Evidence map›Paper›PMID 31984420›Full record

ArticlePhysical therapy2020

Teleassessment of Gait and Gait Aids: Validity and Interrater Reliability.

Kavita Venkataraman, Kristopher Amis, Lawrence R Landerman, Kevin Caves, Gerald C Koh, Helen Hoenig

Open access · hybridAbstract readEvaluation StudyVideo-Audio Media
In one paragraph

Article in Physical therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  4. Observational
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  15. Practice Considerations for Adapting in-Person Groups to Telerehabilitation.International journal of telerehabilitation · 2021
    Article
  16. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Kavita VenkataramanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore.
Kristopher AmisPhysical Medicine and Rehabilitation Service, Durham VA Health Care System, Durham, North Carolina.
Lawrence R LandermanCenter for Aging and Human Development, Duke University Medical Center, Durham, North Carolina.
Kevin CavesSpeech and Audiology, Department of Surgery, Duke University Medical Center.
Gerald C KohSaw Swee Hock School of Public Health, National University of Singapore; and National University Health System.
Helen HoenigDepartment of Medicine/Geriatrics, Duke University Medical Center; Physical Medicine and Rehabilitation Service, Durham VA Health Care System; and 508 Fulton St, Durham, NC 27705 (USA).
Duke University Hospital · USNational University Health System · SGDuke Medical Center · USDurham VA Health Care System · US

Funding

Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Virginia B Kraus · 2006 to 2026
$24.6M
NIA NIH HHS P30 AG028716
6 · The paper itself

Abstract

backgroundGait and mobility aid assessments are important components of rehabilitation. Given the increasing use of telehealth to meet rehabilitation needs, it is important to examine the feasibility of such assessments within the constraints of telerehabilitation.

objectiveThe objective of this study was to examine the reliability and validity of the Tinetti Performance-Oriented Mobility Assessment gait scale (POMA-G) and cane height assessment under various video and transmission settings to demonstrate the feasibility of teleassessment.

designThis repeated-measures study compared the test performances of in-person, slow motion (SM) review, and normal-speed (NS) video ratings at various fixed frame rates (8, 15, and 30 frames per second) and bandwidth (128, 384, and 768 kB/s) configurations.

methodsOverall bias, validity, and interrater reliability were assessed for in-person, SM video, and NS video ratings, with SM video rating as the gold standard, as well as for different frame rate and bandwidth configurations within NS videos.

resultsThere was moderate to good interrater reliability for the POMA-G (intraclass correlation coefficient [ICC] = 0.66-0.77 across all configurations) and moderate validity for in-person (β = 0.62; 95% confidence interval [CI] = 0.37-0.87) and NS video (β = 0.74; 95% CI = 0.67-0.80) ratings compared with the SM video rating. For cane height, interrater reliability was good (ICC = 0.66-0.77), although it was significantly lower at the lowest frame rate (8 frames per second) (ICC = 0.66; 95% CI = 0.54-0.76) and bandwidth (128 kB/s) (ICC = 0.69; 95% CI = 0.57-0.78) configurations. Validity for cane height was good for both in-person (β = 0.80; 95% CI = 0.62-0.98) and NS video (β = 0.86; 95% CI = 0.81-0.90) ratings compared with SM video rating. LIMITATIONS: Some lower frame rate and bandwidth configurations may limit the reliability of remote cane height assessments.

conclusionsTeleassessment for POMA-G and cane height using typically available internet and video quality is feasible, valid, and reliable.

Indexed as

CanesConfidence IntervalsFeasibility StudiesFemaleGait AnalysisGait Disorders, NeurologicHumansMaleMiddle AgedReproducibility of ResultsTelerehabilitation

Identifiers

PMID31984420
PMCPMC7439231
OpenAlexW3004065107

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.