Validity of the Persian Version of Dynamic Gait Index (DGI-P) in Individuals with Multiple Sclerosis

Document Type : Original article

Authors

1 Physiotherapy Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Faculty Department of Occupational Therapy, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Students research office, School of Rehabilitation ,Shahid Beheshti University of Medical Sciences, Tehran, Iran.

4 Faculty of Occupational Therapy Department, Iran University of Medical Sciences, Tehran, Iran

5 Department of Basic Sciences, Faculty of Rehabilitation Sciences,shahid Beheshti University of Medical Sciences

6 Neurologist, Imam Hossein hospital, Shahid Beheshti University of Medical Sciences

7 Master of Occupational Therapy, Sahid Beheshti University of Medical Sciences

Abstract

Background and Aim: Assessment of walking ability and fall risk in people with multiple sclerosis is often performed in rehabilitation. DGI is one of the tools that evaluate walking during various tasks. The aim of the present study was to evaluate the validity of the Persian version of DGI in people with multiple sclerosis.
Materials and Methods: The current study was performed using methodology method, and 62 patients were selected based on non-probable sampling. To check criterion validity, the correlation between the Berg Balance Scale scores and dynamic gait index scores were calculated and construct validity was evaluated using factor analysis. Also, content validity was assessed by 10 rehabilitation specialists with experience in the field of research and clinical work and in quantitative way.
Results: The results showed that the Persian version of dynamic gait index in people with MS has an acceptable criterion validity with the Berg Balance Scale (r=0/859). Content validity ratios for each item were between 0/80 and 1/00 and content validity index were 0/91, which were in the acceptable range. According to factor analysis, the test is composed of one factor with the eigenvalue of 4.4, which predicted 55% of the variance.
Conclusion: The Persian version of dynamic gait index is a valid measure to assess the dynamic balance while walking in patients with multiple sclerosis.

Keywords

Main Subjects

References

  1. McHugh Pendleton H, Schultz-Krohn W. Occupational Therapy Skills for Physical Dysfunction (Pedretti). 7th Edition ed. America: Mosby; 2012. 1325 pages, 936-937 p.##
  2. Lublin FD. The incomplete nature of multiple sclerosis relapse resolution. Journal of the Neurological Sciences. 2007;256:S14-S8.##
  3. Bol Y, Duits AA, Hupperts RMM, Vlaeyen JWS, Verhey FRJ. The psychology of fatigue in patients with multiple sclerosis: A review. Journal of psychosomatic research. 2009;66(1):3-11.##
  4. Taraghi Z, Ilali E, Abedini M, Zarvani A, Khoshnama I, Mohammadpour R, et al. Quality of Life among Multiple Sclerosis Patients. Iran Journal of Nursing. 2007;20(50):51-9.##
  5. Abedidni M, Habibi Saravi R, Zarvani A, Farahmand M. Epidemiologic study of multiple sclerosis in Mazandaran, Iran, 2007. Journal of Mazandaran University of Medical Sciences. 2008;18(66):82-6.##
  6. Prosperini L, Kouleridou A, Petsas N, Leonardi L, Tona F, Pantano P, et al. The relationship between infratentorial lesions, balance deficit and accidental falls in multiple sclerosis. Journal of the Neurological Sciences. 2011;304(1-2):55-60.##
  7. Yazdani M, Hemayattalab R, Sheikh M, Etemadifar M. The effect of a selected aquatic exercise on balance in subject with Multiple Sclerosis. J Res Rehabil Sci. 2013:9(2):143-52.##
  8. Hobart J, Riazi A, Lamping D, Fitzpatrick R, Thompson A. Measuring the impact of MS on walking ability The 12-Item MS Walking Scale (MSWS-12). Neurology. 2003;60(1):31-6.##
  9. Kieseier B, Pozzilli C. Assessing walking disability in multiple sclerosis. Multiple Sclerosis Journal. 2012;18(7):914-24.##
  10. Forsberg A, Andreasson M, Nilsagård YE. Validity of the Dynamic Gait Index in People With Multiple Sclerosis. Physical therapy. 2013;93(10):1369-76.##
  11. Shumway-Cook A, Woollacott m. Motor Control: Theory and Practical Applications. 2, illustrated ed: Lippincott Williams & Wilkins; 2001. 614 pages p.##
  12. Herman T, Inbar-Borovsky N, Brozgol M, Giladi N, Hausdorff JM. The Dynamic Gait Index in healthy older adults: the role of stair climbing, fear of falling and gender. Gait & posture2009. p. 237-41.##
  13. Jonsson LR, Kristensen MT, Tibaek S, Andersen CW, Juhl C. Intra-and interrater reliability and agreement of the Danish version of the Dynamic Gait Index in older people with balance impairments. Archives of physical medicine and rehabilitation. 2011;92(10):1630-5.##
  14. Golpayegani M, Khajavi D, Abdiani M. Validity and reliability of Persian Version of Dynamic Gait Index in older men Journal of Ageing. 2014;9(33).##
  15. Zamanzadeh V, Rassouli M, Abbaszadeh A, Alavi-Majd H, Nikanfar A-R, Ghahramanian A. Details of content validity and objectifying it in instrument development. Nursing Practice Today. 2014;1(3):163-71.##
  16. Azad A, Taghizadeh G, Khaneghini A. Assessments of the reliability of the Iranian version of the Berg Balance Scale in patients with multiple sclerosis. Acta Neurol Taiwan. 2011;20(1):22-8.##
  17. Bahrami H. Psychological assessments (theoretical basics and practical techniques)[in persion]. second edition ed. Tehran: Allameh Tabatabaee publications; 2002.##
  18. Hicks CM. Research methods for clinical therapists: applied project design and analysis: Elsevier Health Sciences; 2009. 408 p.##
  19. Whitney S, Wrisley D, Furman J. Concurrent validity of the Berg Balance Scale and the Dynamic Gait Index in people with vestibular dysfunction. Physiotherapy Research International. 2003;8(4):178-86.##
  20. Cattaneo D, Regola A, Meotti M. Validity of six balance disorders scales in persons with multiple sclerosis. Disability & Rehabilitation. 2006;28(12):789-95.##
  21. Shumway-Cook A, Baldwin M, Polissar NL, Gruber W. Predicting the probability for falls in community-dwelling older adults. Physical therapy. 1997;77(8):812-9.##
  22. Jonsdottir J, Cattaneo D. Reliability and validity of the dynamic gait index in persons with chronic stroke. Archives of physical medicine and rehabilitation. 2007;88(11):1410-5.##
The Scientific Journal of Rehabilitation Medicine
Volume 6, Issue 2
July and August 2017
Pages 11-18

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History

  • Receive Date: 13 February 2016
  • Revise Date: 26 April 2016
  • Accept Date: 21 May 2016
  • First Publish Date: 22 June 2017

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