle weakness, problems in selective motor control and secondary deficits such as contractures and deformities. These deficits lead to motor disorders during movement causing limitations in gait. Sixty percent of children with CP can walk independently despite these problems, however, they present with various gait abnormalities. Gait analysis is used in the quantitative assessment of gait disturbances providing functional diagnosis, assessment for treatment, planning, and monitoring of progress. G-Walk is a wearable sensor device which provides quantitative gait analysis via spatiotemporal parameters and pelvic girdle angles. In literature, there is no study investigating the reliability of the G-Walk in children with CP. The purpose of this study was to confirm the test-retest reliability of a commercially available body-worn sensor ‘BTS G-WALK sensor system’ for spatiotemporal gait parameters in children with CP. Materials and methods: Fifty-four children with CP (mean age: 9.19 ± 3.49 years), Gross Motor Function Classification System (GMFCS) level I-II completed the test-retest protocol with 5 days between tests. The test-retest reliability was calculated using intra-class correlation coefficients (ICC). Minimal detectable changes were calculated using standard error measurements. Results: According to the analysis, ICC varied from 0.799 to 0.977 in all of the gait parameters. The statistical analysis showed that all G-Walk parameters’ measurements were found to have almost perfect test-retest reliability. Conclusion: The G-Walk was found to be reliable in gait parameters for children with CP between ages 5 and 15, in GMFCS level I-II. A gait analysis carried out with the G-Walk system is a reliable method to assess gait in children with CP in a clinical setting
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Rodby-Bousquet E, Hägglund G. Better walking performance in older children with cerebral palsy. Clinical Orthopaedics and Related Research 2012; 470 (5): 1286-1293. doi: 10.1007/ s11999-011-1860-8
  • 2. Cans C. Surveillance of cerebral palsy in Europe: a collaboration of cerebral palsy surveys and registers. Developmental Medicine & Child Neurology 2000; 42 (12): 816-824. doi: 10.1017/ s0012162200001511
  • 3. Rethlefsen SA, Blumstein G, Kay RM, Dorey F, Wren TA. Prevalence of specific gait abnormalities in children with cerebral palsy revisited: influence of age, prior surgery, and gross motor function classification system level. Developmental Medicine & Child Neurology 2017; 59 (1): 79-88. doi: 10.1111/ dmcn.13205
  • 4. Hutton J, Colver A, Mackie P. Effect of severity of disability on survival in north east England cerebral palsy cohort. Archives of disease in Childhood 2000; 83 (6): 468-474. doi: 10.1136/ adc.83.6.468
  • 5. Baker R, Esquenazi A, Benedetti MG, Desloovere K. Gait analysis: clinical facts. European journal of physical and rehabilitation medicine 2016; 52 (4): 560-574.
  • 6. Armand S, Decoulon G, Bonnefoy-Mazure A. Gait analysis in children with cerebral palsy. EFORT open reviews 2016; 1 (12): 448-460. doi: 10.1302/2058-5241.1.000052
  • 7. Rathinam C, Bateman A, Peirson J, Skinner J. Observational gait assessment tools in paediatrics–a systematic review. Gait & posture 2014; 40 (2): 279-285. doi: 10.1016/j. gaitpost.2014.04.187
  • 8. Brown C, Hillman S, Richardson A, Herman J, Robb J. Reliability and validity of the visual gait assessment scale for children with hemiplegic cerebral palsy when used by experienced and inexperienced observers. Gait & posture 2008; 27 (4): 648-652. doi: 10.1016/j.gaitpost.2007.08.008
  • 9. Williams G, Morris ME, Schache A, McCrory P. Observational gait analysis in traumatic brain injury: Accuracy of clinical judgment. Gait & posture 2009; 29 (3): 454-459. doi: 10.1016/j. gaitpost.2008.11.005
  • 10. Krebs DE, Edelstein JE, Fishman S. Reliability of observational kinematic gait analysis. Physical Therapy 1985; 65 (7): 1027- 1033. doi: 10.1093/ptj/65.7.1027
  • 11. De Ridder R, Lebleu J, Willems T, De Blaiser C, Detrembleur C, Roosen P. Concurrent validity of a commercial wireless trunk triaxial accelerometer system for gait analysis. Journal of sport rehabilitation 2019; 28 (6). doi: 10.1123/jsr.2018-0295
  • 12. Kleiner AFR, Pacifici I, Vagnini A, Camerota F, Celletti C et al. Timed up and go evaluation with wearable devices: Validation in Parkinson’s disease. Journal of bodywork and movement therapies 2018; 22 (2): 390-395. doi: 10.1016/j.jbmt.2017.07.006
  • 13. Wren TA, Gorton III GE, Ounpuu S, Tucker CA. Efficacy of clinical gait analysis: A systematic review. Gait & posture 2011; 34 (2): 149-153. doi: 10.1016/j.gaitpost.2011.03.027
  • 14. Demir Y, Yildirim S. Different walk aids on gait parameters and kinematic analysis of the pelvis in patients with Adult Neuromuscular Disease. Neurosciences 2019; 24 (1): 36-44. doi: 10.17712/nsj.2019.1.20180316
  • 15. Aycardi LF, Cifuentes CA, Múnera M, Bayón C, Ramírez O et al. Evaluation of biomechanical gait parameters of patients with cerebral palsy at three different levels of gait assistance using the CPWalker. Journal of neuroengineering and rehabilitation 2019; 16 (1): 15. doi: 10.1186/s12984-019-0485-0
  • 16. Beckerman H, Roebroeck M, Lankhorst G, Becher J, Bezemer PD et al. Smallest real difference, a link between reproducibility and responsiveness. Quality of Life Research 2001; 10 (7): 571- 578. doi: 10.1023/a:1013138911638
  • 17. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics 1977; 33 (1):159-174.
  • 18. Thomas JR, Nelson JK, Silverman SJ. Research methods in physical activity. 6th ed. Champaign, IL, USA: Human Kinetics; 2015.
  • 19. Haley SM, Fragala-Pinkham MA. Interpreting change scores of tests and measures used in physical therapy. Physical therapy 2006; 86 (5): 735-743.
  • 20. Hopkins WG. Measures of reliability in sports medicine and science. Sports medicine 2000; 30 (1): 1-15. doi: 10.2165/00007256-200030010-00001
  • 21. Levin I, Lewek MD, Giuliani C, Faldowski R, Thorpe DE. Testretest reliability and minimal detectable change for measures of balance and gait in adults with cerebral palsy. Gait & posture 2019; 72: 96-101. doi: 10.1016/j.gaitpost.2019.05.028
  • 22. LeMoyne R, Mastroianni T. Quantification systems appropriate for a clinical setting. Wearable and wireless systems for healthcare I. 1st ed. Singapore: Springer; 2018.
APA Volkan Yazıcı M, COBANOGLU G, Yazici G (2022). Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. , 658 - 666. 10.55730/1300-0144.5358
Chicago Volkan Yazıcı Melek,COBANOGLU GAMZE,Yazici Gokhan Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. (2022): 658 - 666. 10.55730/1300-0144.5358
MLA Volkan Yazıcı Melek,COBANOGLU GAMZE,Yazici Gokhan Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. , 2022, ss.658 - 666. 10.55730/1300-0144.5358
AMA Volkan Yazıcı M,COBANOGLU G,Yazici G Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. . 2022; 658 - 666. 10.55730/1300-0144.5358
Vancouver Volkan Yazıcı M,COBANOGLU G,Yazici G Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. . 2022; 658 - 666. 10.55730/1300-0144.5358
IEEE Volkan Yazıcı M,COBANOGLU G,Yazici G "Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy." , ss.658 - 666, 2022. 10.55730/1300-0144.5358
ISNAD Volkan Yazıcı, Melek vd. "Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy". (2022), 658-666. https://doi.org/10.55730/1300-0144.5358
APA Volkan Yazıcı M, COBANOGLU G, Yazici G (2022). Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. Turkish Journal of Medical Sciences, 52(3), 658 - 666. 10.55730/1300-0144.5358
Chicago Volkan Yazıcı Melek,COBANOGLU GAMZE,Yazici Gokhan Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. Turkish Journal of Medical Sciences 52, no.3 (2022): 658 - 666. 10.55730/1300-0144.5358
MLA Volkan Yazıcı Melek,COBANOGLU GAMZE,Yazici Gokhan Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. Turkish Journal of Medical Sciences, vol.52, no.3, 2022, ss.658 - 666. 10.55730/1300-0144.5358
AMA Volkan Yazıcı M,COBANOGLU G,Yazici G Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. Turkish Journal of Medical Sciences. 2022; 52(3): 658 - 666. 10.55730/1300-0144.5358
Vancouver Volkan Yazıcı M,COBANOGLU G,Yazici G Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy. Turkish Journal of Medical Sciences. 2022; 52(3): 658 - 666. 10.55730/1300-0144.5358
IEEE Volkan Yazıcı M,COBANOGLU G,Yazici G "Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy." Turkish Journal of Medical Sciences, 52, ss.658 - 666, 2022. 10.55730/1300-0144.5358
ISNAD Volkan Yazıcı, Melek vd. "Test-retest reliability and minimal detectable change for measures of wearable gait analysis system (G-Walk) in children with cerebral palsy". Turkish Journal of Medical Sciences 52/3 (2022), 658-666. https://doi.org/10.55730/1300-0144.5358