4-item Dynamic Gait Index: Difference between revisions

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== Objective  ==
== Introduction ==


[[Image:Blender3D NormalWalkCycle.gif|right]]  
[[Image:Blender3D NormalWalkCycle.gif|right]]  


The purpose of this measure is to test the psychometric properties of a short form of the [[Dynamic Gait Index]] (DGI) for the clinical measurement of walking function in people with balance and vestibular disorders.<ref name="Marchetti" />
The 4-Item Dynamic Gait Index is a shortened version of the [[Dynamic Gait Index]] (DGI) utilizing only the first four items.  It is used for the clinical measurement of walking function and has been examined in patients with balance deficits, vestibular disorders, and those post stroke.<ref name=":0" /><ref name="Marchetti" />
== Intended Population  ==
== Administering Test ==


People with balance and vestibular disorders having difficulty walking.
The first four items utilized from the DGI include:
#Horizontal head turns<ref name="Marchetti" />
#Vertical head turns<ref name="Marchetti" />
#Gait on level surfaces<ref name="Marchetti" />
#Changes in gait speed<ref name="Marchetti" />


This test was specifically constructed to be administered without using any equipment (cf. DGI requires cones etc.).


== Test ==
Each of the four items are scored on an ordinal scale from 0-3 with higher numbers indicating better performance of the specified task. Additionally, each item has specific criteria that must be met to be granted a specific score number.<ref name="Marchetti" />


4 items were selected for the reduced-item DGI:
Unlike the full DGI, the 4-Item Dynamic Gait Index does not require any equipment to administer.<ref name="Marchetti" />
#horizontal head turns
#vertical head turns
#gait on level surfaces
#changes in gait speed<br>
 
== Scoring  ==
 
With regard to the use of the 4-item DGI as a screening tool for falls, the higher specificity of the 4-item DGI suggests that a closer evaluation of fall risk factors is indicated if an individual has a score of less than 10 of 12.  


== Original Reference  ==
== Original Reference  ==
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=== Miscellaneous  ===
=== Miscellaneous  ===


[[Dynamic Gait Index|Dynamic Gait Index]], the '''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''', 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 name=":0">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; 41:9.</ref>.  


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Revision as of 17:09, 6 March 2023

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Introduction[edit | edit source]

Blender3D NormalWalkCycle.gif

The 4-Item Dynamic Gait Index is a shortened version of the Dynamic Gait Index (DGI) utilizing only the first four items. It is used for the clinical measurement of walking function and has been examined in patients with balance deficits, vestibular disorders, and those post stroke.[1][2]

Administering Test[edit | edit source]

The first four items utilized from the DGI include:

  1. Horizontal head turns[2]
  2. Vertical head turns[2]
  3. Gait on level surfaces[2]
  4. Changes in gait speed[2]


Each of the four items are scored on an ordinal scale from 0-3 with higher numbers indicating better performance of the specified task. Additionally, each item has specific criteria that must be met to be granted a specific score number.[2]

Unlike the full DGI, the 4-Item Dynamic Gait Index does not require any equipment to administer.[2]

Original Reference[edit | edit source]

Marchetti GF, Whitney SL. Construction and validation of the 4-item dynamic gait index. Physical Therapy, 2006 Dec;86(12):1651-60.[2]

Evidence[edit | edit source]

The clinical psychometric properties of the 4-item DGI were equivalent or superior to those of the 8-item test. The 4-item DGI can be used by clinicians to measure gait in people with balance and vestibular disorders without compromising important clinical measurement characteristics[2].

Reliability[edit | edit source]

DGI4 Vs DGI8.jpg

Validity[edit | edit source]

DGI4.jpg
DGI4 Validation.jpg

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[1].


References[edit | edit source]

  1. 1.0 1.1 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; 41:9.
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 Marchetti GF, Whitney SL. Construction and validation of the 4-item dynamic gait index. Physical Therapy, 2006 Dec;86(12):1651-60.