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Reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation

INTRODUCTION: Measuring coronal plane gait kinematics of the pelvis and trunk during rehabilitation of participants with a lower extremity amputation is important to detect asymmetries in gait which are hypothesised as associated with secondary complaints. The aim of this study was to test the repro...

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Autores principales: Leijendekkers, Ruud A., Hoogeboom, Thomas J., van Hinte, Gerben, Didden, Lars, Anijs, Thomas, Nijhuis-van der Sanden, Maria W. G., Verdonschot, Nico
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528991/
https://www.ncbi.nlm.nih.gov/pubmed/31112589
http://dx.doi.org/10.1371/journal.pone.0217046
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author Leijendekkers, Ruud A.
Hoogeboom, Thomas J.
van Hinte, Gerben
Didden, Lars
Anijs, Thomas
Nijhuis-van der Sanden, Maria W. G.
Verdonschot, Nico
author_facet Leijendekkers, Ruud A.
Hoogeboom, Thomas J.
van Hinte, Gerben
Didden, Lars
Anijs, Thomas
Nijhuis-van der Sanden, Maria W. G.
Verdonschot, Nico
author_sort Leijendekkers, Ruud A.
collection PubMed
description INTRODUCTION: Measuring coronal plane gait kinematics of the pelvis and trunk during rehabilitation of participants with a lower extremity amputation is important to detect asymmetries in gait which are hypothesised as associated with secondary complaints. The aim of this study was to test the reproducibility and discriminant validity of a three-dimensional (3-D; inertial measurement units) and a two-dimensional (2-D; video-based) system. METHODS: We tested the test-retest and inter-rater reproducibility of both systems and the 2-D system, respectively, in participants with a lower extremity amputation (group 1) and healthy subjects (group 2). The discriminant validity was determined with a within-group comparison for the 3-D system and with a between-group comparison for both systems. RESULTS: Both system showed to be test-retest reliable, both in group 1 (2-D system: ICC3.1(agreement) 0.52–0.83; 3-D system: ICC3.1(agreement) 0.81–0.95) and in group 2 (3-D system: ICC3.1(agreement) 0.33–0.92; 2-D system: ICC3.1(agreement) 0.54–0.95). The 2-D system was also inter-rater reliable (group 1: ICC2.1(agreement) 0.80–0.92; group 2: ICC2.1(agreement) 0.39–0.90). The within-group comparison of the 3-D system revealed a statistically significant asymmetry of 0.4°-0.5° in group 1 and no statistically significant asymmetry in group 2. The between-group comparison revealed that the maximum amplitude towards the residual limb (MARL) in the low back (3-D system) and the (residual) limb—trunk angle (2-D system) were significantly larger with a mean difference of 1.2° and 6.4°, respectively, than the maximum amplitude of healthy subjects. However, these average differences were smaller than the smallest detectable change (SDC) of group 1 for both the MARL (SDC(agreement): 1.5°) and the residual limb—trunk angle (SDC(agreement): 6.7°-7.6°). CONCLUSION: The 3-D and 2-D systems tested in this study were not sensitive enough to detect real differences within and between participants with a lower extremity amputation and healthy subjects although promising reproducibility parameters for some of the outcome measures.
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spelling pubmed-65289912019-05-31 Reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation Leijendekkers, Ruud A. Hoogeboom, Thomas J. van Hinte, Gerben Didden, Lars Anijs, Thomas Nijhuis-van der Sanden, Maria W. G. Verdonschot, Nico PLoS One Research Article INTRODUCTION: Measuring coronal plane gait kinematics of the pelvis and trunk during rehabilitation of participants with a lower extremity amputation is important to detect asymmetries in gait which are hypothesised as associated with secondary complaints. The aim of this study was to test the reproducibility and discriminant validity of a three-dimensional (3-D; inertial measurement units) and a two-dimensional (2-D; video-based) system. METHODS: We tested the test-retest and inter-rater reproducibility of both systems and the 2-D system, respectively, in participants with a lower extremity amputation (group 1) and healthy subjects (group 2). The discriminant validity was determined with a within-group comparison for the 3-D system and with a between-group comparison for both systems. RESULTS: Both system showed to be test-retest reliable, both in group 1 (2-D system: ICC3.1(agreement) 0.52–0.83; 3-D system: ICC3.1(agreement) 0.81–0.95) and in group 2 (3-D system: ICC3.1(agreement) 0.33–0.92; 2-D system: ICC3.1(agreement) 0.54–0.95). The 2-D system was also inter-rater reliable (group 1: ICC2.1(agreement) 0.80–0.92; group 2: ICC2.1(agreement) 0.39–0.90). The within-group comparison of the 3-D system revealed a statistically significant asymmetry of 0.4°-0.5° in group 1 and no statistically significant asymmetry in group 2. The between-group comparison revealed that the maximum amplitude towards the residual limb (MARL) in the low back (3-D system) and the (residual) limb—trunk angle (2-D system) were significantly larger with a mean difference of 1.2° and 6.4°, respectively, than the maximum amplitude of healthy subjects. However, these average differences were smaller than the smallest detectable change (SDC) of group 1 for both the MARL (SDC(agreement): 1.5°) and the residual limb—trunk angle (SDC(agreement): 6.7°-7.6°). CONCLUSION: The 3-D and 2-D systems tested in this study were not sensitive enough to detect real differences within and between participants with a lower extremity amputation and healthy subjects although promising reproducibility parameters for some of the outcome measures. Public Library of Science 2019-05-21 /pmc/articles/PMC6528991/ /pubmed/31112589 http://dx.doi.org/10.1371/journal.pone.0217046 Text en © 2019 Leijendekkers et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Leijendekkers, Ruud A.
Hoogeboom, Thomas J.
van Hinte, Gerben
Didden, Lars
Anijs, Thomas
Nijhuis-van der Sanden, Maria W. G.
Verdonschot, Nico
Reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation
title Reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation
title_full Reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation
title_fullStr Reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation
title_full_unstemmed Reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation
title_short Reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation
title_sort reproducibility and discriminant validity of two clinically feasible measurement methods to obtain coronal plane gait kinematics in participants with a lower extremity amputation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528991/
https://www.ncbi.nlm.nih.gov/pubmed/31112589
http://dx.doi.org/10.1371/journal.pone.0217046
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