PMID- 30599331
OWN - NLM
STAT- MEDLINE
DCOM- 20190423
LR  - 20190423
IS  - 1879-2219 (Electronic)
IS  - 0966-6362 (Linking)
VI  - 68
DP  - 2019 Feb
TI  - The Wisconsin gait scale - The minimal clinically important difference.
PG  - 453-457
LID - S0966-6362(18)31562-5 [pii]
LID - 10.1016/j.gaitpost.2018.12.036 [doi]
AB  - BACKGROUND: Wisconsin Gait Scale (WGS) is an observational tool for the 
      evaluation of gait quality in individuals after stroke with hemiplegia. It is 
      divided into four subscales, which assess a total of fourteen spatiotemporal and 
      kinematic parameters of gait observed during the consecutive gait phases. 
      However, the WGS score change indicative of important and clinically meaningful 
      change has not been determined. RESEARCH QUESTION: The study has been designed to 
      define the minimal clinically important difference (MCID) of the WGS. METHODS: 
      Four methods were used to determine the MCID for the WGS in 50 participants who 
      had experienced a stroke: anchor-based study, distribution-based study, linear 
      regression analysis and specification of the receiver operating characteristic 
      (ROC) curve. RESULTS: In the anchor-based study, the mean change score in the 
      MCID group was 1.9 points (the first MCID estimate). In the distribution-based 
      study, the standard error of measurement for the no-change group was 0.3 (the 
      second MCID estimate). The slope of the regression line was 1.21 which means than 
      1-point change in the Barthel Index (BI) is associated with 1.21-point change in 
      the WGS. This translates to 2.25 points change in the WGS with 1.85 points change 
      in the BI (the third MCID estimate). The best cut-off point, determined with ROC 
      curve, was the value corresponding to 1 point of change in the WGS (the fourth 
      MCID estimate). SIGNIFICANCE: We established that the MCID of the WGS was 2.25 
      points, based on the largest of the four MCID estimates. The value 2.25 of the 
      MCID can help clinicians and researchers determine if the change in the scores on 
      the WGS is clinically important. CLINICAL TRIAL REGISTRATION: Data are parts of 
      the following clinical trial: ACTRN12617000436370.
CI  - Copyright (c) 2018 Elsevier B.V. All rights reserved.
FAU - Guzik, Agnieszka
AU  - Guzik A
AD  - Institute of Physiotherapy, Medical Faculty, University of Rzeszow, Hoffmanowej 
      25, 35-310 Rzeszow, Poland; Centre for Innovative Research in Medical and Natural 
      Sciences, University of Rzeszow, Warzywna 1a, 35-310 Rzeszow, Poland. Electronic 
      address: agnieszkadepa2@wp.pl.
FAU - Druzbicki, Mariusz
AU  - Druzbicki M
AD  - Institute of Physiotherapy, Medical Faculty, University of Rzeszow, Hoffmanowej 
      25, 35-310 Rzeszow, Poland; Centre for Innovative Research in Medical and Natural 
      Sciences, University of Rzeszow, Warzywna 1a, 35-310 Rzeszow, Poland. Electronic 
      address: mdruzb@ur.edu.pl.
FAU - Wolan-Nieroda, Andzelina
AU  - Wolan-Nieroda A
AD  - Institute of Physiotherapy, Medical Faculty, University of Rzeszow, Hoffmanowej 
      25, 35-310 Rzeszow, Poland; Centre for Innovative Research in Medical and Natural 
      Sciences, University of Rzeszow, Warzywna 1a, 35-310 Rzeszow, Poland. Electronic 
      address: wolan.a@gmail.com.
FAU - Przysada, Grzegorz
AU  - Przysada G
AD  - Institute of Physiotherapy, Medical Faculty, University of Rzeszow, Hoffmanowej 
      25, 35-310 Rzeszow, Poland; Centre for Innovative Research in Medical and Natural 
      Sciences, University of Rzeszow, Warzywna 1a, 35-310 Rzeszow, Poland. Electronic 
      address: g.przysada@interia.pl.
FAU - Kwolek, Andrzej
AU  - Kwolek A
AD  - Institute of Physiotherapy, Medical Faculty, University of Rzeszow, Hoffmanowej 
      25, 35-310 Rzeszow, Poland; Centre for Innovative Research in Medical and Natural 
      Sciences, University of Rzeszow, Warzywna 1a, 35-310 Rzeszow, Poland. Electronic 
      address: kwoleka@o2.pl.
LA  - eng
SI  - ANZCTR/ACTRN12617000436370
PT  - Journal Article
DEP - 20181226
PL  - England
TA  - Gait Posture
JT  - Gait & posture
JID - 9416830
SB  - IM
MH  - Adult
MH  - Aged
MH  - Biomechanical Phenomena
MH  - Female
MH  - Gait/*physiology
MH  - Gait Analysis/*methods
MH  - Gait Disorders, Neurologic/*diagnosis
MH  - Hemiplegia/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Minimal Clinically Important Difference
MH  - ROC Curve
MH  - Stroke/*complications
MH  - Surveys and Questionnaires
MH  - Wisconsin
OTO - NOTNLM
OT  - Gait
OT  - Hemiplegia
OT  - Minimal clinically important difference
OT  - Stroke
EDAT- 2019/01/02 06:00
MHDA- 2019/04/24 06:00
CRDT- 2019/01/02 06:00
PHST- 2018/09/13 00:00 [received]
PHST- 2018/10/10 00:00 [revised]
PHST- 2018/12/25 00:00 [accepted]
PHST- 2019/01/02 06:00 [pubmed]
PHST- 2019/04/24 06:00 [medline]
PHST- 2019/01/02 06:00 [entrez]
AID - S0966-6362(18)31562-5 [pii]
AID - 10.1016/j.gaitpost.2018.12.036 [doi]
PST - ppublish
SO  - Gait Posture. 2019 Feb;68:453-457. doi: 10.1016/j.gaitpost.2018.12.036. Epub 2018 
      Dec 26.