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  4. Update on an Observational, Clinically Useful Gait Coordination Measure: The Gait Assessment and Intervention Tool (G.A.I.T.)

Update on an Observational, Clinically Useful Gait Coordination Measure: The Gait Assessment and Intervention Tool (G.A.I.T.)

Brain Sci., 2022 · DOI: 10.3390/brainsci12081104 · Published: August 19, 2022

NeurologyRehabilitationBiomechanics

Simple Explanation

The Gait Assessment and Intervention Tool (G.A.I.T.) is identified as a suitable scale for both research and clinical practice because it is valid, reliable, sensitive to change, homogeneous, and comprehensive. Gait coordination is defined as the simultaneous performance of the spatial and temporal components of gait. The G.A.I.T. has been translated into four languages (English, Spanish, Taiwanese, and Portuguese (translation is complete, but not yet published)), and is in use in at least 10 countries.

Study Duration
Not specified
Participants
Those with stroke or multiple sclerosis (MS)
Evidence Level
Not specified

Key Findings

  • 1
    Two independent groups identified the Gait Assessment and Intervention Tool (G.A.I.T.) as the most suitable scale for both research and clinical practice compared to other observational gait scales.
  • 2
    The G.A.I.T. has shown strong reliability, validity, and sensitive precision for those with stroke or multiple sclerosis (MS).
  • 3
    Very recently, two independent groups have estimated the minimal clinically important difference (MCID) for the G.A.I.T. in stroke survivors

Research Summary

This paper provides an update on the Gait Assessment and Intervention Tool (G.A.I.T.), highlighting its continued usefulness and international use. The G.A.I.T. is presented as a precise, sensitive, homogeneous, and comprehensive measure for assessing gait coordination, particularly in individuals with neurological conditions. The study includes an open access copy of the measure and enhanced directions for its administration, making it readily available for clinical practice and research.

Practical Implications

Clinical Assessment

The G.A.I.T. provides clinicians with a reliable and valid tool for assessing gait coordination in patients with neurological conditions like stroke and multiple sclerosis.

Rehabilitation Planning

By identifying specific areas of gait dyscoordination, the G.A.I.T. can inform the development of targeted rehabilitation interventions.

Research Applications

The G.A.I.T. can be used in research settings to evaluate the effectiveness of interventions aimed at improving gait coordination and motor control.

Study Limitations

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