A Delphi study to identify key gait patterns and their potential causes in people with multiple sclerosis
Objective: This study aims to identify characteristic gait patterns in people with multiple sclerosis, to describe their key characteristics, and to identify their potential underlying causes. Design: a 3-round Delphi study. Participants: An international panel of 20 experts, including physiothera...
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2025-06-01
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| Series: | Journal of Rehabilitation Medicine |
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| Online Access: | https://medicaljournalssweden.se/jrm/article/view/42556 |
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| author | Sjoerd T. Timmermans Marjolein M. van der Krogt Marc B. Rietberg Heleen Beckerman Vincent de Groot |
| author_facet | Sjoerd T. Timmermans Marjolein M. van der Krogt Marc B. Rietberg Heleen Beckerman Vincent de Groot |
| author_sort | Sjoerd T. Timmermans |
| collection | DOAJ |
| description | Objective: This study aims to identify characteristic gait patterns in people with multiple sclerosis, to describe their key characteristics, and to identify their potential underlying causes.
Design: a 3-round Delphi study.
Participants: An international panel of 20 experts, including physiotherapists, a neurologist, rehabilitation physicians, biomechanical engineers, and movement scientists with expertise in multiple sclerosis or gait analysis.
Methods: A comprehensive list of gait characteristics and underlying impairments was compiled and analysed to identify common gait patterns and their primary features and potential causes. Consensus was defined as 67% agreement.
Results: Consensus was reached on 6 gait patterns in multiple sclerosis: (i) drop foot; (ii) insufficient push-off; (iii) stiff knee during swing; (iv) knee hyperextension during stance; (i) knee flexion in midstance; and (vi) enhanced gait variability. At least 69% agreement was achieved on the naming of the final gait patterns, their key characteristics, and the potential causes of each pattern.
Conclusion: Consensus was achieved on 6 gait patterns, their characteristics, and potential underlying causes. The identification of these gait patterns may support clinical decision-making regarding diagnostic and treatment measures, and deepen understanding of impairments that underlie walking problems in people with multiple sclerosis.
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| format | Article |
| id | doaj-art-8bddfcfefb144b3bbc333836825d074d |
| institution | OA Journals |
| issn | 1651-2081 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Journal of Rehabilitation Medicine |
| spelling | doaj-art-8bddfcfefb144b3bbc333836825d074d2025-08-20T02:05:21ZengMedical Journals SwedenJournal of Rehabilitation Medicine1651-20812025-06-015710.2340/jrm.v57.42556A Delphi study to identify key gait patterns and their potential causes in people with multiple sclerosisSjoerd T. Timmermans0Marjolein M. van der Krogt1Marc B. Rietberg2Heleen Beckerman3Vincent de Groot4Amsterdam UMC location Vrije Universiteit Amsterdam, Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, The Netherlands; MS Center Amsterdam, Amsterdam UMC location Vrije Universiteit Amsterdam, The NetherlandsAmsterdam UMC location Vrije Universiteit Amsterdam, Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, The NetherlandsAmsterdam UMC location Vrije Universiteit Amsterdam, Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, The Netherlands; MS Center Amsterdam, Amsterdam UMC location Vrije Universiteit Amsterdam, The NetherlandsAmsterdam UMC location Vrije Universiteit Amsterdam, Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, The Netherlands; MS Center Amsterdam, Amsterdam UMC location Vrije Universiteit Amsterdam, The NetherlandsAmsterdam UMC location Vrije Universiteit Amsterdam, Rehabilitation Medicine, Amsterdam, The Netherlands; Amsterdam Movement Sciences, Rehabilitation & Development, Amsterdam, The Netherlands; MS Center Amsterdam, Amsterdam UMC location Vrije Universiteit Amsterdam, The NetherlandsObjective: This study aims to identify characteristic gait patterns in people with multiple sclerosis, to describe their key characteristics, and to identify their potential underlying causes. Design: a 3-round Delphi study. Participants: An international panel of 20 experts, including physiotherapists, a neurologist, rehabilitation physicians, biomechanical engineers, and movement scientists with expertise in multiple sclerosis or gait analysis. Methods: A comprehensive list of gait characteristics and underlying impairments was compiled and analysed to identify common gait patterns and their primary features and potential causes. Consensus was defined as 67% agreement. Results: Consensus was reached on 6 gait patterns in multiple sclerosis: (i) drop foot; (ii) insufficient push-off; (iii) stiff knee during swing; (iv) knee hyperextension during stance; (i) knee flexion in midstance; and (vi) enhanced gait variability. At least 69% agreement was achieved on the naming of the final gait patterns, their key characteristics, and the potential causes of each pattern. Conclusion: Consensus was achieved on 6 gait patterns, their characteristics, and potential underlying causes. The identification of these gait patterns may support clinical decision-making regarding diagnostic and treatment measures, and deepen understanding of impairments that underlie walking problems in people with multiple sclerosis. https://medicaljournalssweden.se/jrm/article/view/42556Delphi studyabnormal gait patternmultiple sclerosis |
| spellingShingle | Sjoerd T. Timmermans Marjolein M. van der Krogt Marc B. Rietberg Heleen Beckerman Vincent de Groot A Delphi study to identify key gait patterns and their potential causes in people with multiple sclerosis Journal of Rehabilitation Medicine Delphi study abnormal gait pattern multiple sclerosis |
| title | A Delphi study to identify key gait patterns and their potential causes in people with multiple sclerosis |
| title_full | A Delphi study to identify key gait patterns and their potential causes in people with multiple sclerosis |
| title_fullStr | A Delphi study to identify key gait patterns and their potential causes in people with multiple sclerosis |
| title_full_unstemmed | A Delphi study to identify key gait patterns and their potential causes in people with multiple sclerosis |
| title_short | A Delphi study to identify key gait patterns and their potential causes in people with multiple sclerosis |
| title_sort | delphi study to identify key gait patterns and their potential causes in people with multiple sclerosis |
| topic | Delphi study abnormal gait pattern multiple sclerosis |
| url | https://medicaljournalssweden.se/jrm/article/view/42556 |
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