The relationship between the activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction

2005 ◽  
Vol 10 (1) ◽  
pp. 10-22 ◽  
Author(s):  
Kristine Legters ◽  
Susan L Whitney ◽  
Rebecca Porter ◽  
Frank Buczek
Keyword(s):  
Vestibular Dysfunction ◽  
Balance Confidence ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
The Relationship ◽  
Confidence Scale ◽  
Gait Index

The dynamic gait index relates to self-reported fall history in individuals with vestibular dysfunction

2000 ◽  
Vol 10 (2) ◽  
pp. 99-105 ◽  
Author(s):  
S.L. Whitney ◽  
M.T. Hudak ◽  
G.F. Marchetti
Keyword(s):  
Vestibular Dysfunction ◽  
Vestibular Disorders ◽  
Vestibular Disorder ◽  
Odds Ratios ◽  
Chi Square ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
The Relationship ◽  
Gait Index

The purpose of this study was to determine the relationship between gait instability and falls history in people with vestibular disorders. A total of 247 people (164 women, 83 men) participated in the study (mean age = 62.5). Falls history within the last 6 months and scores on the Dynamic Gait Index (DGI) were compared using the Mantel-Hantzel Chi-square statistic. Thirty-seven percent of all subjects reported falling within the last 6 months. Odds ratios in favor of falls with DGI scores of 19 or lower was 2.58 (95% were 2.58 times more likely to have reported a fall in the previous 6 months than subjects with scores above 19. Younger subjects (those under 65 years of age) with vestibular disorders reported more falls than persons 65 years of age or over. Younger people may be more willing to risk a fall while actively having a vestibular disorder. The DGI appears to be a good indicator of fall status in persons with vestibular disorders, regardless of age.

scholarly journals [ID 38878] AVALIAÇÃO DO MEDO DE QUEDA, CONFIANÇA NO EQUILÍBRIO, MARCHA E EQUILÍBRIO CORPORAL DE IDOSAS PRATICANTES REGULARES DO MÉTODO PILATES

2020 ◽  
Vol 24 (Supl.2) ◽  
Author(s):  
Marcelo De maio Nascimento ◽  
Cássia Poliana Príncipe Nunes ◽  
Eddie Nara Dantas Passos Rosa ◽  
Deborah Silva de Menezes ◽  
Ana Carolina Pereira Eugênio ◽  
...  
Keyword(s):  
Balance Confidence ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Confidence Scale ◽  
Gait Index

Objetivo: Avaliar o desempenho de mulheres idosas praticantes regulares do método Pilates em testes de marcha e equilíbrio corporal, assim como, a percepção do medo de queda e da confiança no equilíbrio, além de estimar o risco de queda da população avaliada. Metodologia: Trata-se de um estudo do tipo transversal observacional descritivo, desenvolvido com 254 mulheres (67,35±5,20 anos), praticantes regulares do método Pilates, com e sem histórico de quedas. Foram utilizados os seguintes instrumentos: Questionário (sociodemográfico, comorbidades, medicamentos e histórico de quedas), Mini-exame do estado mental de saúde (MEEM), Falls efficacy scale (FES), Balance confidence scale (ABC), Teste de equilíbrio corporal (TEC), Dynamic gait index (DGI), Time up and go (TUG), incluindo sua versão motora (TUGm) e cognitiva (TUGc). Resultados: Sexagenárias e septuagenárias mostraram desempenho satisfatório na avaliação da marcha na condição simples TUG (p

scholarly journals Clinical Measurement of Sit-to-Stand Performance in People With Balance Disorders: Validity of Data for the Five-Times-Sit-to-Stand Test

2005 ◽  
Vol 85 (10) ◽  
pp. 1034-1045 ◽  
Author(s):  
Susan L Whitney ◽  
Diane M Wrisley ◽  
Gregory F Marchetti ◽  
Michael A Gee ◽  
Mark S Redfern ◽  
...  
Keyword(s):  
Clinical Decision Making ◽  
Clinical Decision ◽  
Balance Disorders ◽  
Stand Test ◽  
Balance Confidence ◽  
Sit To Stand ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Confidence Scale ◽  
Better Than

Abstract Background and Purpose. People with balance disorders are characterized as having difficulty with transitional movements, such as the sit-to-stand movement. A valid and feasible tool is needed to help clinicians quantify the ability of people with balance disorders to perform transitional movements. The purpose of this study was to describe the concurrent and discriminative validity of data obtained with the Five-Times-Sit-to-Stand Test (FTSST). The FTSST was compared with the Activities-specific Balance Confidence Scale (ABC) and the Dynamic Gait Index (DGI). Subjects and Methods. Eighty-one subjects without balance disorders and 93 subjects with balance disorders were recruited for the study. Each subject was asked to stand from a 43-cm-high chair 5 times as quickly as possible. The ABC and DGI scores were recorded. Results. Subjects with balance disorders performed the FTSST more slowly than subjects without balance disorders. Discriminant analysis demonstrated that the FTSST correctly identified 65% of subjects with balance dysfunction, the ABC identified 80%, and the DGI identified 78%. The ability of the FTSST to identify subjects with balance dysfunction was better for subjects younger than 60 years of age (81%). Discussion and Conclusion. The FTSST displays discriminative and concurrent validity properties that make this test potentially useful in clinical decision making, although overall the ABC and the DGI are better than the FTSST at discriminating between subjects with and subjects without balance disorders.

scholarly journals Temporal and Spatial Characteristics of Gait During Performance of the Dynamic Gait Index in People With and People Without Balance or Vestibular Disorders

2008 ◽  
Vol 88 (5) ◽  
pp. 640-651 ◽  
Author(s):  
Gregory F Marchetti ◽  
Susan L Whitney ◽  
Philip J Blatt ◽  
Laura O Morris ◽  
Joan M Vance
Keyword(s):  
Intraclass Correlation ◽  
Vestibular Dysfunction ◽  
Vestibular Disorders ◽  
Cross Sectional ◽  
Control Subjects ◽  
Gait Characteristics ◽  
Gait Parameters ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

Background and Purpose Understanding underlying gait characteristics during performance of the Dynamic Gait Index (DGI) could potentially guide interventions. The purpose of this study was to describe the characteristics and reliability of gait performance during the level walking items of the DGI in people with balance or vestibular dysfunction. The study was a cross-sectional investigation with 2-group comparisons. Subjects and Methods Forty-seven subjects (mean age=59.2 years, SD=8.5, range=24–90) participated in the study; 26 were control subjects, and 21 were subjects with balance or vestibular dysfunction. Three trials of each level gait item were administered to subjects as they ambulated on an instrumented walkway. Test-retest reliability was determined by use of an intraclass correlation coefficient (3,1) 2-way random-effects model for gait parameters associated with continuous walking and the item requiring turning and stopping quickly. Mean gait parameter differences between control subjects and subjects with balance or vestibular disorders were compared by use of a multivariate analysis of variance for each gait task. Results The reliability of most gait parameters during DGI performance were fair to excellent between trials. Subjects with balance or vestibular disorders demonstrated differences in gait characteristics compared with control subjects. The heterogeneity of the group of subjects with balance or vestibular disorders does not permit inferences to be drawn regarding the relationship between gait and any specific balance or vestibular diagnosis. The results are most pertinent to people with chronic balance or vestibular disorders. Discussion and Conclusion Gait parameters underlying dynamic walking appeared to be relatively reliable across multiple trials and distinguished subjects with balance or vestibular disorders. Evaluating a person's performance on items of the DGI may be useful in identifying gait deviations and in evaluating gait improvements as a result of interventions.

scholarly journals Examining the Relationship Between Medical Diagnoses and Patterns of Performance on the Modified Dynamic Gait Index

2015 ◽  
Vol 95 (6) ◽  
pp. 854-863 ◽  
Author(s):  
Patricia Noritake Matsuda ◽  
Catherine Taylor ◽  
Anne Shumway-Cook
Keyword(s):  
Gait Pattern ◽  
Control Cohort ◽  
Cross Sectional ◽  
Medical Diagnoses ◽  
Total Performance ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
The Relationship ◽  
And Task ◽  
Gait Index

Background In the original and modified Dynamic Gait Index (mDGI), 8 tasks are used to measure mobility; however, disagreement exists regarding whether all tasks are necessary. The relationship between mDGI scores and Centers for Medicare & Medicaid Services (CMS) severity indicators in the mobility domain has not been explored. Objective The study objectives were to examine the relationship between medical diagnoses and mDGI scores, to determine whether administration of the mDGI can be shortened on the basis of expected diagnostic patterns of performance, and to create a model in which mDGI scores are mapped to CMS severity modifiers. Design This was a cross-sectional, descriptive study. Methods The 794 participants included 140 people without impairments (control cohort) and 239 people with stroke, 140 with vestibular dysfunction, 100 with traumatic brain injury, 91 with gait abnormality, and 84 with Parkinson disease. Scores on the mDGI (total, performance facet, and task) for the control cohort were compared with those for the 5 diagnostic groups by use of an analysis of variance. For mapping mDGI scores to 7 CMS impairment categories, an underlying Rasch scale was used to convert raw scores to an interval scale. Results There was a main effect of mDGI total, time, and gait pattern scores for the groups. Task-specific score patterns based on medical diagnosis were found, but the range of performance within each group was large. A framework for mapping mDGI total, performance facet, and task scores to 7 CMS impairment categories on the basis of Rasch analysis was created. Limitations Limitations included uneven sample sizes in the 6 groups. Conclusions Results supported retaining all 8 tasks for the assessment of mobility function in older people and people with neurologic conditions. Mapping mDGI scores to CMS severity indicators should assist clinicians in interpreting mobility performance, including changes in function over time.

scholarly journals A disturbed processing of graviceptive pathways may be involved in the pathophysiology of balance disorders in patients with multiple sclerosis

2016 ◽  
Vol 74 (2) ◽  
pp. 106-111 ◽  
Author(s):  
Bruna Antinori Vignola da Fonseca ◽  
Cristiana Borges Pereira ◽  
Frederico Jorge ◽  
Renata Simm ◽  
Samira Apostolos-Pereira ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Balance Disorders ◽  
Visual Vertical ◽  
Perception Of Verticality ◽  
Risk Of Fall ◽  
Multiple Sclerosis Patients ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
The Relationship ◽  
Gait Index

ABSTRACT The purpose of this study was to determine the relationship between perception of verticality and balance disorders in multiple sclerosis patients. We evaluated patients and healthy controls. Patients were divided into two groups according to their risk of fall, with or without risk of fall, measured by a Dynamic Gait Index scale. Graviceptive perception was assessed using the subjective visual vertical test. Patients with risk of fall showed worse perception than those without risk of fall, p < 0.001. Misperception of verticality was correlated with the dynamic gait index scores (p < 0.001), suggesting that the larger the error for verticality judgment, the greater risk for falling. Considering that the perception of verticality is essential for postural control, our results suggested that the disturbed processing of graviceptive pathways may be involved in the pathophysiology of balance disorders in these patients.

The sensitivity and specificity of the Timed "Up & Go" and the dynamic gait index for self-reported falls in persons with vestibular disorders

2004 ◽  
Vol 14 (5) ◽  
pp. 397-409 ◽  
Author(s):  
Susan L. Whitney ◽  
Gregory F. Marchetti ◽  
Annika Schade ◽  
Diane M. Wrisley
Keyword(s):  
Physical Therapy ◽  
Sensitivity And Specificity ◽  
Fall Risk ◽  
Vestibular Dysfunction ◽  
Initial Assessment ◽  
Vestibular Disorders ◽  
Patient Chart ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

The purpose of this study was to determine the sensitivity and specificity of the Timed "Up & Go" (TUG) and Dynamic Gait Index in identifying self-reported fallers among persons with vestibular dysfunction. One hundred three patient charts were included from a tertiary vestibular physical therapy practice. The patients ranged in age from 14–90 years and had vestibular diagnoses, falls reported in the patient chart, and completed the TUG and/or the Dynamic Gait Index (DGI). Thirty-one persons reported falling one or more times in the previous 6 months during their initial assessment. Persons who took longer than 13.5 seconds to perform the TUG test were 3.7 times more likely to have reported a fall in the previous 6 months. Those persons with scores less than or equal to 18 on the DGI were 2.7 times (p = 0.03) more likely to have reported a fall in the previous 6 months. The sensitivity of the DGI at 18 or less was 70% and the specificity was 51%. People who scored greater than 11.1 seconds on the TUG were 5times (p = 0.001) more likely to have reported a fall in the previous 6 months. Sensitivity (80%) and specificity (56%) were calculated for TUG scores of greater than 11.1 seconds. The TUG and the DGI appear to be helpful in identifying fall risk in persons with vestibular dysfunction. Slower scores on the TUG (> 11.1 seconds) and lower scores on the DGI (18) correlated with reports of falls in persons with vestibular dysfunction.

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