The validity and reliability of the GAITRite system's measurements: A preliminary evaluation

A L McDonough, M Batavia, F C Chen, S Kwon, J Ziai
Archives of Physical Medicine and Rehabilitation 2001, 82 (3): 419-25

OBJECTIVE: To compare the concurrent validity and reliability of the GAITRite computerized gait analysis system with validated paper-and-pencil and video-based methods.

DESIGN: Within-groups, repeated-measures design.

SETTING: Research laboratory in a physical therapy education program.

PARTICIPANT: One healthy woman, age 27 years.

INTERVENTIONS: A subject walked across the walkway of the GAITRite system at various walking rates and degrees of step symmetry for 2 of the 3 analyses. Paper placed over the walkway enabled concurrent paper-and-pencil analysis. The subject was concurrently videotaped from the side. For the other analysis, a stride simulator with known step and stride lengths was applied to the walkway to simulate 2 steps and 1 stride.

MAIN OUTCOME MEASURES: Cadence, walking speed, right and left step and stride lengths, and right and left step times.

RESULTS: Excellent paper-and-pencil and GAITRite correlations (intraclass correlation coefficient [ICC] > 95) for spatial measures and excellent video-based and GAITRite correlations (ICC > 93) for temporal measures were found. GAITRite measures of step lengths and times were reliable in both walkway center and left-of-center measurements.

CONCLUSIONS: Based on this data, GAITRite is a valid and reliable tool for measuring selected spatial and temporal parameters of gait.

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