Reliability and validity of the Shaw gait assessment tool for temporospatial gait assessment in people with hemiparesis.

Arch Phys Med Rehabil

Rehabilitation Therapies, Fletcher Allen Health Care, Burlington, VT, USA.

Published: July 2011

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Article Abstract

Objective: To assess the intra-/interrater reliability and the validity of the free web-based Shaw Gait Assessment Tool (with visual and numerical output) for assessing speed, cadence, step length, and limb advance time in people with hemiplegic gait.

Design: Intra-/interrater reliability and concurrent validity with 2 raters using the Shaw Gait Assessment Tool and 1 rater using a multimemory stopwatch.

Setting: Busy outpatient rehabilitation gym at a tertiary care medical center.

Participants: Convenience sample of adults with hemiplegic gait after cerebrovascular accident or traumatic brain injury.

Interventions: Not applicable.

Main Outcome Measures: Intraclass correlation coefficients (ICCs) and Pearson product-moment correlation coefficients.

Results: ICCs for intrarater reliability ranged from 0.94 (95% CI, 0.88-0.97) to 0.98 (95% CI, 0.96-0.99), (P<.001), and for interrater reliability from 0.95 (95% CI, 0.88-0.98) to 0.99 (95% CI, 0.99-0.99), (P<.001). The Shaw Gait Assessment Tool correlated with the stopwatch for all measured gait parameters with Pearson product-moment correlation coefficients (range, r=0.95 to r= 0.99, P<.001).

Conclusions: The Shaw Gait Assessment Tool is a free, easy-to-use tool that gives reliable and valid results for 4 temporospatial parameters of hemiplegic gait.

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http://dx.doi.org/10.1016/j.apmr.2011.02.014DOI Listing

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