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Clinical Assessment of Spatiotemporal Gait Parameters in Patients and Older Adults
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The Edinburgh visual gait score - The minimal clinically important difference.

L W Robinson1, N D Clement2, J Herman3

  • 1University of Edinburgh, Edinburgh, United Kingdom.

Gait & Posture
|January 11, 2017
PubMed
Summary
This summary is machine-generated.

Researchers defined the minimal clinically important difference (MCID) for the Edinburgh Visual Gait Score (EVGS) in children with cerebral palsy. An MCID of 2.4 for the EVGS suggests a meaningful improvement in gait function post-surgery.

Keywords:
Cerebral palsyMinimal clinically important differenceVisual gait analysis

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Area of Science:

  • Pediatric Orthopedics
  • Rehabilitation Medicine
  • Biomechanical Engineering

Background:

  • Cerebral palsy (CP) significantly impacts motor function, particularly gait.
  • Objective gait assessment tools are crucial for evaluating treatment efficacy in CP.
  • The Edinburgh Visual Gait Score (EVGS) is used to assess gait deviations in children with CP.

Purpose of the Study:

  • To establish the minimal clinically important difference (MCID) for the Edinburgh Visual Gait Score (EVGS).
  • To correlate EVGS scores with established functional measures like the Gross Motor Function Classification System (GMFCS) and the Functional Assessment Questionnaire (FAQ).
  • To confirm the MCID value using the Gait Profile Score (GPS).

Main Methods:

  • Retrospective analysis of EVGS and GPS scores from 151 patients with diplegic cerebral palsy (GMFCS Levels I-III).
  • Correlation analysis between EVGS, GPS, GMFCS levels, and FAQ scores.
  • Statistical methods to determine gradients corresponding to changes in GMFCS and FAQ.

Main Results:

  • Significant correlations were found between EVGS/GPS and increasing GMFCS levels (p<0.001) and FAQ scores (p<0.001).
  • A one-level change in GMFCS corresponded to an EVGS gradient of 3.8 and a GPS gradient of 2.9.
  • A one-point change in FAQ corresponded to an EVGS gradient of 1.9 and a GPS gradient of 1.5.

Conclusions:

  • The proposed MCID for the EVGS is 2.4, indicating a clinically significant improvement in gait function post-surgery.
  • This MCID value aligns with findings from studies on kinematic data (GPS) and provides guidance for expected post-surgical functional changes.
  • The study supports the use of EVGS MCID to interpret post-operative gait improvements in pediatric cerebral palsy.