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Accuracy of Clinical Observations of Push-Off During Gait After Stroke
Journal article   Peer reviewed

Accuracy of Clinical Observations of Push-Off During Gait After Stroke

J L McGinley, M E Morris, Ken Greenwood, P A Goldie and S J Olney
Archives of Physical Medicine and Rehabilitation, Vol.87(6), pp.779-785
2006
url
https://doi.org/10.1016/j.apmr.2006.02.022View
Published Version

Abstract

McGinley JL, Morris ME, Greenwood KM, Goldie PA, Olney SJ. Accuracy of clinical observations of push-off during gait after stroke. Objective: To determine the accuracy (criterion-related validity) of real-time clinical observations of push-off in gait after stroke. Design: Criterion-related validity study of gait observations. Setting: Rehabilitation hospital in Australia. Participants: Eleven participants with stroke and 8 treating physical therapists. Interventions: Not applicable. Main Outcome Measures: Pearson product-moment correlation between physical therapists' observations of push-off during gait and criterion measures of peak ankle power generation from a 3-dimensional motion analysis system. Results: A high correlation was obtained between the observational ratings and the measurements of peak ankle power generation (Pearson r=.98). The standard error of estimation of ankle power generation was .32W/kg. Conclusions: Physical therapists can make accurate real-time clinical observations of push-off during gait following stroke. © 2006 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.

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Rehabilitation
Sport Sciences

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