Dynamic Gait Index: Difference between revisions
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== Objective<br> == | == Objective<br> == | ||
The [[Dynamic Gait Index|Dynamic Gait Index]] (DGI) was developed as a clinical tool to assess gait, balance and fall risk. It evaluates not only usual steady-state walking, but also walking during more challenging tasks. | |||
== Intended Population<br> == | == Intended Population<br> == | ||
Those with poor balance and at risk of falling such as: | |||
*elderly population | |||
*stroke | |||
*vestibular disorders | |||
== Method of Use == | == Method of Use == | ||
| Line 20: | Line 28: | ||
The DGI showed high reliability and showed evidence of concurrent validity with other balance and mobility scales. It is a useful clinical tool for evaluating dynamic balance in ambulatory people with chronic stroke<ref>Jonsdottir J, Cattaneo D. [http://www.archives-pmr.org/article/S0003-9993(07)01447-5/fulltext Reliability and validity of the dynamic gait index in persons with chronic stroke]. Arch Phys Med Rehabil. 2007 Nov;88(11):1410-5.</ref>. | The DGI showed high reliability and showed evidence of concurrent validity with other balance and mobility scales. It is a useful clinical tool for evaluating dynamic balance in ambulatory people with chronic stroke<ref>Jonsdottir J, Cattaneo D. [http://www.archives-pmr.org/article/S0003-9993(07)01447-5/fulltext Reliability and validity of the dynamic gait index in persons with chronic stroke]. Arch Phys Med Rehabil. 2007 Nov;88(11):1410-5.</ref>. | ||
DGI total scores, administered by using the published instructions, showed moderate interrater reliability with subjects with vestibular disorders. The DGI should be used with caution in this population at this time, because of the lack of strong reliability<ref>Wrisley D, Walker M, Echternach J, Strasnick B. [http://www.archives-pmr.org/article/S0003-9993%2803%2900274-0/fulltext?refuid=S0003-9993%2807%2901447-5&amp;refissn=0003-9993 Reliability of the Dynamic Gait Index in people with vestibular disorders]. Arch Phys Med Rehabil. 2003;84:1528–1533</ref>.<br> | DGI total scores, administered by using the published instructions, showed moderate interrater reliability with subjects with vestibular disorders. The DGI should be used with caution in this population at this time, because of the lack of strong reliability<ref>Wrisley D, Walker M, Echternach J, Strasnick B. [http://www.archives-pmr.org/article/S0003-9993%2803%2900274-0/fulltext?refuid=S0003-9993%2807%2901447-5&amp;amp;amp;refissn=0003-9993 Reliability of the Dynamic Gait Index in people with vestibular disorders]. Arch Phys Med Rehabil. 2003;84:1528–1533</ref>.<br> | ||
The DGI is a reliable functional assessment tool for multiple sclerosis that correlates inversely with timed walk, showing its concurrent validity<ref>16McConvey J, Bennett S. [http://www.archives-pmr.org/article/S0003-9993(04)00179-0/fulltext?refuid=S0003-9993(07)01447-5&refissn=0003-9993 Reliability of the Dynamic Gait Index in individuals with multiple sclerosis]. Arch Phys Med Rehabil. 2005;86:130–133.</ref>in. | The DGI is a reliable functional assessment tool for multiple sclerosis that correlates inversely with timed walk, showing its concurrent validity<ref>16McConvey J, Bennett S. [http://www.archives-pmr.org/article/S0003-9993(04)00179-0/fulltext?refuid=S0003-9993(07)01447-5&amp;amp;refissn=0003-9993 Reliability of the Dynamic Gait Index in individuals with multiple sclerosis]. Arch Phys Med Rehabil. 2005;86:130–133.</ref>in. | ||
=== Validity === | === Validity === | ||
the DGI, although susceptible to ceiling effects, appears to be an appropriate tool for assessing function in healthy older adults<ref>Herman T, Inbar-Borovsky N, Brozgol M, Giladi N, Hausdorff JM. [http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T6Y-4TMHKS8-1&_user=10&_coverDate=02%2F28%2F2009&_rdoc=14&_fmt=high&_orig=browse&_srch=doc-info%28%23toc%235043%232009%23999709997%23863058%23FLA%23display%23Volume%29&_cdi=5043&_sort=d&_docanchor=&_ct=36&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=bb2363ffd7b621ac2cfcfc17a8695ca0 The Dynamic Gait Index in healthy older adults: the role of stair climbing, fear of falling and gender]. Gait Posture. 2009 Feb;29(2):237-41. Epub 2008 Oct 8.</ref> | |||
=== Responsiveness === | === Responsiveness === | ||
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Objective
[edit | edit source]
The Dynamic Gait Index (DGI) was developed as a clinical tool to assess gait, balance and fall risk. It evaluates not only usual steady-state walking, but also walking during more challenging tasks.
Intended Population
[edit | edit source]
Those with poor balance and at risk of falling such as:
- elderly population
- stroke
- vestibular disorders
Method of Use[edit | edit source]
Reference
[edit | edit source]
Evidence[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].
Reliability[edit | edit source]
The DGI showed high reliability and showed evidence of concurrent validity with other balance and mobility scales. It is a useful clinical tool for evaluating dynamic balance in ambulatory people with chronic stroke[2].
DGI total scores, administered by using the published instructions, showed moderate interrater reliability with subjects with vestibular disorders. The DGI should be used with caution in this population at this time, because of the lack of strong reliability[3].
The DGI is a reliable functional assessment tool for multiple sclerosis that correlates inversely with timed walk, showing its concurrent validity[4]in.
Validity[edit | edit source]
the DGI, although susceptible to ceiling effects, appears to be an appropriate tool for assessing function in healthy older adults[5]
Responsiveness[edit | edit source]
Miscellaneous
[edit | edit source]
Links[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ 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
- ↑ Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Arch Phys Med Rehabil. 2007 Nov;88(11):1410-5.
- ↑ Wrisley D, Walker M, Echternach J, Strasnick B. Reliability of the Dynamic Gait Index in people with vestibular disorders. Arch Phys Med Rehabil. 2003;84:1528–1533
- ↑ 16McConvey J, Bennett S. Reliability of the Dynamic Gait Index in individuals with multiple sclerosis. Arch Phys Med Rehabil. 2005;86:130–133.
- ↑ Herman T, Inbar-Borovsky N, Brozgol M, Giladi N, Hausdorff JM. The Dynamic Gait Index in healthy older adults: the role of stair climbing, fear of falling and gender. Gait Posture. 2009 Feb;29(2):237-41. Epub 2008 Oct 8.
