Urdu Version of the Dynamic Gait Index: Reliability and Validity Study

Study Overview
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Brief Summary
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In this study, Investigators will observe the reliability and validity of dynamic gait index in Urdu language in Pakistani geriatric population with balance impairments.

Detailed Description
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The aim of study is to translate and culturally adapt DGI into Urdu language and secondly to investigate the reliability and validity of DGI in geriatrics Pakistani population.This study will be cross sectional survey in which convenience sampling technique will be used to enroll participants as per pre-defined criteria. The results of study will help to know the validity and reliability of DGI in Urdu version with balance impairments in geriatric population.The reliability of the scale will be checked through internal consistency and test-retest methods. Internal consistency will be analyzed with Cronbach's alpha value.Test-retest reliability will be assessed using an intraclass correlation coefficient with 60 patients

Official Title
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Reliability and Validity of Urdu Version of the Dynamic Gait Index in Pakistani Geriatric Population

Conditions
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Balance

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age at least 65 years Ability to walk a minimum of 6m with or without a walking Aid One or more falls in the last year or Observed balance impairment evaluated subjectively by a physical therapist during the initial training session (Time Up and Go test, Morse Fall Scale) Exclusion Criteria: Inability to understand or follow the instructions of the DGI Experience with the DGI in the last 6 months Acute illness or fracture in the lower extremities or knee/hip replacement within the last 3 months.

Ages Eligible for Study
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Minimum Age: 65 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Dynamic Gait Index | The Dynamic Gait Index tests the participant's ability to maintain balance while walking under different dynamic conditions and at the same time to react to different task requirements. An order scale with four points in the range from 0 to 3. 0 indicates the lowest functional level and 3 the highest functional level. The score of 19 predicts falls in the elderly and> 22 out of 24 in safe ambulances | 1st day | 
| Dynamic Gait Index | The Dynamic Gait Index tests the participant's ability to maintain balance while walking under different dynamic conditions and at the same time to react to different task requirements. An order scale with four points in the range from 0 to 3. 0 indicates the lowest functional level and 3 the highest functional level. The score of 19 predicts falls in the elderly and> 22 out of 24 in safe ambulances falls is the dynamic gait index.Each object is marked at a scale of 0 to 3, 3 with standard and 0 showing led to problems DGI's 24 is the highest result possible | 2nd day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Berg Balance Scale | The Berg balance scale is an objective assessment of balance performance based on 14 items common to everyday activities. it is a 14-item scale that rates 0 (unable to perform) to 4 (normal performance) for each item. The total score is 56 points. Higher score higher balance ability. | 1st day | 
| Time Up and Go Test | Time Up and Go Test is used determine fall risk and measure the progress of balance, sit to stand and walking, Cut of scores indicating risk of falls by Population Community Dwelling adults - 13.5 in seconds | 1st day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Dynamic gait index, balance, reliability, validity, geriatric population