Functional Gait Assessment: Difference between revisions
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The Functional Gait Assessment (FGA) is a modification of the Dynamic Gait Index (DGI) that uses higher-level tasks to increase the applicability of the test to people with vestibular disorders and to eliminate the ceiling effect of the original test. Three items were added to the DGI because these were noted to be difficult in people with vestibular disorders. | The Functional Gait Assessment (FGA) is a modification of the Dynamic Gait Index (DGI) that uses higher-level tasks to increase the applicability of the test to people with vestibular disorders and to eliminate the ceiling effect of the original test. Three items were added to the DGI because these were noted to be difficult in people with vestibular disorders. | ||
The FGA is used to assess postural stability during various walking tasks. <ref>http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=893</ref> | |||
== Intended Population == | == Intended Population == | ||
Adults with Parkinson’s Disease, stroke or vestibular disorders | |||
== Method of Use == | == Method of Use == | ||
Time to Administer: 5-10 minutes | |||
Number of Test Items: 10 | |||
Scoring: Each item is scored on an ordinal scale from 0 - 3, with | |||
0 = severe impairment | |||
1 = moderate impairment | |||
2 = mild impairment | |||
3 = normal ambulation | |||
Thus, the highest score is 30/30 | |||
== Reference == | == Reference == | ||
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[[Dynamic Gait Index|Dynamic Gait Index]], the [[4-item Dynamic Gait Index|4-item Dynamic Gait Index]], and the [[Functional_Gait_Assessment|Functional Gait Assessment]] show sufficient validity, responsiveness, and reliability for assessment of walking function in patients with stroke undergoing rehabilitation, but the Functional Gait Assessment is recommended for its psychometric properties<ref>Lin JH, Hsu MJ, Hsu HW, Wu HC, Hsieh CL. [http://stroke.ahajournals.org/cgi/content/abstract/STROKEAHA.110.589739v1 Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke]. Stroke. 2010 Jul 29; online article ahead of print</ref>. | [[Dynamic Gait Index|Dynamic Gait Index]], the [[4-item Dynamic Gait Index|4-item Dynamic Gait Index]], and the [[Functional_Gait_Assessment|Functional Gait Assessment]] show sufficient validity, responsiveness, and reliability for assessment of walking function in patients with stroke undergoing rehabilitation, but the Functional Gait Assessment is recommended for its psychometric properties<ref>Lin JH, Hsu MJ, Hsu HW, Wu HC, Hsieh CL. [http://stroke.ahajournals.org/cgi/content/abstract/STROKEAHA.110.589739v1 Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke]. Stroke. 2010 Jul 29; online article ahead of print</ref>. | ||
== Resources == | == Resources == | ||
http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=893 | http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=893 | ||
== Links == | == Links == |
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Objective
[edit | edit source]
The Functional Gait Assessment (FGA) is a modification of the Dynamic Gait Index (DGI) that uses higher-level tasks to increase the applicability of the test to people with vestibular disorders and to eliminate the ceiling effect of the original test. Three items were added to the DGI because these were noted to be difficult in people with vestibular disorders.
The FGA is used to assess postural stability during various walking tasks. [1]
Intended Population[edit | edit source]
Adults with Parkinson’s Disease, stroke or vestibular disorders
Method of Use[edit | edit source]
Time to Administer: 5-10 minutes
Number of Test Items: 10
Scoring: Each item is scored on an ordinal scale from 0 - 3, with
0 = severe impairment 1 = moderate impairment 2 = mild impairment 3 = normal ambulation
Thus, the highest score is 30/30
Reference[edit | edit source]
Evidence[edit | edit source]
[2] |
Reliability[edit | edit source]
Intrarater reliability of the total FGA: ICC = 0.83
Interrater reliability of the total FGA: ICC = 0.84
Internal Consistency: Cronbach alpha value 0.79 across both trials
Validity[edit | edit source]
Concurrent Validity - FGA scores were correlated with the following outcome measure scores;
- ABC Scale: r = -.70
- DHI: r = -.064
- PDS: r = -.70
- Number of falls: r = -.66
- TUG: r = -.50
- DGI: r = 0.80
Responsiveness[edit | edit source]
Miscellaneous[edit | edit source]
Dynamic Gait Index, the 4-item Dynamic Gait Index, and the Functional Gait Assessment show sufficient validity, responsiveness, and reliability for assessment of walking function in patients with stroke undergoing rehabilitation, but the Functional Gait Assessment is recommended for its psychometric properties[3].
Resources[edit | edit source]
http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=893
Links[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
- ↑ http://www.rehabmeasures.org/Lists/RehabMeasures/DispForm.aspx?ID=893
- ↑ Julia Krahm. Functional Gait Assessment. Available from: http://www.youtube.com/watch?v=vxzB3ez3y14[last accessed 10/10/14]
- ↑ Lin JH, Hsu MJ, Hsu HW, Wu HC, Hsieh CL. Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke. Stroke. 2010 Jul 29; online article ahead of print