Between session reliability of heel-to-toe progression measurements in the stance phase of gait

Journal article


Vanessa Ade, Dale Schalkwijk, Michael Psarakis, Michael D. Laporte, Timothy J. Faras, Remi Sandoval, Fadi Najjar and Peter Stubbs. (2018). Between session reliability of heel-to-toe progression measurements in the stance phase of gait. PLoS ONE. 13(7), pp. 1-6. https://doi.org/10.1371/journal.pone.0200436
AuthorsVanessa Ade, Dale Schalkwijk, Michael Psarakis, Michael D. Laporte, Timothy J. Faras, Remi Sandoval, Fadi Najjar and Peter Stubbs
Abstract

The objective of the current study was to determine the test-retest reliability of heel-to-toe progression measures in the stance phase of gait using intraclass correlation coefficient (ICC) analysis. It has been proposed that heel-to-toe progression could be used as a functional measure of ankle muscle contracture/weakness in clinical populations. This was the first study to investigate the test-retest reliability of this measure. Eighteen healthy subjects walked over the GAITRite® mat three times at a comfortable speed on two sessions (≥ 48 hours apart). The reliability of the heel-to-toe progression measures; heel-contact time, mid-stance time and propulsive time were assessed. Also assessed were basic temporal-spatial parameters; velocity, cadence, stride length, step length, stride width, single and double leg support time. Reliability was determined using the ICC(3,1) model and, fixed and proportional biases, and measures of variability were assessed. Basic gait temporal-spatial parameters were not different between sessions (p > 0.05) and had excellent reliability (ICC(3,1) range: 0.871–0.953) indicating that subjects walked similarly between sessions. Measurement of heel-to-toe progression variables were not different between sessions (p > 0.05) and had excellent reliability (ICC(3,1) range: 0.845–0.926). However, these were less precise and more variable than the measurement of standard temporal-spatial gait variables. As the current study was performed on healthy populations, it represents the ‘best case’ scenario. The increased variability and reduced precision of heel-to-toe progression measurements should be considered if being used in clinical populations.

Keywordsankles; walking; legs; gait analysis; feet; time measurement; multiple sclerosis; touch
Year2018
JournalPLoS ONE
Journal citation13 (7), pp. 1-6
PublisherPublic Library of Science
ISSN1932-6203
Digital Object Identifier (DOI)https://doi.org/10.1371/journal.pone.0200436
Scopus EID2-s2.0-85050861790
Open accessPublished as ‘gold’ (paid) open access
Publisher's version
License
File Access Level
Open
Publication process dates
Deposited10 May 2021
Permalink -

https://acuresearchbank.acu.edu.au/item/8vzy1/between-session-reliability-of-heel-to-toe-progression-measurements-in-the-stance-phase-of-gait

Download files


Publisher's version
OA_Ade_2018_Between_session_reliability_of_heel_to.pdf
License: CC BY 4.0
File access level: Open

  • 62
    total views
  • 20
    total downloads
  • 2
    views this month
  • 1
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Brief report : Passive mechanical properties of gastrocnemius in multiple sclerosis and ankle contracture
Hoang, Phu D., Psarakis, Michael, Kwah, Li Khim, Clarke, Jillian L., Gandevia, Simon C. and Diong, Joanna. (2021). Brief report : Passive mechanical properties of gastrocnemius in multiple sclerosis and ankle contracture. Clinical Biomechanics. 84, p. Article 105338. https://doi.org/10.1016/j.clinbiomech.2021.105338
Safety, feasibility, and efficacy of an eccentric exercise intervention in people with multiple sclerosis with ankle contractures
Psarakis, Michael, Lord, Stephen R. and Hoang, Phu D.. (2021). Safety, feasibility, and efficacy of an eccentric exercise intervention in people with multiple sclerosis with ankle contractures. International Journal of MS Care. 23(1), pp. 31-36. https://doi.org/10.7224/1537-2073.2019-022
Ankle contractures in people with multiple sclerosis : Implications, measurement and treatment
Psarakis, Michael. (2020). Ankle contractures in people with multiple sclerosis : Implications, measurement and treatment [PhD Thesis]. Australian Catholic University School of Behavioural and Health Sciences https://doi.org/10.26199/acu.8vywz
Wearable technology reveals gait compensations, unstable walking patterns and fatigue in people with multiple sclerosis
Psarakis, Michael, Greene, David A., Cole, Michael H., Lord, Stephen R., Hoang, Phu and Brodie, Matthew A. D.. (2018). Wearable technology reveals gait compensations, unstable walking patterns and fatigue in people with multiple sclerosis. Physiological Measurement. 39(7), pp. 1 - 13. https://doi.org/10.1088/1361-6579/aac0a3
Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis
Psarakis, Michael, Greene, David, Moresi, Mark, Baker, Michael, Stubbs, Peter, Brodie, Matthew, Lord, Stephen and Hoang, Phu. (2017). Impaired heel to toe progression during gait is related to reduced ankle range of motion in people with Multiple Sclerosis. Clinical Biomechanics. 49, pp. 96-100. https://doi.org/10.1016/j.clinbiomech.2017.08.012
Gyroscopic corrections improve wearable sensor data prior to measuring dynamic sway in the gait of people with Multiple Sclerosis
Brodie, Matthew A. D., Psarakis, Michael and Hoang, Phu. (2016). Gyroscopic corrections improve wearable sensor data prior to measuring dynamic sway in the gait of people with Multiple Sclerosis. Computer Methods in Biomechanics and Biomedical Engineering. 19(12), pp. 1339 - 1346. https://doi.org/10.1080/10255842.2016.1140747