ISSN: 1899-1955
Human Movement
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SCImago Journal & Country Rank
 
1/2022
vol. 23
 
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abstract:
Original paper

Validity of self-reporting of gait alteration after tap test among patients with idiopathic normal pressure hydrocephalus

Sunee Bovonsunthonchai
1
,
Theerapol Witthiwej
2
,
Roongtiwa Vachalathiti
1
,
Sith Sathornsumetee
3
,
Chanon Ngamsombat
4
,
Orasa Chawalparit
4
,
Weerasak Muangpaisan
5

1.
Faculty of Physical Therapy, Mahidol University, Nakhon Pathom, Thailand
2.
Division of Neurosurgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
3.
Division of Neurology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand; NANOTEC-Mahidol University Center of Excellence in Nanotechnology for Cancer Diagnosis and Treatment, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
4.
Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
5.
Department of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Hum Mov. 2022;23(1):96–104
Online publish date: 2021/08/17
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Purpose
The study aimed to examine the validity of self-reporting as an additional method to indicate gait alteration among patients with idiopathic normal pressure hydrocephalus. The score from self-reporting of gait alteration was validated with the data obtained from gait pressure measuring plate. In addition, temporo-spatial gait parameters among 3 groups classified by overall gait improvement (no change, slight, and good) were compared.

Methods
This study employed a cross-sectional design and investigated 31 patients with idiopathic normal pressure hydrocephalus. Gait performance was determined by a gait pressure measuring plate before and 24 hours after a tap test. Patients rated the changed score for gait behaviours using a questionnaire once on the day after the tap test. Criterion validity of the changed scores from patients’ self-reporting and data from the gait pressure measuring plate was examined. In addition, temporo-spatial gait parameters were compared among 3 groups with one-way analysis of variance and the Bonferroni posthoc test to determine pairwise difference.

Results
Significant correlations were found for the temporo-spatial gait parameters between data from self-reporting and the gait pressure measuring plate. Comparisons of temporo-spatial gait parameters among groups demonstrated significant differences in all parameters.

Conclusions
Gait alteration identified by self-reporting was valid with gait performance measured by the gait pressure measuring plate. To achieve timely and appropriate medical management, we recommend health care professionals to request patients and caregivers to recognize gait alterations in assisting the disease progression identification.

keywords:

gait, normal pressure hydrocephalus, self-report, spinal puncture

 
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