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Clinician agreement on gait pattern ratings in children with spastic hemiplegia

Dobson, F, Morris, ME, Baker, RJ, Wolfe, R and Graham, HK 2006, 'Clinician agreement on gait pattern ratings in children with spastic hemiplegia' , Developmental Medicine & Child Neurology, 48 (6) , pp. 429-435.

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Abstract

The level of agreement between clinicians’ ratings of gait patterns in children with spastic hemiplegia was investigated using the Winters, Gage, and Hicks (WGH) classification scale. Sixteen clinicians (nine physiotherapists, seven orthopaedic surgeons) from six gait laboratories in five different countries rated gait patterns in 34 children with spastic hemiplegia (22 males, 12 females; mean age 10y [SD 3y], range 6–18y). Archived three-dimensional gait reports (kinematic and video data) and videos (video clips only) were rated for each child. Agreement between clinicians was substantial for reports (weighted kappa [wκ] 0.77, range 0.62–0.89). Agreement was lower for videos (wκ 0.63, range 0.39–0.97) and for clinicians’ agreement between reports and corresponding videos (wκ 0.62, range 0.47–0.76). Exact agreement was unacceptable for some gait patterns using reports (mean 65%, range 32–74%) and videos (mean 53%, range 35–94%). Not all gait patterns could be rated using the original WGH categories. It was concluded that: (1) agreement is acceptable using the WGH tool; (2) kinematic data from 3D instrumented gait analysis and video should be used together when using the WGH scale; and (3) further refinement of this classification is required.

Item Type: Article
Themes: Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Health Sciences
Journal or Publication Title: Developmental Medicine & Child Neurology
Publisher: Wiley-Blackwell
Refereed: Yes
ISSN: 0012-1622
Depositing User: RH Shuttleworth
Date Deposited: 04 Jul 2011 11:50
Last Modified: 20 Aug 2013 16:59
URI: http://usir.salford.ac.uk/id/eprint/16544

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