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Validity and reliability of the Dynamic Gait Index in children with hemiplegic cerebral palsy

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dc.contributor.authorKARADAĞ SAYGI, NAİME EVRİM
dc.contributor.authorsEvkaya, Ayca; Karadag-Saygi, Evrim; Bingul, Duygu Karali; Giray, Esra
dc.date.accessioned2022-03-12T22:42:15Z
dc.date.available2022-03-12T22:42:15Z
dc.date.issued2020
dc.description.abstractBackground: Dynamic Gait Index (DGI) is a performance-based tool can be applied in a short time and evaluates dynamic balance and gait ability. Research question: Is the DGI valid and reliable for assessing gait and balance disorders in children with hemiplegic cerebral palsy (CP)? Methods: Sixteen children with hemiplegic CP (5 females, 11 males; mean age 10y 3mo, SD 2y 7mo; range 6-14y; Gross Motor Function Classification System (GMFCS) levels I [n = 9], II [n = 7]) and 16 age-matched typically developing (TD) (8 females, 8 males; mean age 9y 9mo, SD 2y 6mo; range 6-14y) participated. The relationship between the DGI, Four-Square Step Test (FSST), Timed Up and Go Test (TUG) and Pediatric Berg Balance Scale (PBS) was analyzed. To determine the test-retest reliability, the DGI was performed twice and; for the inter-rater reliability, only DGI was reapplied by a different rater on the same day. Internal consistency was obtained by Cronbach-a value. Validity was tested by Spearman correlation coefficient and reliability was calculated by Intraclass correlation coefficient (ICC). Results: There was a significant difference between hemiplegic CP and TD and between the children with GMFCS level I and II in the comparison of results of the DGI and other tests. All items on the DGI had appropriate internal consistency (Cronbach-a= 0.969). The test-retest (ICC= 0.970 CI(0.915- 0.990)) and inter-rater (ICC= 0.983 CI(0.882- 0.998)) reliabilities were found to be excellent. A negative, moderate correlation between FSST and DGI (rs= -0.673, p= 0.004); a positive, high correlation between PBS (rs= 0.724, p= 0.002) and DGI and a negative, high correlation between TUG and DGI (rs=-0.828, p < 0.001) was detected. Significance: DGI with features such as its feasibility in a short time, being simple but distinctive and not requiring heavy equipment is a valid and reliable method in children with hemiplegic CP.
dc.identifier.doi10.1016/j.gaitpost.2019.09.024
dc.identifier.eissn1879-2219
dc.identifier.issn0966-6362
dc.identifier.pubmed31590067
dc.identifier.urihttps://hdl.handle.net/11424/236217
dc.identifier.wosWOS:000496927900005
dc.language.isoeng
dc.publisherELSEVIER IRELAND LTD
dc.relation.ispartofGAIT & POSTURE
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBalance
dc.subjectCerebral palsy
dc.subjectDynamic Gait Index
dc.subjectGait
dc.subjectPostural control
dc.subjectValidity and reliability
dc.subjectSQUARE STEP TEST
dc.subjectLOWER-EXTREMITY
dc.subjectGO TEST
dc.subjectSTABILITY
dc.subjectSCALES
dc.titleValidity and reliability of the Dynamic Gait Index in children with hemiplegic cerebral palsy
dc.typearticle
dspace.entity.typePublication
local.avesis.idec6ed0ba-50ab-466b-9997-1c2923beb7d4
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.indexed.atPUBMED
local.journal.numberofpages6
local.journal.quartileQ2
oaire.citation.endPage33
oaire.citation.startPage28
oaire.citation.titleGAIT & POSTURE
oaire.citation.volume75
relation.isAuthorOfPublication5ac4517a-f739-4f83-b6fc-a6f81630bca8
relation.isAuthorOfPublication.latestForDiscovery5ac4517a-f739-4f83-b6fc-a6f81630bca8

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