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Rivermead Visual Gait Assessment: A Reliable and Valid Post-Stroke Gait

Measure for Developing Countries

Conference Paper · October 2016

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Vikas Kumar Shanta Pandian

Autism Centre for Excellence Pt. Deendayal Upadhyaya National Institute for Person with PhysicalDisabilitis
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324
WSC-0611
POSTER SESSION
MULTIDISCIPLINARY CLINICAL
REHABILITATION
GROUP EXERCISE CLASS FOR PEOPLE
WITH CHRONIC STROKE: A SERVICE
IMPROVEMENT PROGRAMME
P. Kumar1 ; R. Sheehy2
1 table validity with scores of FMA and BBS (r ¼ 0.6 to 0.8; p < 0.005).
University of the West of England, Allied Health Professions, Bristol, United
Kingdom
2 gait in stroke. It is a simple & economical method to assess gait, a com-
Bristol Area Stroke Foundation, Voluntary Organisation, Bristol, United
Kingdom
Background/Aim: Individuals with stroke are less physically active and have
increased risk of secondary problems such as weakness, fear of falls, loss
of confidence, social isolation and depression leading to increased dis-
ability. Group exercise classes have shown beneficial effects in people
with neurological conditions. The aim of this pilot work was to assess
the benefits of group exercise class in people with chronic stroke.
Methods: People with chronic stroke were recruited from the community.
Pre and post rehabilitation outcomes included: Timed up and Go (TUG),
Berg Balance Scale (BBS) Score, Motor Assessment Scale (MAS-upper
limb section), and patients/family member’s perception of perceived ben-
efits. Patients’ received 8 weeks (1 hour/week) of group exercise class
which included warm up and flexibility exercises in sitting, balance, gait
and upper limb exercises. Patients were encouraged to maintain a diary of
exercises/activities practised at home.
Results: Ten patients (8 men/2 women) with mean age 53  8 years were
included in the exercise class. Compliance was good and 2 patients
missed 2 sessions due to prior medical appointments. Pre and post reha-
bilitation measurements showed mean difference of 1.5 seconds on TUG
and 4 points on BBS but no difference for MAS score. Both patients and
family members reported following benefits: socialisation, increased con-
fidence in mobility, increase in distance walked outdoor and more
engagement with exercises.
Conclusion: This 8 weeks of programme suggests group exercise class
improves balance, mobility and confidence in people with chronic stroke.
325
WSC-0059
POSTER SESSION
MULTIDISCIPLINARY CLINICAL
REHABILITATION
RIVERMEAD VISUAL GAIT ASSESSMENT: A
RELIABLE AND VALID POST-STROKE GAIT
MEASURE FOR DEVELOPING COUNTRIES
V. Kumar1, K.N. Arya1, S. Pandian1, T. Sethi1 ; S.K. Samal1
1 is no recommended method. None of the techniques found to correct
Pt. DDUIPH, Occupational Therapy, New Delhi, India
Background: The Rivermead Visual Gait Assessment (RVGA) assesses
kinematic aspect of the gait deviations and is a clinically useful measure
in stroke. The psycho-clinocometric properties of the scale is not ade-
quate. The objective of the study was to establish reliability and validity of
the measure in stroke patients.
Design: Observational, Reliability Study
Setting: Participants: A convenience sample of 20 chronic post stroke
hemiparetic patients.
International Journal of Stroke, 11(3S)
View publication stats
International Journal of Stroke 11(3S)
Outcome Measures: Rivermead visual gait assessment (RVGA), Fugl meyer
assessment - lower extremity (FMA-LE); 10 Meter walk test (10-MWT),
Time up & go test, Berg balance scale (BBS). Procedure: A walking video
of the subjects were recorded from anterior aspect, posterior aspect,
affected side, and less-affected side. After coding the tapes, the staff
provided them to the 4 different raters (2 experienced and 2 novice)
in random order. Each rater score the coded video on the RVGA data
collection sheet twice, one at the baseline and other after one month to
eliminate any recollection of the initial assessment.
Results – The findings exhibited that there was good to excellent correla-
tion between the scores of the raters and also between the assessments
(correlation coefficient ¼ 0.9; p < 0.001). The measure also exhibit accep-
Conclusions: Video-based RVGA is a reliable and valid tool to assess the
plex phenomenon in clinical & research practice.
326
WSC-0066
POSTER SESSION
MULTIDISCIPLINARY CLINICAL
REHABILITATION
SHOULDER SUBLUXATION AS A
CHALLENGE IN STROKE: A SYSTEMATIC
REVIEW
V. Kumar1, K.N. Arya1, S. Pandian1 ; T. Sethi1
1
Pt. DDUIPH, Occupational Therapy, New Delhi, India
Background: Shoulder subluxation is a common complication that occurs
post stroke. The subluxation has implication for poor motor recovery,
function and quality of life. Management of subluxed shoulder is still a
challenge in stroke rehabilitation.
Aim: To provide an overview of the evidence on causative factors, assess-
ments, management and implication of shoulder subluxation in stroke.
Methods: Design: Systematic Review Data sources: Pubmed, Cochrane
data base, scholar Google, OT seeker and PEDro. Keywords used *
Shoulder subluxation stroke. The selected publications were assessed for
quality and important finding were extracted, summarized and inter-
linked. Inclusion criteria: All the papers published on various aspect of
shoulder subluxation in stroke; English language.
Results: 116 articles were found on shoulder subluxation that were pub-
lished during the last 30 years; 95 were selected for the review.
Assessment techniques such as finger method, tape-method, x-rays,
and ultrasonography have been found to be investigated. Shoulder sub-
luxation may be managed by shoulder support/sling, functional electrical
stimulation and strapping. The motor recovery and function of the upper
limb may be affected by the presence of subluxation. Very few studies
were found regarding the causative factors and prevention of the
subluxation.
Conclusion: Shoulder subluxation is a great hindrance in the motor recov-
ery of upper extremity in stroke. In spite of the objective measures, there
the malalignment completely. Thus, there is a high demand for the stan-
dard protocol for prevention, assessment and management for the
subluxation.