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An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults
BACKGROUND AND AIMS: One reason for the controversial discussion of whether the dual task (DT) walking paradigm has an added value for diagnosis in clinical conditions might be the use of different gait measurement systems. Therefore, the purpose was 1) to detect DT effects of central gait parameter...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336354/ https://www.ncbi.nlm.nih.gov/pubmed/34344302 http://dx.doi.org/10.1186/s11556-021-00271-z |
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author | Klotzbier, Thomas Jürgen Wollesen, Bettina Vogel, Oliver Rudisch, Julian Cordes, Thomas Jöllenbeck, Thomas Vogt, Lutz |
author_facet | Klotzbier, Thomas Jürgen Wollesen, Bettina Vogel, Oliver Rudisch, Julian Cordes, Thomas Jöllenbeck, Thomas Vogt, Lutz |
author_sort | Klotzbier, Thomas Jürgen |
collection | PubMed |
description | BACKGROUND AND AIMS: One reason for the controversial discussion of whether the dual task (DT) walking paradigm has an added value for diagnosis in clinical conditions might be the use of different gait measurement systems. Therefore, the purpose was 1) to detect DT effects of central gait parameters obtained from five different gait analysis devices in young and old adults, 2) to assess the consistency of the measurement systems, and 3) to determine if the absolut and proportional DT costs (DTC) are greater than the system-measurement error under ST. METHODS: Twelve old (72.2 ± 7.9y) and 14 young adults (28.3 ± 6.2y) walked a 14.7-m distance under ST and DT at a self-selected gait velocity. Interrater reliability, precision of the measurement and sensitivity to change were calculated under ST and DT. RESULTS: An age effect was observed in almost all gait parameters for the ST condition. For DT only differences for stride length (p < .029, ɳ(2)(p) = .239) as well as single and double limb support (p = .036, ɳ(2)(p) = .227; p = .034, ɳ(2)(p) = .218) remained. The measurement systems showed a lower absolute agreement compared to consistency across all systems. CONCLUSIONS: When reporting DT effects, the real changes in performance and random measurement errors should always be accounted for. These findings have strong implications for interpreting DT effects. |
format | Online Article Text |
id | pubmed-8336354 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-83363542021-08-04 An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults Klotzbier, Thomas Jürgen Wollesen, Bettina Vogel, Oliver Rudisch, Julian Cordes, Thomas Jöllenbeck, Thomas Vogt, Lutz Eur Rev Aging Phys Act Research Article BACKGROUND AND AIMS: One reason for the controversial discussion of whether the dual task (DT) walking paradigm has an added value for diagnosis in clinical conditions might be the use of different gait measurement systems. Therefore, the purpose was 1) to detect DT effects of central gait parameters obtained from five different gait analysis devices in young and old adults, 2) to assess the consistency of the measurement systems, and 3) to determine if the absolut and proportional DT costs (DTC) are greater than the system-measurement error under ST. METHODS: Twelve old (72.2 ± 7.9y) and 14 young adults (28.3 ± 6.2y) walked a 14.7-m distance under ST and DT at a self-selected gait velocity. Interrater reliability, precision of the measurement and sensitivity to change were calculated under ST and DT. RESULTS: An age effect was observed in almost all gait parameters for the ST condition. For DT only differences for stride length (p < .029, ɳ(2)(p) = .239) as well as single and double limb support (p = .036, ɳ(2)(p) = .227; p = .034, ɳ(2)(p) = .218) remained. The measurement systems showed a lower absolute agreement compared to consistency across all systems. CONCLUSIONS: When reporting DT effects, the real changes in performance and random measurement errors should always be accounted for. These findings have strong implications for interpreting DT effects. BioMed Central 2021-08-03 /pmc/articles/PMC8336354/ /pubmed/34344302 http://dx.doi.org/10.1186/s11556-021-00271-z Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Klotzbier, Thomas Jürgen Wollesen, Bettina Vogel, Oliver Rudisch, Julian Cordes, Thomas Jöllenbeck, Thomas Vogt, Lutz An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults |
title | An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults |
title_full | An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults |
title_fullStr | An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults |
title_full_unstemmed | An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults |
title_short | An interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults |
title_sort | interrater reliability study of gait analysis systems with the dual task paradigm in healthy young and older adults |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336354/ https://www.ncbi.nlm.nih.gov/pubmed/34344302 http://dx.doi.org/10.1186/s11556-021-00271-z |
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