Reliability and validity of Edinburgh visual gait score for children with cerebral palsy
10.3969/j.issn.1001-1242.2024.01.009
- VernacularTitle:爱丁堡观察性步态评估量表在脑性瘫痪儿童中的信度与效度检验
- Author:
Jie REN
1
;
Sheng JIN
;
Lin FENG
Author Information
1. 上海中医药大学康复医学院,上海市,201203
- Keywords:
Edinburgh visual gait score;
cerebral palsy;
gait analysis;
consistency test
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(1):62-69
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the reliability of the Edinburgh visual gait score(ECGS)and assess its validity by com-parihg the results to three-dimensional gait analysis.Additionally,the study examines the correlation between EVGS and gross motor function classification system(GMFCS).The findings are expected to support the clini-cal application of EVGS. Method:Twenty children with cerebral palsy(CP)were randomly selected from 727 children who underwent three-dimensional gait analysis at Yangzhi Rehabilitation Hospital between 2019 and 2021.The walking videos of CP were evaluated using EVGS by four evaluators with different experience backgrounds,and repeated by the same evaluators after one month.Intragroup correlation coefficient(ICC)was used to test inter-and intra-evaluator reliability.Spearman was used to test EVGS,three-dimensional gait analysis data and GMFCS. Result:The ICC of the first assessment among evaluators was 0.947(P＜0.001),the ICC of the second as-sessment was 0.952(P＜0.001),indicating high inter-and intra-evaluator reliability.The Spearman correlation analysis results showed a moderate relationship between ECGS and three-dimensional gait data,with poor valid-ity in coronal items.A significant correlation was found between EVGS and GMFCS.Further,the intra-item correlation analysis of EVGS showed that the foot,pelvis and trunk significantly influenced the overall EVGS outcomes. Conclusion:The inter-and intra-evaluator reliability among the four evaluators were highly reliable.The validi-ty of EVGS was lower when compared with three-dimensional gait analysis.However,EVGS were correlated with the motor dysfunction levels in CP.Overall,EVGS can be used as a substitute tool for gait analysis,which is the most reliable visual gait score at present.
