Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia

BACKGROUND: Existing clinical tools do not comprehensively assess gait patterns in patients with multiple sclerosis (MS) across all planes or account for spatiotemporal and kinematic parameters. This study investigated the feasibility of the Wisconsin Gait Scale (WGS), originally designed to evaluat...

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Autores: Guzik, Agnieszka, Wolan-Nieroda, Andżelina, Kiper, Pawel, Cieślik, Błażej, Federico, Sara, Luque Moreno, Carlos, Drużbicki, Mariusz
Tipo de documento: artigo
Estado:Versión aceptada para publicación
Data de publicação:2025
País:España
Recursos:Universidad de Sevilla (US)
Repositório:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/178904
Acesso em linha:https://hdl.handle.net/11441/178904
https://doi.org/10.1111/jan.70335
Access Level:Acceso aberto
Palavra-chave:Gait
Hemiplegia
Multiple Sclerosis
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spelling Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic HemiplegiaGuzik, AgnieszkaWolan-Nieroda, AndżelinaKiper, PawelCieślik, BłażejFederico, SaraLuque Moreno, CarlosDrużbicki, MariuszGaitHemiplegiaMultiple SclerosisBACKGROUND: Existing clinical tools do not comprehensively assess gait patterns in patients with multiple sclerosis (MS) across all planes or account for spatiotemporal and kinematic parameters. This study investigated the feasibility of the Wisconsin Gait Scale (WGS), originally designed to evaluate hemiparetic gait after stroke, in individuals with the spastic hemiplegic subtype of MS. MATERIAL AND METHODS: The study included 30 patients with the spastic hemiplegic subtype of MS. The WGS-based assessment of participants’ gait was performed twice, by 3 independent raters. The results of the 2 measurements reported by the 3 raters were compared to determine intra-rater and inter-rater reliability. The WGS scores were also compared with results of clinical tools: the 10-Meter Walk Test, the 2-Minute Walk Test, and the Timed Up and Go Test, to determine the concurrent criterion validity of the WGS. RESULTS: A comparison of the scores assigned by the same rater during measurement 1 and measurement 2 showed excellent agreement in each case, with intraclass correlation coefficients (ICCs) equal to or higher than 0.991. Likewise, there was excellent agreement between the scores awarded by the 3 raters, both in measurement 1 and measurement 2, with ICCs of 0.988 and 0.978, respectively. The analyses showed very strong and significant correlations (P<0.001) between the mean scores in the WGS and all the clinical tests applied in this study to assess gait. CONCLUSIONS: The findings show excellent intra-rater and inter-rater reliability and confirm the concurrent criterion validity of the WGS in patients with hemiplegic MS.International Scientific Information, Inc.FisioterapiaInstituto de Biomedicina de Sevilla (IBIS)CTS1137: Neurophysius - Neurological Physiotherapy, Innovative Neurorehabilitation and Neurodevelopmental Disorders2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/178904https://doi.org/10.1111/jan.70335reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésMedical Science Monitor, 31, e950157.https://medscimonit.com/abstract/index/idArt/950157info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1789042026-06-17T12:51:07Z
dc.title.none.fl_str_mv Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia
title Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia
spellingShingle Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia
Guzik, Agnieszka
Gait
Hemiplegia
Multiple Sclerosis
title_short Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia
title_full Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia
title_fullStr Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia
title_full_unstemmed Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia
title_sort Evaluation of the Wisconsin Gait Scale in Patients with Multiple Sclerosis and Spastic Hemiplegia
dc.creator.none.fl_str_mv Guzik, Agnieszka
Wolan-Nieroda, Andżelina
Kiper, Pawel
Cieślik, Błażej
Federico, Sara
Luque Moreno, Carlos
Drużbicki, Mariusz
author Guzik, Agnieszka
author_facet Guzik, Agnieszka
Wolan-Nieroda, Andżelina
Kiper, Pawel
Cieślik, Błażej
Federico, Sara
Luque Moreno, Carlos
Drużbicki, Mariusz
author_role author
author2 Wolan-Nieroda, Andżelina
Kiper, Pawel
Cieślik, Błażej
Federico, Sara
Luque Moreno, Carlos
Drużbicki, Mariusz
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Fisioterapia
Instituto de Biomedicina de Sevilla (IBIS)
CTS1137: Neurophysius - Neurological Physiotherapy, Innovative Neurorehabilitation and Neurodevelopmental Disorders
dc.subject.none.fl_str_mv Gait
Hemiplegia
Multiple Sclerosis
topic Gait
Hemiplegia
Multiple Sclerosis
description BACKGROUND: Existing clinical tools do not comprehensively assess gait patterns in patients with multiple sclerosis (MS) across all planes or account for spatiotemporal and kinematic parameters. This study investigated the feasibility of the Wisconsin Gait Scale (WGS), originally designed to evaluate hemiparetic gait after stroke, in individuals with the spastic hemiplegic subtype of MS. MATERIAL AND METHODS: The study included 30 patients with the spastic hemiplegic subtype of MS. The WGS-based assessment of participants’ gait was performed twice, by 3 independent raters. The results of the 2 measurements reported by the 3 raters were compared to determine intra-rater and inter-rater reliability. The WGS scores were also compared with results of clinical tools: the 10-Meter Walk Test, the 2-Minute Walk Test, and the Timed Up and Go Test, to determine the concurrent criterion validity of the WGS. RESULTS: A comparison of the scores assigned by the same rater during measurement 1 and measurement 2 showed excellent agreement in each case, with intraclass correlation coefficients (ICCs) equal to or higher than 0.991. Likewise, there was excellent agreement between the scores awarded by the 3 raters, both in measurement 1 and measurement 2, with ICCs of 0.988 and 0.978, respectively. The analyses showed very strong and significant correlations (P<0.001) between the mean scores in the WGS and all the clinical tests applied in this study to assess gait. CONCLUSIONS: The findings show excellent intra-rater and inter-rater reliability and confirm the concurrent criterion validity of the WGS in patients with hemiplegic MS.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/178904
https://doi.org/10.1111/jan.70335
url https://hdl.handle.net/11441/178904
https://doi.org/10.1111/jan.70335
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Medical Science Monitor, 31, e950157.
https://medscimonit.com/abstract/index/idArt/950157
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv International Scientific Information, Inc.
publisher.none.fl_str_mv International Scientific Information, Inc.
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
repository.mail.fl_str_mv
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