PMID- 28073083
OWN - NLM
STAT- MEDLINE
DCOM- 20171211
LR  - 20181202
IS  - 1879-2219 (Electronic)
IS  - 0966-6362 (Linking)
VI  - 53
DP  - 2017 Mar
TI  - The Edinburgh visual gait score - The minimal clinically important difference.
PG  - 25-28
LID - S0966-6362(16)30718-4 [pii]
LID - 10.1016/j.gaitpost.2016.12.030 [doi]
AB  - OBJECTIVE: The primary aim was to define the minimal clinically important 
      difference (MCID) of the Edinburgh Visual Gait Score (EVGS) using correlations 
      with the Gross Motor Function Classification System (GMFCS) and the Functional 
      Assessment Questionnaire (FAQ). The secondary aim was to confirm the numerical 
      value of the MCID in the Gait Profile Score (GPS). METHOD: The EVGS and GPS 
      scores for 151 patients with diplegic cerebral palsy (GMFCS Levels I-III) were 
      retrospectively identified from a database held at the study centre. One-hundred 
      and forty-one patients had FAQ data available. RESULTS: The EVGS and GPS 
      correlated with increasing GMFCS level (p<0.001) and FAQ score (p<0.001). A 
      gradient of 3.8 (2.9-4.7) for the EVGS and 2.9 (2.1-3.7) for the GPS corresponded 
      to a one-level change in GMFCS level. A gradient of 1.9 (1.3-2.4) for EVGS and 
      1.5 (1.1-2.0) for GPS corresponded to a one-point change in FAQ. CONCLUSIONS: The 
      authors propose an MCID value of 2.4 for the EVGS; representing the improvement 
      in gait score after surgery that is likely to reflect a clinical improvement in 
      function. This MCID is closely related to other studies defining post-operative 
      improvements in kinematic data (GPS) and may offer guidance to post-surgical 
      changes that might reasonably be expected to either improve or prevent 
      deteriorating function.
CI  - Crown Copyright (c) 2017. Published by Elsevier B.V. All rights reserved.
FAU - Robinson, L W
AU  - Robinson LW
AD  - University of Edinburgh, Edinburgh, United Kingdom. Electronic address: 
      robinson.luke27@gmail.com.
FAU - Clement, N D
AU  - Clement ND
AD  - Royal Hospital for Sick Children, Edinburgh, United Kingdom.
FAU - Herman, J
AU  - Herman J
AD  - Anderson Gait Analysis Laboratory, Edinburgh, United Kingdom.
FAU - Gaston, M S
AU  - Gaston MS
AD  - Royal Hospital for Sick Children, Edinburgh, United Kingdom.
LA  - eng
PT  - Journal Article
DEP - 20170103
PL  - England
TA  - Gait Posture
JT  - Gait & posture
JID - 9416830
RN  - Cerebral palsy, spastic, diplegic
SB  - IM
MH  - Adolescent
MH  - Cerebral Palsy/*physiopathology
MH  - Disability Evaluation
MH  - Female
MH  - *Gait
MH  - Gait Disorders, Neurologic/*physiopathology
MH  - Humans
MH  - Male
MH  - *Minimal Clinically Important Difference
MH  - Retrospective Studies
MH  - Severity of Illness Index
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Cerebral palsy
OT  - Minimal clinically important difference
OT  - Visual gait analysis
EDAT- 2017/01/11 06:00
MHDA- 2017/12/12 06:00
CRDT- 2017/01/11 06:00
PHST- 2016/08/04 00:00 [received]
PHST- 2016/11/09 00:00 [revised]
PHST- 2016/12/31 00:00 [accepted]
PHST- 2017/01/11 06:00 [pubmed]
PHST- 2017/12/12 06:00 [medline]
PHST- 2017/01/11 06:00 [entrez]
AID - S0966-6362(16)30718-4 [pii]
AID - 10.1016/j.gaitpost.2016.12.030 [doi]
PST - ppublish
SO  - Gait Posture. 2017 Mar;53:25-28. doi: 10.1016/j.gaitpost.2016.12.030. Epub 2017 
      Jan 3.