Article

The aim of this systematic review was to evaluate and summarize the current
evidence base related to the clinical efficacy of gait analysis.
A literature review was conducted to identify references related to human gait analysis
published between January 2000 and September 2009 plus relevant older references.
The references were assessed independently by four reviewers using a hierarchical
model of efficacy adapted for gait analysis, and final scores were agreed upon by
at least three of the four reviewers. 1528 references were identified relating to
human instrumented gait analysis. Of these, 116 original articles addressed
technical accuracy efficacy, 89 addressed diagnostic accuracy efficacy, 11
addressed diagnostic thinking and treatment efficacy, seven addressed patient
outcomes efficacy, and one addressed societal efficacy, with some of the articles
addressing multiple levels of efficacy. This body of literature provides strong
evidence for the technical, diagnostic accuracy, diagnostic thinking and
treatment efficacy of gait analysis. The existing evidence also indicates
efficacy at the higher levels of patient outcomes and societal
cost-effectiveness, but this evidence is more sparse and does not include any
randomized controlled trials. Thus, the current evidence supports the clinical
efficacy of gait analysis, particularly at the lower levels of efficacy, but additional research is needed to strengthen the evidence base at the higher levels of efficacy.
CI - Copyright (c) 2011. Published by Elsevier B.V.

Langue : ANGLAIS