Products, Education and Rehabilitation Solutions

      Minimal Clinically Important Differences of Spatiotemporal Gait Variables in Parkinson Disease

      JC24Q4
      On-demand
      $10
      218224143956

      Webinar Description

      Minimal Clinically Important Differences of Spatiotemporal Gait Variables in Parkinson Disease Baudendistel, S. T., Haussler, A. M., Rawson, K. S., & Earhart, G. M. (2024). Minimal clinically important differences of spatiotemporal gait variables in Parkinson disease. Gait & posture, 108, 257-263. Abstract Background: Assessment of gait function in People with Parkinson Disease (PwPD) is an important tool for monitoring disease progression in PD. While comprehensive gait analysis has become increasingly popular, only one study, Hass et al. (2014), has established minimal clinically important differences (MCID) for one spatiotemporal variable (velocity) in PwPD. Research question: What are the MCIDs for velocity and additional spatiotemporal variables, including mean, variability, and asymmetry of step length, time, and width? Methods: As part of a larger clinic-based initiative, 382 medicated, ambulatory PwPD walked on an instrumented walkway during routine clinical visits. Distribution and anchor-based methods (Unified Parkinson's Disease Rating Scale-III, Modified Hoehn and Yahr, and the mobility subsection of the Parkinson Disease Questionnaire) were used to calculate MCIDs for variables of interest in a cross-sectional approach. Results: Distribution measures for all variables are presented. Of nine gait variables, four were significantly associated with every anchor and pooled to the following values: velocity (8.2 cm/s), step length mean (3.6 cm), step length variability (0.7%), and step time variability (0.67%). Significance: The finalized MCID for velocity (8.2 cm/s) was nearly half of the MCID of 15 cm/s reported by Hass et al., potentially due to differences in calculations. These results allow for evaluations of effectiveness of interventions by providing values that are specific to changes in gait for PwPD. Alterations of methodology including different versions of clinical or walking assessments, and/or different calculation and selection of gait variables necessitate careful reasoning when using presented MCIDs. Keywords: Gait; MCID; Parkinson disease.

      CEU Information

      Journal Club CEU Approval

      Contact Hours: 1

      AR | FL CE26-803266 | ID

      Webinar Information

      Contact Hours: 1

      Price: $10

      Instructor: Nechama Karman

      Extended Learning Package

      Unlimited Access to the Full Webinar Library, One full year of CEU - One low price

      ELP One

      $99

      Per Person

      Purchase

      ELP Six

      $295

      for group of 6

      Purchase

      ELP 12

      $395

      for facility

      Purchase

      ELP 3

      $59

      for 3 months

      Purchase

      Webinars are clinically relevant and consist of a variety of adult and pediatric topics presented by skilled instructors.
      Live - interact with the moderator and other therapists | On-Demand - watch at your convenience. 
      Course attendance certificates provided.  Choose a program that is right for you or your team.