Clinical gait and balance scale (GABS): validation and utilization
Identifieur interne : 001356 ( Main/Merge ); précédent : 001355; suivant : 001357Clinical gait and balance scale (GABS): validation and utilization
Auteurs : Madhavi Thomas [États-Unis] ; Joseph Jankovic [États-Unis] ; Monthaporn Suteerawattananon [États-Unis] ; Sharmin Wankadia [États-Unis] ; Kavitha Caroline [États-Unis] ; Kevin Dat [États-Unis] ; Elizabeth Protas [États-Unis]Source :
- Journal of the neurological sciences [ 0022-510X ] ; 2004.
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Abstract
Gait and Balance Scale (GABS) consists of historical information and examination of 14 different gait and balance parameters designed to assess the severity of these functional domains. Thirty-five patients with Parkinson's disease (PD), Hoehn and Yahr stages 1-3, were tested during their "off" period. GABS items were compared to quantitative data from two computerized gait analysis instruments, GAITRite and Pro Balance Master. Intra-class correlation coefficients were calculated to establish reliability. Intra-rater test-retest reliability was determined using Cohen's Kappa statistic. Concurrent validity was derived using the Spearman's rho test with the items from GABS, GAITRite and Balance Master. Intra-rater reliability was high with k>0.41 (k=kappa statistic) for 17 items, 6 had k>0.61. When performing validity measurements, a number of items on the GABS had a correlation coefficient significant at p<0.01 (2-tailed). Posture, pull test, balance during stance, single limb stance, tandem stance, turning, toe walking and functional reach had significant correlation with Balance Master data (R=0.46-1). Gait, arm swing, gait speed, steps/5 m, 'up-and-go test', modified performance oriented assessment of gait scale and provocative testing had significant correlation with the GAITRite items (R=0.51-0.83). GABS is an easy-to-use comprehensive clinical scale with high intra-rater and internal item reliability. We have shown concurrent validity with two computerized gait analysis instruments. We expect GABS to have a particular utility in clinical trials designed to modify functional impairment associated with abnormalities in gait and balance.
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Street no. 1801</s1><s2>Houston, TX 77030</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName type="university" n="3">Baylor College of Medicine</orgName></affiliation></author><author><name sortKey="Suteerawattananon, Monthaporn" sort="Suteerawattananon, Monthaporn" uniqKey="Suteerawattananon M" first="Monthaporn" last="Suteerawattananon">Monthaporn Suteerawattananon</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Texas Woman's University, School of Physical Therapy</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Wankadia, Sharmin" sort="Wankadia, Sharmin" uniqKey="Wankadia S" first="Sharmin" last="Wankadia">Sharmin Wankadia</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Texas Woman's University, School of Physical Therapy</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Caroline, Kavitha Salomi" sort="Caroline, Kavitha Salomi" uniqKey="Caroline K" first="Kavitha" last="Caroline">Kavitha Caroline</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Texas Woman's University, School of Physical Therapy</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Dat Vuong, Kevin" sort="Dat Vuong, Kevin" uniqKey="Dat Vuong K" first="Kevin" last="Dat">Kevin 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aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 6550 Fannin Street no. 1801</s1><s2>Houston, TX 77030</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName><placeName><settlement type="city">Houston</settlement><region type="state">Texas</region></placeName><orgName type="university" n="3">Baylor College of Medicine</orgName></affiliation></author><author><name sortKey="Suteerawattananon, Monthaporn" sort="Suteerawattananon, Monthaporn" uniqKey="Suteerawattananon M" first="Monthaporn" last="Suteerawattananon">Monthaporn Suteerawattananon</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Texas Woman's University, School of Physical Therapy</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Wankadia, Sharmin" sort="Wankadia, Sharmin" uniqKey="Wankadia S" first="Sharmin" last="Wankadia">Sharmin Wankadia</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Texas Woman's University, School of Physical Therapy</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Caroline, Kavitha Salomi" sort="Caroline, Kavitha Salomi" uniqKey="Caroline K" first="Kavitha" last="Caroline">Kavitha Caroline</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Texas Woman's University, School of Physical Therapy</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Dat Vuong, Kevin" sort="Dat Vuong, Kevin" uniqKey="Dat Vuong K" first="Kevin" last="Dat">Kevin Dat</name><affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 6550 Fannin Street no. 1801</s1><s2>Houston, TX 77030</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Protas, Elizabeth" sort="Protas, Elizabeth" uniqKey="Protas E" first="Elizabeth" last="Protas">Elizabeth Protas</name><affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Texas Woman's University, School of Physical Therapy</s1><s2>Houston, TX</s2><s3>USA</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Texas</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Journal of the neurological sciences</title><title level="j" type="abbreviated">J. neurol. sci.</title><idno type="ISSN">0022-510X</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of the neurological sciences</title><title level="j" type="abbreviated">J. neurol. sci.</title><idno type="ISSN">0022-510X</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Gait</term><term>Nervous system diseases</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Système nerveux pathologie</term><term>Allure</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Gait and Balance Scale (GABS) consists of historical information and examination of 14 different gait and balance parameters designed to assess the severity of these functional domains. Thirty-five patients with Parkinson's disease (PD), Hoehn and Yahr stages 1-3, were tested during their "off" period. GABS items were compared to quantitative data from two computerized gait analysis instruments, GAITRite and Pro Balance Master. Intra-class correlation coefficients were calculated to establish reliability. Intra-rater test-retest reliability was determined using Cohen's Kappa statistic. Concurrent validity was derived using the Spearman's rho test with the items from GABS, GAITRite and Balance Master. Intra-rater reliability was high with k>0.41 (k=kappa statistic) for 17 items, 6 had k>0.61. When performing validity measurements, a number of items on the GABS had a correlation coefficient significant at p<0.01 (2-tailed). Posture, pull test, balance during stance, single limb stance, tandem stance, turning, toe walking and functional reach had significant correlation with Balance Master data (R=0.46-1). Gait, arm swing, gait speed, steps/5 m, 'up-and-go test', modified performance oriented assessment of gait scale and provocative testing had significant correlation with the GAITRite items (R=0.51-0.83). GABS is an easy-to-use comprehensive clinical scale with high intra-rater and internal item reliability. We have shown concurrent validity with two computerized gait analysis instruments. We expect GABS to have a particular utility in clinical trials designed to modify functional impairment associated with abnormalities in gait and balance.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Texas</li></region><settlement><li>Houston</li></settlement><orgName><li>Baylor College of Medicine</li></orgName></list><tree><country name="États-Unis"><region name="Texas"><name sortKey="Thomas, Madhavi" sort="Thomas, Madhavi" uniqKey="Thomas M" first="Madhavi" last="Thomas">Madhavi Thomas</name></region><name sortKey="Caroline, Kavitha Salomi" sort="Caroline, Kavitha Salomi" uniqKey="Caroline K" first="Kavitha" last="Caroline">Kavitha Caroline</name><name sortKey="Dat Vuong, Kevin" sort="Dat Vuong, Kevin" uniqKey="Dat Vuong K" first="Kevin" last="Dat">Kevin Dat</name><name sortKey="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name><name sortKey="Protas, Elizabeth" sort="Protas, Elizabeth" uniqKey="Protas E" first="Elizabeth" last="Protas">Elizabeth Protas</name><name sortKey="Suteerawattananon, Monthaporn" sort="Suteerawattananon, Monthaporn" uniqKey="Suteerawattananon M" first="Monthaporn" last="Suteerawattananon">Monthaporn Suteerawattananon</name><name sortKey="Wankadia, Sharmin" sort="Wankadia, Sharmin" uniqKey="Wankadia S" first="Sharmin" last="Wankadia">Sharmin Wankadia</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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