ArticleArchives of physical medicine and rehabilitation2021
The Gait Disorientation Test: A New Method for Screening Adults With Dizziness and Imbalance.
Article in Archives of physical medicine and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Assessment of dynamic stability and identification of key tasks, inertial sensors, and parameters in patients with bilateral and unilateral vestibulopathy: investigation in a semi-standardized environment.Journal of neuroengineering and rehabilitation · 2026Article
- Using the gait disorientation test to measure spatial navigation in children with cochlear implants.International journal of pediatric otorhinolaryngology · 2025Article
- Gait disorientation as a proxy for impaired spatial navigation: Associations between the Gait Disorientation Test and vestibular-mediated functions.Neuropsychologia · 2025Article
- Identifying tests to evaluate in a diagnostic accuracy study for patients with vertigo in general practice: a Delphi study.BMC primary care · 2025Article
- Article
- Psychometrics of inertial heading perception.Journal of vestibular research : equilibrium & orientation · 2024Article
- Characteristics of the Functional Gait Assessment in adolescents with concussion.Neurosciences (Riyadh, Saudi Arabia) · 2023Article
- Vestibular perceptual testing from lab to clinic: a review.Frontiers in neurology · 2023Review
- Automatic ML-based vestibular gait classification: examining the effects of IMU placement and gait task selection.Journal of neuroengineering and rehabilitation · 2022Article
- Validation of the Gait Disorientation Test in children with concussion.Frontiers in pediatrics · 2022Article
- Associations Between Vestibular Perception and Cognitive Performance in Healthy Adults.Ear and hearingArticle
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveTo develop and evaluate a new method for identifying gait disorientation due to vestibular dysfunction.
designThe gait disorientation test (GDT) involves a timed comparison of the ability to walk 6.096 m with eyes open versus eyes closed. In this prospective study, participants were grouped based on vestibular function. All participants completed a clinical examination, self-report- and performance-based measures relevant to vestibular rehabilitation, and the tasks for the GDT. Vestibular-impaired participants underwent the criterion standard, videonystagmography and/or rotational chair testing.
settingAmbulatory clinic, tertiary referral center.
participantsParticipants (N=40) (20 vestibular-impaired, 30 women, 49.9±16.1years old) were enrolled from a convenience/referral sample of 52 adults. MAIN OUTCOME AND MEASURE(S): We determined test-retest reliability using the intraclass correlation coefficient model 3,1; calculated the minimal detectable change (MDC); examined concurrent validity through Spearman correlation coefficients; assessed criterion validity with the area under the curve (AUC) from receiver operator characteristic analysis; and computed the sensitivity, specificity, diagnostic odds ratio (DOR), likelihood ratios for positive (LR+) and negative (LR-) tests, and posttest probabilities of a diagnosis of vestibulopathy. The 95% confidence interval demonstrates measurement uncertainty.
resultsTest-retest reliability was 0.887 (0.815, 0.932). The MDC was 3.7 seconds. Correlations with other measures ranged from 0.59 (0.34, 0.76) to -0.85 (-0.92, -0.74). The AUC was 0.910 (0.822, 0.998), using a threshold of 4.5 seconds. The sensitivity and specificity were 0.75 (0.51, 0.91) and 0.95 (0.75, 1), respectively. The DOR=57 (6, 541.47), LR+ =15 (2.18, 103.0), and LR- =0.26 (0.12, 0.9). Positive posttest probabilities were 89%-94%. CONCLUSIONS AND RELEVANCE: The GDT has good reliability, excellent discriminative ability, strong convergent validity, and promising clinical utility.
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