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  4. Reliability of three-dimensional kinematic gait data in adults with spinal cord injury

Reliability of three-dimensional kinematic gait data in adults with spinal cord injury

Journal of Rehabilitation and Assistive Technologies Engineering, 2017 · DOI: 10.1177/2055668317729992 · Published: January 1, 2017

Spinal Cord InjuryRehabilitationBiomechanics

Simple Explanation

This study investigates how consistent measurements of walking are when using 3D gait analysis on adults with spinal cord injuries. They wanted to know if the measurements are reliable when taken on different days (inter-session) and within the same day (intra-session). The researchers used infrared cameras and reflective markers to track the movement of participants. They then analyzed the data to see how much the measurements varied between sessions and within sessions. The study found that the gait measurements were generally reliable, meaning that the measurements were consistent. However, measurements of hip rotation were less reliable, suggesting that caution is needed when evaluating hip rotation in this population.

Study Duration
Not specified
Participants
15 adults with spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    High inter- and intra-session reliability were found for most kinematic gait variables, indicating small intrinsic variation of gait.
  • 2
    Inter-session reliability for hip rotation was moderate, suggesting caution is warranted when evaluating hip rotation.
  • 3
    Small changes are required to exceed measurement errors for kinematic variables, except for hip rotation.

Research Summary

This study aimed to investigate the inter- and intra-session reliabilities of gait kinematics in adults with spinal cord injury using three-dimensional gait analysis. The study found high inter- and intra-session reliabilities for most gait variables, suggesting that 3D gait analysis is a reliable tool for evaluating kinematic gait in this population. However, the study also found that caution is warranted when evaluating hip rotation, as the inter-session reliability for this variable was moderate.

Practical Implications

Clinical Practice

3D gait analysis can be used as a reliable outcome measure for evaluating gait impairments in adults with acquired incomplete spinal cord injury.

Research

Researchers can use 3D gait analysis to study the effects of interventions on gait in this population.

Marker Placement Improvement

Consistency of marker placements, especially around the thigh, should be improved to reduce hip rotation variation.

Study Limitations

  • 1
    Relatively small sample size
  • 2
    GPS and GVS do not indicate timing or direction of gait deviation
  • 3
    Inter-assessor reliability may impact the results

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