Elsevier

Manual Therapy

Volume 4, Issue 1, February 1999, Pages 2-10
Manual Therapy

Masterclass
Gait analysis in the therapeutic environment

https://doi.org/10.1016/S1356-689X(99)80003-4Get rights and content

Summary

Gait analysis is one aspect of the overall assessment of any patient with a movement disorder. Loss of walking ability is often a major issue to the patient, thus justifying the length of time that should be spent in establishing gait problems and planning re-education. Biomechanical measures of kinematics, kinetics and electromyographical activity are essential to give a complete picture of the specific gait characteristics (Perry 1992; Whittle 1996b). However, observational analysis remains the most commonly used tool in the therapeutic situation (Patla et al. 1987). Reliability of observational analysis is poor (Krebs et al. 1985) and therapists should be encouraged to use objective measures to give a more representative account of the gait pattern. A systematic approach to data collection and recording should be adopted and the key kinematic data of walking including velocity, stride length, base of support and joint angles, should be collected in order to provide a baseline on which to measure clinical effectiveness. Valid outcome measures must be established to evaluate gait effectively to afford therapists the ability to assess their treatment of gait deviations. An understanding of biomechanical terminology is essential to aid the selection of appropriate gait analysis tools and for interpretation of the results.

References (56)

  • BowkerP et al.

    The measurement of gait

    Clinical Rehabilitation

    (1988)
  • ButlandRJ et al.

    Two, Six and Twelve minute walks compared

    Thrax

    (1981)
  • ButlerP et al.

    Physiological cost index of walking for normal children and its use as an indicator of physical handicap

    Developmental Medicine Child Neurology

    (1984)
  • ClarksonBH

    Absorbent paper for recording foot placement during gait

    Physical Therapy

    (1983)
  • CraikR et al.

    Gait Assessment in the Clinic: Issues and Approaches

  • EastlackME et al.

    Inter-rater reliability of videotaped observational gait-analysis assessments

    Physiol Therapy

    (1991)
  • GoodkinR et al.

    Retiability among physical therapists in diagnosis and treatment of gait deviations in hemiplegics

    Perception Motor Skills

    (1973)
  • GulmansVAM et al.

    The six-minute walking test in children with cystic fibrosis: Reliability and validity

    Pediatric Pulmonology

    (1996)
  • InmanVT et al.

    Human walking

    (1981)
  • KinsmanR

    Video assessment of the Parkinson patient

    Physiotherapy

    (1986)
  • KippenSC

    A preliminary assessment of recording the physical dimensions of an inked footprint

    Journal British Podiatric Medicine

    (1993)
  • KopfA et al.

    Clinical gait analysis-methods, limitations, and indication

    Acta Medica Austriaca

    (1998)
  • KrebsDE et al.

    Reliability of observational kinematic gait analysis

    Physical Therapy

    (1985)
  • LordSE et al.

    Visual gait analysis: the developmenta of a clinical assessment and scale

    Clinical Rehabilitation

    (1998)
  • LittleN

    Gait Analysis: a survey of current methods

    Physiotherapy

    (1981)
  • Lower Limb Orthotics 1981 New York University PostgraduateMedical School. Prosthetics and...
  • McGregorJ

    Evaluation of patient performance using long term ambulatory monitoring technique indomestic environment

    Physiology

    (1981)
  • McNicolMF et al.

    Exercise testing before and after hip arthroplasty

    Journal Bone and Joint Surgery

    (1980)
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