Measuring Normal and Impaired Walking in Children Using the GAITRite Walkway

Study Overview
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Brief Summary
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Walking measurement in children is important but there are challenges associated with obtaining reliable repeatable data in a clinical setting that is meaningful and easy to interpret. This study set out to develop a new way to collect, record, and interpret walking data that is suitable for the clinical environment. Developmental percentile charts were selected as they are widely recognised and easily interpreted.

Detailed Description
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The primary output of the main cohort of typically developing children is the developmental percentile charts. These will be then used to present the clinical longitudinal data against a normal backdrop of developmental changes in children. This has multiple clinical applications in many of the children assessed by physiotherapy at GOSH and more widely Nationally and internationally

Official Title
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Measuring Normal and Impaired Walking in Children Using the GAITRite Walkway

Conditions
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Typically Developing Children, Talipes Equino Varus, Paediatric Orthopaedic, Paediatric Neurological

Intervention / Treatment
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* Device: Gait assessment using the GAITRIte walkway


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Able to walk 100m Exclusion Criteria: recent fracture or musculoskeletal injury which would affect gait

Ages Eligible for Study
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Minimum Age: 10 Months
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Interventional Model Description: The tool used for this study has been and was used for routine patient care, but was a novel diagnostic assessment for the typically developing (norms) and some of the clinical groups included. The clinical groups were compared to norms, both had the same diagnostic assessment so there was no control group who did not have the assessment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Typically developing children<br>500 children aged 1-18 male and female will be recruited from local schools, after school clubs and playgroups. Each child will complete a screening form following appropriate information and consent process. Each child will then complete the walking assessment which takes 15 minutes in total | Device: Gait assessment using the GAITRIte walkway<br>* 10-20 walking assessment using the GAITRite walkway<br>* Other names: GAITRite;|
| Active Comparator: Clinical groups<br>Children will be recruited through their patient journey. Families who consent to participation will complete the screening form and the GAITRite walking assessment as part of their pre-planned clinical followup in outpatient clinics. One group of children will be assessed at one time point, whilst a second group of children with progressive orthopaedic conditions or treatment will be assessed at intervals to give longitudinal data | Device: Gait assessment using the GAITRIte walkway<br>* 10-20 walking assessment using the GAITRite walkway<br>* Other names: GAITRite;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gait data recorded via GAITRite software | Continuous numeric data summarising walking performance and characteristics | For the duration of the study measured once for typically developing and at multiple clinic visits over 24 months for clinical groups | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| demographic and clinical outcome data | surgical history (where relevant) | 30 to 60 mins to collect relevant data at a single time point, with an update to include additional admissions over 24months |