Reliability and Validity of the Functional Gait Assessment in Spinal Cord Injury

2016 ◽  
Vol 97 (10) ◽  
pp. e87
Author(s):  
Keith Gordon ◽  
Jennifer Kahn ◽  
Stephanie Ferro ◽  
Larry Frank ◽  
Leslie Klashman ◽  
...  
2020 ◽  
Vol 26 (4) ◽  
pp. 268-274
Author(s):  
Jennifer H. Kahn ◽  
April Ohlendorf ◽  
Alison Olsen ◽  
Keith E. Gordon

Background: There are limited psychometrically sound measures to assess higher level balance in individuals with incomplete spinal cord injury (iSCI). Objectives: To evaluate interrater and intrarater reliability and convergent validity of the Functional Gait Assessment (FGA) in individuals with iSCI. Methods: Twelve participants (11 male, 1 female) 32 to 73 years old with chronic motor iSCI, American Spinal Injury Association Impairment Scale C (n = 2) or D (n = 10), were included. Participants completed five outcome measures during a single test session including lower extremity motor scores from the International Standards for the Neurological Classification of Spinal Cord Injury, FGA, 10-Meter Walk Test (10MWT), Walking Index for Spinal Cord Injury (WISCI-II), and the Spinal Cord Injury Functional Ambulation Profile (SCI-FAP). Results: Inter- and intrarater reliability for the FGA were excellent. Interrater reliability was excellent with intraclass correlation coefficient (ICC) scores greater than 0.92 (p < .001). Interrater reliability against an expert was also excellent for all raters, with an ICC greater than or equal to 0.92 (p < .01). Intrarater reliability was excellent with an ICC score of greater than 0.91 (p < .002) for all raters. Validity of the FGA with 10MWT was −0.90 (p = .000), FGA with WISCI-II was 0.74 (p = .006), and FGA with SCI-FAP was −0.83 (p = .001). Conclusion: The FGA is a reliable and valid outcome measure to use when assessing gait and balance in individuals with motor iSCI. The FGA provides clinicians with a single tool to utilize across a variety of neurologic diagnoses.


2019 ◽  
Vol 42 (sup1) ◽  
pp. 141-148 ◽  
Author(s):  
Katherine Chan ◽  
Janelle Unger ◽  
Jae Woung Lee ◽  
Gillian Johnston ◽  
Marissa Constand ◽  
...  

PM&R ◽  
2017 ◽  
Vol 10 (2) ◽  
pp. 194-207 ◽  
Author(s):  
Jan W. van der Scheer ◽  
Michael J. Hutchinson ◽  
Thomas Paulson ◽  
Kathleen A. Martin Ginis ◽  
Victoria L. Goosey-Tolfrey

2013 ◽  
Vol 27 (3) ◽  
pp. 206-212 ◽  
Author(s):  
Susan Miller Smedema ◽  
Joseph Pfaller ◽  
Erin Moser ◽  
Wei-Mo Tu ◽  
Fong Chan

Objective: To evaluate the measurement structure of the Trait Hope Scale (THS) among individuals with spinal cord injury.Design: Confirmatory factor analysis and reliability and validity analyses were performed.Participants: 242 individuals with spinal cord injury.Results: Results support the two-factor measurement model for the THS with agency and pathways thinking positively associated with hope-related constructs such as self-efficacy, self-esteem, disability acceptance, and life satisfaction in the predicted direction.Conclusions: The use of the THS among individuals with disabilities is warranted for rehabilitation research and practice.


Spinal Cord ◽  
2012 ◽  
Vol 51 (3) ◽  
pp. 214-217 ◽  
Author(s):  
P Poncumhak ◽  
J Saengsuwan ◽  
W Kamruecha ◽  
S Amatachaya

2018 ◽  
Vol 38 (02) ◽  
pp. 115-123
Author(s):  
Preeti Baghel ◽  
Shefali Walia ◽  
Majumi M Noohu

Background: Transfers are very important in functional activities of subjects with spinal cord injury (SCI). The transfer assessment instrument (TAI) was the first tool to standardize the assessment of transfer technique. Objective: The purpose of this study was to establish the reliability and validity of TAI 3.0 in people with SCI in early rehabilitation phase. Methods: Thirty subjects with acute traumatic SCI were recruited from a tertiary care center for SCI management. Four raters assessed the quality of transfer using TAI 3.0 and a fifth rater used global assessment of transfer scale (VAS). TAI 3.0’s intraclass correlation coefficient (ICC) for intrarater and interrater reliability, standard error of measurement (SEM), minimal detectable change (MDC), limits of agreement and concurrent validity was determined. Results: The intrarater ICC was 0.93 to 0.98 and interrater ICC was 0.99, indicating high levels of reliability. The SEMs among the raters for TAI 3.0 total was from 0.23 to 0.28. The MDC among the raters TAI 3.0 total was from 0.54 to 0.86. Correlation for different raters between the TAI 3.0 and VAS ranged between 0.88 and 0.90. Conclusion: TAI 3.0 is a reliable and valid tool to assess the transfer skill in individuals with SCI in early rehabilitation phase.


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