The reliability of three-dimensional kinematic gait measurements: a systematic review.

Abstract:

BACKGROUND/AIM:Three-dimensional kinematic measures of gait are routinely used in clinical gait analysis and provide a key outcome measure for gait research and clinical practice. This systematic review identifies and evaluates current evidence for the inter-session and inter-assessor reliability of three-dimensional kinematic gait analysis (3DGA) data. METHOD:A targeted search strategy identified reports that fulfilled the search criteria. The quality of full-text reports were tabulated and evaluated for quality using a customised critical appraisal tool. RESULTS:Fifteen full manuscripts and eight abstracts were included. Studies addressed both within-assessor and between-assessor reliability, with most examining healthy adults. Four full-text reports evaluated reliability in people with gait pathologies. The highest reliability indices occurred in the hip and knee in the sagittal plane, with lowest errors in pelvic rotation and obliquity and hip abduction. Lowest reliability and highest error frequently occurred in the hip and knee transverse plane. Methodological quality varied, with key limitations in sample descriptions and strategies for statistical analysis. Reported reliability indices and error magnitudes varied across gait variables and studies. Most studies providing estimates of data error reported values (S.D. or S.E.) of less than 5 degrees , with the exception of hip and knee rotation. CONCLUSION:This review provides evidence that clinically acceptable errors are possible in gait analysis. Variability between studies, however, suggests that they are not always achieved.

journal_name

Gait Posture

journal_title

Gait & posture

authors

McGinley JL,Baker R,Wolfe R,Morris ME

doi

10.1016/j.gaitpost.2008.09.003

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

360-9

issue

3

eissn

0966-6362

issn

1879-2219

pii

S0966-6362(08)00264-6

journal_volume

29

pub_type

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