Clinical gait and balance scale (GABS): validation and utilization.
Identifieur interne : 000068 ( Ncbi/Checkpoint ); précédent : 000067; suivant : 000069Clinical gait and balance scale (GABS): validation and utilization.
Auteurs : Madhavi Thomas [États-Unis] ; Joseph Jankovic [États-Unis] ; Monthaporn Suteerawattananon ; Sharmin Wankadia ; Kavitha Caroline ; Kevin Vuong ; Elizabeth ProtasSource :
- Journal of the neurological sciences [ 0022-510X ] ; 2004.
English descriptors
- KwdEn :
- Aged, Female, Gait (physiology), Health Status Indicators, Humans, Male, Middle Aged, Motor Skills (physiology), Neurologic Examination, Observer Variation, Parkinson Disease (physiopathology), Physical Examination, Postural Balance, Posture (physiology), Reproducibility of Results, Sensitivity and Specificity, Weights and Measures.
- MESH :
- physiology : Gait, Motor Skills, Posture.
- physiopathology : Parkinson Disease.
- Aged, Female, Health Status Indicators, Humans, Male, Middle Aged, Neurologic Examination, Observer Variation, Physical Examination, Postural Balance, Reproducibility of Results, Sensitivity and Specificity, Weights and Measures.
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.
PubMed: 14675615
Affiliations:
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Street no. 1801, Houston, TX 77030, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 6550 Fannin Street no. 1801, Houston, TX 77030</wicri:regionArea><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><country>États-Unis</country><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></author><author><name sortKey="Wankadia, Sharmin" sort="Wankadia, Sharmin" uniqKey="Wankadia S" first="Sharmin" last="Wankadia">Sharmin Wankadia</name></author><author><name sortKey="Caroline, Kavitha Salomi" sort="Caroline, Kavitha Salomi" uniqKey="Caroline K" first="Kavitha" last="Caroline">Kavitha Caroline</name></author><author><name sortKey="Vuong, Kevin Dat" sort="Vuong, Kevin Dat" uniqKey="Vuong K" first="Kevin" last="Vuong">Kevin Vuong</name></author><author><name sortKey="Protas, Elizabeth" sort="Protas, Elizabeth" uniqKey="Protas E" first="Elizabeth" last="Protas">Elizabeth Protas</name></author></analytic><series><title level="j">Journal of the neurological sciences</title><idno type="ISSN">0022-510X</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Female</term><term>Gait (physiology)</term><term>Health Status 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Balance</term><term>Reproducibility of Results</term><term>Sensitivity and Specificity</term><term>Weights and Measures</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><noCountry><name sortKey="Caroline, Kavitha Salomi" sort="Caroline, Kavitha Salomi" uniqKey="Caroline K" first="Kavitha" last="Caroline">Kavitha Caroline</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="Vuong, Kevin Dat" sort="Vuong, Kevin Dat" uniqKey="Vuong K" first="Kevin" last="Vuong">Kevin Vuong</name><name sortKey="Wankadia, Sharmin" sort="Wankadia, Sharmin" uniqKey="Wankadia S" first="Sharmin" last="Wankadia">Sharmin Wankadia</name></noCountry><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="Jankovic, Joseph" sort="Jankovic, Joseph" uniqKey="Jankovic J" first="Joseph" last="Jankovic">Joseph Jankovic</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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