Teleassessment of Gait and Gait Aids: Validity and Interrater Reliability
| العنوان: | Teleassessment of Gait and Gait Aids: Validity and Interrater Reliability |
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| المؤلفون: | Kevin Caves, Gerald Choon-Huat Koh, Kristopher Amis, Lawrence R. Landerman, Helen Hoenig, Kavita Venkataraman |
| المصدر: | Phys Ther |
| بيانات النشر: | Oxford University Press (OUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, 020205 medical informatics, Intraclass correlation, Physical Therapy, Sports Therapy and Rehabilitation, 02 engineering and technology, Video quality, 03 medical and health sciences, 0302 clinical medicine, Telerehabilitation, Statistics, Confidence Intervals, 0202 electrical engineering, electronic engineering, information engineering, Humans, Gait Disorders, Neurologic, Original Research, Mobility aid, Mathematics, Tinetti test, Reproducibility of Results, Middle Aged, Frame rate, Confidence interval, Inter-rater reliability, Feasibility Studies, Canes, Female, Gait Analysis, 030217 neurology & neurosurgery |
| الوصف: | Background Gait and mobility aid assessments are important components of rehabilitation. Given the increasing use of telehealth to meet rehabilitation needs, it is important to examine the feasibility of such assessments within the constraints of telerehabilitation. Objective The objective of this study was to examine the reliability and validity of the Tinetti Performance-Oriented Mobility Assessment gait scale (POMA-G) and cane height assessment under various video and transmission settings to demonstrate the feasibility of teleassessment. Design This repeated-measures study compared the test performances of in-person, slow motion (SM) review, and normal-speed (NS) video ratings at various fixed frame rates (8, 15, and 30 frames per second) and bandwidth (128, 384, and 768 kB/s) configurations. Methods Overall bias, validity, and interrater reliability were assessed for in-person, SM video, and NS video ratings, with SM video rating as the gold standard, as well as for different frame rate and bandwidth configurations within NS videos. Results There was moderate to good interrater reliability for the POMA-G (intraclass correlation coefficient [ICC] = 0.66–0.77 across all configurations) and moderate validity for in-person (β = 0.62; 95% confidence interval [CI] = 0.37–0.87) and NS video (β = 0.74; 95% CI = 0.67–0.80) ratings compared with the SM video rating. For cane height, interrater reliability was good (ICC = 0.66–0.77), although it was significantly lower at the lowest frame rate (8 frames per second) (ICC = 0.66; 95% CI = 0.54–0.76) and bandwidth (128 kB/s) (ICC = 0.69; 95% CI = 0.57–0.78) configurations. Validity for cane height was good for both in-person (β = 0.80; 95% CI = 0.62–0.98) and NS video (β = 0.86; 95% CI = 0.81–0.90) ratings compared with SM video rating. Limitations Some lower frame rate and bandwidth configurations may limit the reliability of remote cane height assessments. Conclusions Teleassessment for POMA-G and cane height using typically available internet and video quality is feasible, valid, and reliable. |
| تدمد: | 1538-6724 0031-9023 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::74afcfd6a3e28f96880608e30c9b44d7 https://doi.org/10.1093/ptj/pzaa005 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....74afcfd6a3e28f96880608e30c9b44d7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15386724 00319023 |
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