L.D. Hedman, PT, DScPT, Department of Physical Therapy and Human Movement Sciences, Northwestern University Feinberg School of Medicine, 645 N Michigan Ave, Suite 1100, Chicago, IL 60611 (USA).
Phys Ther. 2014 Jan;94(1):52-67. doi: 10.2522/ptj.20120514. Epub 2013 Aug 8.
Bipedal locomotor control requirements may be useful as classifications for walking dysfunction because they go beyond gait analysis to address all issues contributing to walking dysfunction.
The objective of this study was to determine whether locomotor experts could achieve consensus about the requirements for bipedal locomotion.
Locomotor experts from physical therapy and other related professions participated in an electronic mail Delphi survey. Experts recommended additions, deletions, rewording, and merges for 15 proposed locomotor requirements in round 1. In rounds 2 and 3, panelists commented on and rated the validity, mutual exclusiveness, and understandability of each requirement. Consensus was defined a priori as: (1) 75% or more panelists agree or strongly agree that a requirement is valid, mutually exclusive, and understandable in round 3; (2) no difference between round 2 and 3 ratings with kappa coefficients ≥.60; and (3) a reduction in panelists who commented and convergence of comments between rounds 1 and 3. Content analysis and nonparametric statistics were used.
Fifty-eight panelists reached full consensus on 5 locomotor requirements (Initiation, Termination, Anticipatory Dynamic Balance, Multi-Task Capacity, and Walking Confidence) and partial consensus for 7 other requirements. There were no significant differences in ratings between rounds 2 and 3, and there was a decrease in the percentage of panelists who commented between rounds 1 and 3.
The study's 6-month time frame may have contributed to panelist attrition.
Locomotor experts achieved consensus on several bipedal locomotor requirements. With validation, these requirements can provide the framework for a clinically feasible and systematic diagnostic tool for physical therapists to categorize locomotor problems and standardize intervention for walking dysfunction.
双足运动控制要求可用作行走功能障碍的分类，因为它们超越了步态分析，解决了导致行走功能障碍的所有问题。
本研究的目的是确定运动专家是否能够就双足运动的要求达成共识。
来自物理治疗和其他相关专业的运动专家参加了电子邮件德尔菲调查。专家们在第一轮中建议增加、删除、改写和合并 15 项拟议的运动要求。在第二轮和第三轮中，小组成员对每个要求的有效性、互斥性和可理解性进行了评论和评分。共识的定义是：（1）75%或以上的小组成员同意或强烈同意第三轮的要求是有效的、互斥的和可理解的；（2）第二轮和第三轮评分之间没有差异，kappa 系数≥.60；（3）小组成员的评论减少，第一轮和第三轮之间的评论趋同。使用内容分析和非参数统计。
58 名小组成员就 5 项运动要求（启动、终止、预期动态平衡、多任务能力和行走信心）达成了完全共识，对其他 7 项要求达成了部分共识。第二轮和第三轮评分之间没有显著差异，第一轮和第三轮之间评论的小组成员百分比下降。
研究的 6 个月时间框架可能导致小组成员流失。
运动专家就几项双足运动要求达成了共识。经验证后，这些要求可以为物理治疗师提供一个可行的临床诊断工具，用于对运动问题进行分类，并为行走功能障碍的干预提供标准化。
