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. 2006 Jun;87(6):779-85.
doi: 10.1016/j.apmr.2006.02.022.

Accuracy of clinical observations of push-off during gait after stroke

Jennifer L McGinley  1 , Meg E Morris, Ken M Greenwood, Patricia A Goldie, Sandra J Olney
Affiliations

Accuracy of clinical observations of push-off during gait after stroke

Jennifer L McGinley et al. Arch Phys Med Rehabil. 2006 Jun.

Abstract

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.

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