Reliability of the Dynamic Gait Index in individuals with multiple sclerosis

2005 ◽  
Vol 86 (1) ◽  
pp. 130-133 ◽  
Author(s):  
Jennifer McConvey ◽  
Susan E. Bennett
Keyword(s):  
Multiple Sclerosis ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

Identification of modified dynamic gait index cutoff scores for assessing fall risk in people with Parkinson disease, stroke and multiple sclerosis

2022 ◽  
Vol 91 ◽  
pp. 1-6
Author(s):  
Alessandro Torchio ◽  
Chiara Corrini ◽  
Denise Anastasi ◽  
Riccardo Parelli ◽  
Matteo Meotti ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Parkinson Disease ◽  
Fall Risk ◽  
Cutoff Scores ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

scholarly journals Effects of application of texture insoles on the balance of subjects with Multiple Sclerosis

2017 ◽  
Vol 16 (1) ◽  
pp. 9-16
Author(s):  
Wildja De Lima Gomes ◽  
Thais Botossi Scalha ◽  
Lucas Brino Mota ◽  
Viviane Almeida Kuroda ◽  
Juliana Cintra Garrafa ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Dynamic Balance ◽  
Step Length ◽  
Berg Balance Scale ◽  
Measuring Instruments ◽  
Balance Scale ◽  
Functional Gait ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

Objective: The aim of this study was to evaluate the effects on static and dynamic balance after the use of textured insoles. Method: Fifteen subjects with multiple sclerosis were evaluated before using the insoles, after using them for 1 month, and after 2 months without using, them using the following measuring instruments: the Berg Balance Scale, Dynamic Gait Index, and 10-meter Walk Test, a means of functional gait assessment. Results: Improvement was observed in the Berg Balance Scale and Dynamic Gait Index scores, walking time, number of steps and step length after using the insoles for 1 month. The improvement in Berg Balance Scale score remained after two months without the insoles and there were no changes in gait speed. Conclusion: The use of textured insoles was effective as an intervention to improve static and dynamic balance in patients with multiple sclerosis.

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.

scholarly journals Construction and Validation of the 4-Item Dynamic Gait Index

2006 ◽  
Vol 86 (12) ◽  
pp. 1651-1660 ◽  
Author(s):  
Gregory F Marchetti ◽  
Susan L Whitney
Keyword(s):  
Psychometric Properties ◽  
Short Form ◽  
Vestibular Disorders ◽  
Factor Analyses ◽  
Clinical Measurement ◽  
Control Subjects ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Difficulty Walking ◽  
Gait Index

Background and PurposePeople with balance disorders often have difficulty walking. The purpose of this study was to develop and test the psychometric properties of a short form of the Dynamic Gait Index (DGI) for the clinical measurement of walking function in people with balance and vestibular disorders. Subjects. A total of 123 subjects with such disorders (test subjects) and 103 control subjects were included in this study. Methods. Rasch and factor analyses were used to create a short form of the DGI. Internal consistency and discriminative validity for test subjects versus control subjects and for falling versus nonfalling test subjects were evaluated. Results. Four items were selected for the shorter version of the test: gait on level surfaces, changes in gait speed, and horizontal and vertical head turns. Discussion and Conclusion. The clinical psychometric properties of the 4-item DGI were equivalent or superior to those of the 8-item test. The 4-item DGI can be used by clinicians to measure gait in people with balance and vestibular disorders without compromising important clinical measurement characteristics.

Rehabilitation after acute vestibular disorders

2008 ◽  
Vol 123 (4) ◽  
pp. 397-402 ◽  
Author(s):  
R Teggi ◽  
D Caldirola ◽  
B Fabiano ◽  
P Recanati ◽  
M Bussi
Keyword(s):  
Visual Analogue Scale ◽  
Postural Control ◽  
Analogue Scale ◽  
Visual Cues ◽  
Control Group ◽  
Index Test ◽  
Supervised Exercise ◽  
Dynamic Gait Index ◽  
Dynamic Gait ◽  
Gait Index

AbstractObjectives:To assess the efficacy of rehabilitation for dizzy patients after recent acute vestibular disturbance.Methods:Forty patients recently hospitalised for an acute episode of rotational vertigo which lasted days were randomly divided into two groups. The first group (20 patients; group R) underwent active rehabilitation, while the second group (20 patients; group C) were told only to ‘perform their daily activities’. Group R subjects underwent a total of 10 sessions of rehabilitation, including exercises on a stabilometric platform, point de mire and a series of five exercises repeated five times daily. All patients performed static stabilometry (posturography), undertook the dynamic gait index test, and completed a dizziness handicap questionnaire and a visual analogue scale for anxiety, at baseline and on completion.Results:At 25 days, the rehabilitated patients obtained better results for all recorded outcomes, compared with the control group. The greatest difference in the rehabilitated subjects, compared with the control group, was for the dynamic gait index test; however, this difference was not statistically significant. The visual analogue scale anxiety score was statistically significantly more reduced in rehabilitated patients compared with control patients. Control patients maintained a higher visual dependence for postural control.Conclusions:These results would appear to support the effectiveness of a supervised exercise programme for patients following acute onset of vestibular disturbance. A correlation was found in both groups between dynamic gait index results and anxiety. In our experience, a rehabilitation programme seems to reduce dependence on visual cues for postural control.

scholarly journals Effects of Fatigue on Balance and Mobility in Subjects with Multiple Sclerosis: A Brief Report

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Elisa Gervasoni ◽  
Davide Cattaneo ◽  
Angelo Montesano ◽  
Johanna Jonsdottir
Keyword(s):  
Multiple Sclerosis ◽  
Berg Balance Scale ◽  
Balance Performance ◽  
Before And After ◽  
Increase Risk ◽  
Risk Of Falls ◽  
Edss Score ◽  
The Difference ◽  
Dynamic Gait Index ◽  
Dynamic Gait

Purpose. People with Multiple Sclerosis (PwMS) tent to have increased levels of fatigue which can impact on their balance and increase risk of falls. However, the relationship between fatigue and balance is poorly understood. The aim of the present study was to assess if an experimentally induced fatigue had an immediate effect on balance. Methods. 37 inpatients with multiple sclerosis were recruited; the mean age (standard deviation) was 48.7 (9.6) years. The average onset of the pathology was 15.3 (9.8) years before the start of the study. The median (1°–3° quartile) Expanded Disability Status Scale (EDSS) score was 5.5 (4.5–6.0). Before and after a fatiguing treadmill, session, subjects were assessed with the Berg Balance Scale and Dynamic Gait Index. Results. After the treadmill, no statistically significant differences were found in balance before and after a treadmill session (monopodalic stance: before 5.3s (10.3) and after 7.7s (13.9); walk with horizontal head turns: before 11.6 (6.9) seconds and after 11.3 (7.7)). There was no correlation between the EDSS score and the difference in balance skills before and after treadmill. Conclusion. After treadmil PwMS were mentally and physically fatigued; however, their balance performance did not change, indicating no increase in risk of falling with fatigue.

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