Article

Treatment complexity of cerebral palsy (CP) patients imposes outcome
evaluation studies, which may include objective technical analysis and more
subjective functional evaluation. The Edinburgh Gait Score (EGS) was proposed as
an additive or alternative when complex instrumented three-dimensional gait
analysis is not available. Our purposes were to apply a translated EGS to
standard video recordings of independent walking spastic diplegic CP patients, to
evaluate its intraobserver and interobserver reliability with respect to gait
analysis familiar and not familiar observers. METHODS: Ten standard video
recordings acquired during routine clinical gait analysis were examined by eight
observers gait analysis interpretation experienced or not, out of various
specialities, two times with a two weeks interval. Kappa statistics and
intraclass correlation coefficient were calculated.
RESULTS: Better reliability
was observed for foot and knee scores than in proximal segments with significant
differences between stance and swing phase. Significantly better results in gait
analysis trained observers underlines the importance to either be used to
clinical gait analysis interpretation, or to benefit of video analysis training
before observational scoring. CONCLUSION: Visual evaluation may be used for
outcome studies to explore clinical changes in CP patients over time and may be
associated to other validated evaluation tools.
CI - Copyright (c) 2010 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS ; FRANCAIS