Yıl 2014,
Cilt: 1 Sayı: 1, 28 - 45, 13.04.2015
N. Ekin Akalan
,
Yener Temelli
Öz
Gait is a complex sequence of movements so that it is very hard to analyze in clinic. Children with cerebral palsy have lots of different type of gait abnormalities. There is no clinically satisfied and reliable gait assessment tool for analyzing gait problem in cerebral palsy. The purpose of the review was to determine the reliability of clinically available video based observational gait analysis on children with spastic hemiplegics and diplegics and to investigate how they can be used in clinical practice as a standard examination tool. The review results showed that clinically available methods have moderate level reliability for between rater reliability and moderate to advance level reliability for within rater reliability. This review suggested that between rater reliability is high enough to use it in clinical practice but within rater reliability needs to be improved by the feature studies
Kaynakça
- Silva M, Shepherd EF, Jackson WO, Dorey FJ, Schmalzried TP. [Average patient walking activity approaches 2 million cycles per year: pedometers under-record walking activity]. J. Arthroplasty. 2002; 17(6):693-7.
- Sequeira MM, Rickenbach M, Wietlisbach V, Tullen B, Schutz Y. [Physical activity assessment using a pedometer and its comparison with a questionnaire in a large population survey]. Am J Epidemiol. 1995;142(9):989-99.
- Perry, J. Fundimentals In: Gait Analysis: Normal and Pathological Function, 1.ed. New York; SLACK Incorporated, 1992, p. 1-19.
- Akalan N.E. 1999. Serebral parezili çocuklarda video bazlı gözlemsel yürüme analizinin gözlemci içi ve gözlemciler arası güvenilirliğinin belirlenmesi • Istanbul Universitesi, Sağlık Bilimleri Ens. Yüksek lisans Tezi. 79773.
- Maluin F: Observational Gait Analysis. In: Rebecca L. Craik, Carol A. Oatis, Gait Analysis, Theory and Application, 1.ed, Pennsylvania, Mosby, 1995. p.113-123.
- Reimers J. [A scoring system for the evaluation of ambulation in cerebral palsied patients]. Dev Med Child Neurol. 1972;14(3):332-5.
- Nelson AJ.[ Functional ambulation profile]. Phys Ther. 1974;54(10):1059-65.
- Olney SJ, Write MJ: Cerebral Palsy. In Campbell S K, Linden DWV, Palsido RJP: Physical Therapy For Children. Londra, 2. ed. W.B. Sounders Company, 1995: p.489-525.
- Wolfson L, Whipple, Amerman P.Tobin J.N. [Gait assessment in the Elderely: A gait abnormality rating scale and its relation to falls], Journal of Gerontology: Medical Sciences 1990; 45(1): 12-19.
- Krebs D. E. Edelstein J.E, Fishman S. [Reliability of observational gait analysis]. Physical Therapy, 1985; 65(7): 1027-33.
- Maathuis KG, van der Schans CP, van Iperen A, Rietman HS, Geertzen JH. [Gait in children with cerebral palsy: observer reliability of Physician Rating Scale and Edinburgh Visual Gait Analysis Interval Testing scale]. J Pediatr Orthop. 2005; 25(3):268-72.
- Caroll NC, Jones D, Maschuich W. [Evaluations patients to the gait children with miyelomeningocele]. Prostet. Orthot. Int.1982; 6:27-34.
- de Bruin H, Russell DJ, Latter JE, Sadler JT.[Angle-angle diagrams in monitoring and quantification of gait patterns for children with cerebral palsy]. Am J Phys Med. 1982;61(4):176-92.
- Goodkin R Diller L. [Reliability among physical therapistsin diagnosis and treatment of gait deviationin hemiplegics]. Perceptual and Motor Skills, 1991; 37:727-734.
- Robinson JL, Smidth GL. [Quantitative gait evaluation in clinic]. Physical Therapy 1981;61: 351-353.
- Patla AE, Clouse SD.[Visuel assessent of human gait: Reliability and validity]. Rehabil. Res. 1988; 1:87-96.
- Eastlack ME, Arvidson J, Snyder-Mackler L, Danoff JV, McGarvey CL.[ Interrater reliability of videotaped observational gait analysis]. Physical Therapy, 1991;71: 465-472.
- Winter DA. [ Concerning the scientific basis for the diagnosis of pathological gait and for rehabilitation protocols], Physiotherapy Canada, 1985; 37(4): 245-252.
- Miyazaki S. Kubotta T. [Quantification of gait abnormalities, on the basis of continuous foot- force measurement: correlation between quantitative indices and visual rating]. Med Biol. Eng. Comput 1984; 22:70-76.
- Saleh M, Murdoch G. [In defence of gait analysis: Observation and measurement in gait assessment]. The Journal of Bone and Joint Surgery.1985; 67(2):237-4.
Serebral Parezide Gözlemsel Yürüme Analizinin Yeri ve Kullanılabilirliği
Yıl 2014,
Cilt: 1 Sayı: 1, 28 - 45, 13.04.2015
N. Ekin Akalan
,
Yener Temelli
Öz
Yürüme karmaşık hareketler sinsilesi olduğundan klinikte anliz edilmesi güçtür. Serebral Palsili (SP) çocuklarda pek çok çeşit yürüme problemi görülür. Neyazık ki klinikte SP’li çocukların değişik yürüme problemlerini inceleyecek tatmin edici güvenilirliğe sahip bir yürüme değerlendirme aracı bulunmamaktadır. Bu derlemenin amacı, spastik hemiparezi ve diparezili çocuklarda video bazlı gözlemsel yürüme analiz’nın (VBGYA) güvenilirliğinin nasıl değerlendirilmesi gerektiği ve bu değerlendime aracının günümüzdeki durumuyla klinikte kullanılamaya uygun olup olmadığını tartışmak, limitasyonlarını incelemektir. Karşılaştırma ve detaylı derleme sonuçlarına göre günümüzde video bazlı gözlemsel yürüme analizi metotları orta seviyede gözlemciler arası güvenilirliğe ve orta-ileri düzeyde gözlemci içi güvenilirliğe sahip olduğunu ortaya koymuştur. Sonuç olarak gözlemci içi güvenilirlik VBGYA’nin klinikte kullanılabileceğini, ancak gözlemciler arası güvnilirliğin yükseltilmesi için çalışılması gerektiği ortaya konmuştur.
Kaynakça
- Silva M, Shepherd EF, Jackson WO, Dorey FJ, Schmalzried TP. [Average patient walking activity approaches 2 million cycles per year: pedometers under-record walking activity]. J. Arthroplasty. 2002; 17(6):693-7.
- Sequeira MM, Rickenbach M, Wietlisbach V, Tullen B, Schutz Y. [Physical activity assessment using a pedometer and its comparison with a questionnaire in a large population survey]. Am J Epidemiol. 1995;142(9):989-99.
- Perry, J. Fundimentals In: Gait Analysis: Normal and Pathological Function, 1.ed. New York; SLACK Incorporated, 1992, p. 1-19.
- Akalan N.E. 1999. Serebral parezili çocuklarda video bazlı gözlemsel yürüme analizinin gözlemci içi ve gözlemciler arası güvenilirliğinin belirlenmesi • Istanbul Universitesi, Sağlık Bilimleri Ens. Yüksek lisans Tezi. 79773.
- Maluin F: Observational Gait Analysis. In: Rebecca L. Craik, Carol A. Oatis, Gait Analysis, Theory and Application, 1.ed, Pennsylvania, Mosby, 1995. p.113-123.
- Reimers J. [A scoring system for the evaluation of ambulation in cerebral palsied patients]. Dev Med Child Neurol. 1972;14(3):332-5.
- Nelson AJ.[ Functional ambulation profile]. Phys Ther. 1974;54(10):1059-65.
- Olney SJ, Write MJ: Cerebral Palsy. In Campbell S K, Linden DWV, Palsido RJP: Physical Therapy For Children. Londra, 2. ed. W.B. Sounders Company, 1995: p.489-525.
- Wolfson L, Whipple, Amerman P.Tobin J.N. [Gait assessment in the Elderely: A gait abnormality rating scale and its relation to falls], Journal of Gerontology: Medical Sciences 1990; 45(1): 12-19.
- Krebs D. E. Edelstein J.E, Fishman S. [Reliability of observational gait analysis]. Physical Therapy, 1985; 65(7): 1027-33.
- Maathuis KG, van der Schans CP, van Iperen A, Rietman HS, Geertzen JH. [Gait in children with cerebral palsy: observer reliability of Physician Rating Scale and Edinburgh Visual Gait Analysis Interval Testing scale]. J Pediatr Orthop. 2005; 25(3):268-72.
- Caroll NC, Jones D, Maschuich W. [Evaluations patients to the gait children with miyelomeningocele]. Prostet. Orthot. Int.1982; 6:27-34.
- de Bruin H, Russell DJ, Latter JE, Sadler JT.[Angle-angle diagrams in monitoring and quantification of gait patterns for children with cerebral palsy]. Am J Phys Med. 1982;61(4):176-92.
- Goodkin R Diller L. [Reliability among physical therapistsin diagnosis and treatment of gait deviationin hemiplegics]. Perceptual and Motor Skills, 1991; 37:727-734.
- Robinson JL, Smidth GL. [Quantitative gait evaluation in clinic]. Physical Therapy 1981;61: 351-353.
- Patla AE, Clouse SD.[Visuel assessent of human gait: Reliability and validity]. Rehabil. Res. 1988; 1:87-96.
- Eastlack ME, Arvidson J, Snyder-Mackler L, Danoff JV, McGarvey CL.[ Interrater reliability of videotaped observational gait analysis]. Physical Therapy, 1991;71: 465-472.
- Winter DA. [ Concerning the scientific basis for the diagnosis of pathological gait and for rehabilitation protocols], Physiotherapy Canada, 1985; 37(4): 245-252.
- Miyazaki S. Kubotta T. [Quantification of gait abnormalities, on the basis of continuous foot- force measurement: correlation between quantitative indices and visual rating]. Med Biol. Eng. Comput 1984; 22:70-76.
- Saleh M, Murdoch G. [In defence of gait analysis: Observation and measurement in gait assessment]. The Journal of Bone and Joint Surgery.1985; 67(2):237-4.