Dynamic Gait Index: Difference between revisions
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'''Original Editor '''- [[User:Rachael Lowe|Rachael Lowe]] | '''Original Editor '''- [[User:Rachael Lowe|Rachael Lowe]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} - Your name will be added here if you are a lead editor on this page. | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} - Your name will be added here if you are a lead editor on this page. | ||
</div> | </div> | ||
== Objective<br> == | == Objective<br> == | ||
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Total Score = 24 | Total Score = 24 | ||
Interpretation < 19/24 = predictive of falls in the elderly, > 22/24 = safe ambulators <br> | Interpretation < 19/24 = predictive of falls in the elderly, > 22/24 = safe ambulators <br> | ||
== Evidence == | == Evidence == | ||
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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;amp;amp;amp;amp;amp;amp;amp;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> | 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;amp;amp;amp;amp;amp;amp;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&amp;amp;amp;amp;amp;amp;amp;amp;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. | 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;amp;amp;amp;amp;amp;amp;amp;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&amp;amp;amp;amp;amp;amp;amp;amp;_udi=B6T6Y-4TMHKS8-1&amp;amp;amp;amp;amp;amp;amp;amp;_user=10&amp;amp;amp;amp;amp;amp;amp;amp;_coverDate=02%2F28%2F2009&amp;amp;amp;amp;amp;amp;amp;amp;_rdoc=14&amp;amp;amp;amp;amp;amp;amp;amp;_fmt=high&amp;amp;amp;amp;amp;amp;amp;amp;_orig=browse&amp;amp;amp;amp;amp;amp;amp;amp;_srch=doc-info%28%23toc%235043%232009%23999709997%23863058%23FLA%23display%23Volume%29&amp;amp;amp;amp;amp;amp;amp;amp;_cdi=5043&amp;amp;amp;amp;amp;amp;amp;amp;_sort=d&amp;amp;amp;amp;amp;amp;amp;amp;_docanchor=&amp;amp;amp;amp;amp;amp;amp;amp;_ct=36&amp;amp;amp;amp;amp;amp;amp;amp;_acct=C000050221&amp;amp;amp;amp;amp;amp;amp;amp;_version=1&amp;amp;amp;amp;amp;amp;amp;amp;_urlVersion=0&amp;amp;amp;amp;amp;amp;amp;amp;_userid=10&amp;amp;amp;amp;amp;amp;amp;amp;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> | 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&amp;amp;amp;amp;amp;amp;amp;amp;amp;_udi=B6T6Y-4TMHKS8-1&amp;amp;amp;amp;amp;amp;amp;amp;amp;_user=10&amp;amp;amp;amp;amp;amp;amp;amp;amp;_coverDate=02%2F28%2F2009&amp;amp;amp;amp;amp;amp;amp;amp;amp;_rdoc=14&amp;amp;amp;amp;amp;amp;amp;amp;amp;_fmt=high&amp;amp;amp;amp;amp;amp;amp;amp;amp;_orig=browse&amp;amp;amp;amp;amp;amp;amp;amp;amp;_srch=doc-info%28%23toc%235043%232009%23999709997%23863058%23FLA%23display%23Volume%29&amp;amp;amp;amp;amp;amp;amp;amp;amp;_cdi=5043&amp;amp;amp;amp;amp;amp;amp;amp;amp;_sort=d&amp;amp;amp;amp;amp;amp;amp;amp;amp;_docanchor=&amp;amp;amp;amp;amp;amp;amp;amp;amp;_ct=36&amp;amp;amp;amp;amp;amp;amp;amp;amp;_acct=C000050221&amp;amp;amp;amp;amp;amp;amp;amp;amp;_version=1&amp;amp;amp;amp;amp;amp;amp;amp;amp;_urlVersion=0&amp;amp;amp;amp;amp;amp;amp;amp;amp;_userid=10&amp;amp;amp;amp;amp;amp;amp;amp;amp;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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<references /> | <references /> | ||
<br> | <br> | ||
[[Category:Older_People/Geriatrics|Geriatrics]][[Category:Outcome_Measures]] | |||
Revision as of 17:56, 26 October 2013
Original Editor - Rachael Lowe
Top Contributors - Rachael Lowe, Laura Ritchie, Kim Jackson, Wendy Walker, Admin, Rucha Gadgil, Lucinda hampton, Scott Buxton, WikiSysop, Tony Lowe, Naomi O'Reilly, Karen Wilson, Tolulope Adeniji and 127.0.0.1 - Your name will be added here if you are a lead editor on this page.
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]
| [1] |
8 functional walking tests are performed by the subject and marked out of three according to the lowest category which applies. 24 is the total individual score possible. Scores of 19 or less have been related to increase incidence of falls.
Equipment needed[edit | edit source]
Box (Shoebox), Cones (2), Stairs, 20' walkway, 15” wide
Completion Time[edit | edit source]
15 minutes
Scoring[edit | edit source]
A four-point ordinal scale, ranging from 0-3. “0” indicates the lowest level of function and “3” the highest level of function.
Total Score = 24
Interpretation < 19/24 = predictive of falls in the elderly, > 22/24 = safe ambulators
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[2].
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[3].
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[4].
The DGI is a reliable functional assessment tool for multiple sclerosis that correlates inversely with timed walk, showing its concurrent validity[5]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[6]
Responsiveness[edit | edit source]
Miscellaneous[edit | edit source]
Evaluating a person's performance on items of the DGI may be useful in identifying gait deviations and in evaluating gait improvements as a result of interventions[7].
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
- ↑ AV Verleih. Dynamic Gait Index.AVI. Available from: http://www.youtube.com/watch?v=JtnjfsVnPsY[last accessed 25/05/13]
- ↑ 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.
- ↑ Marchetti GF, Whitney SL, Blatt PJ, Morris LO, Vance JM. Temporal and spatial characteristics of gait during performance of the Dynamic Gait Index in people with and people without balance or vestibular disorders. Physical Therapy, 2008 May;88(5):640-51.
