Patients & Services Database Forum
Categories => Wish List (and discussion) => Topic started by: elroy on August 12, 2016, 05:49:59 PM

This is something recommended by Mike Schwartz at Gillette.
Truth be told, I understand what kinetics are, but I've always been a bit hazy on how they're used clinically (with the exception of wheelchair kinetics, which are very clear).
A GDI based on normals calculated from kinetics might provide another objective measure of changes.

The GDIKinetic: A new index for quantifying kinetic deviations from normal gait
Adam Rozumalski a,b,*, Michael H. Schwartz a,b,c
A B S T R A C T
This article introduces a new index, the GDIKinetic; a direct analog of the GDI based on joint kinetics
rather than kinematics. The method consists of: (1) identifying ‘‘features’’ of the raw gait kinetic data
using singular value decomposition, (2) identifying a subset of features that account for a large
percentage of the information in the raw gait kinetic data, (3) expressing the raw data from a group of
typically developing children as a linear combination of these features, (4) expressing a subject’s raw
data as a linear combination of these features, (5) calculating the magnitude of the difference between
the subject and the mean of the control, and (6) scaling and transforming the difference, in order to
provide a simple, and statistically wellbehaved, measure. Linear combinations of the first 20 gait
features produced a 91% faithful reconstruction of the data. Concurrent and face validity for the GDIKinetic
are presented through comparisons with the GDI, Gillette Functional Assessment Questionnaire
Walking Scale (FAQ), and topographic classifications within the diagnosis of Cerebral Palsy (CP). The GDIKinetic
and GDI are linearly related but not strongly correlated (r2 = 0.24). Like the GDI, the GDIKinetic
scales with FAQ level, distinguishes levels from one another, and is normally distributed across FAQ
levels six to ten, and among typically developing children. The GDIKinetic also scales with respect to
clinical involvement based on topographic CP classification in Hemiplegia types I–IV, Diplegia, Triplegia,
and Quadriplegia. The GDIKinetic complements the GDI in order to give a more comprehensive measure
of gait pathology.