Implementation of 2D Running Gait Analysis in Orthopedic Physical Therapy Clinics
# Background Despite 2D motion analysis deemed valid and reliable in assessing gait deviations in runners, current use of video-based motion analysis among orthopedic physical therapists is not prevalent. # Purpose/Hypothesis To investigate clinician-perceived effectiveness, adherence, and barrie...
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| Format: | Article |
| Language: | English |
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North American Sports Medicine Institute
2023-06-01
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| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.74726 |
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| _version_ | 1825197052176367616 |
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| author | Tiffany Barrett Kai-Yu Ho Justin Rasavage Micah Wilson Melissa Goo-Tam Tristan Trumbull |
| author_facet | Tiffany Barrett Kai-Yu Ho Justin Rasavage Micah Wilson Melissa Goo-Tam Tristan Trumbull |
| author_sort | Tiffany Barrett |
| collection | DOAJ |
| description | # Background
Despite 2D motion analysis deemed valid and reliable in assessing gait deviations in runners, current use of video-based motion analysis among orthopedic physical therapists is not prevalent.
# Purpose/Hypothesis
To investigate clinician-perceived effectiveness, adherence, and barriers to using a 2D running gait analysis protocol for patients with running-related injuries.
# Study Design
Survey
# Methods
Thirty outpatient physical therapy clinics were contacted to assess interest in participation. Participating therapists were trained on 2D running gait analysis protocol and given a running gait checklist. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used to assess the implementation process by collecting a baseline survey at the beginning of the study, effectiveness and implementation surveys at two months, and a maintenance survey at six months.
# Results
Twelve of the 15 responding clinics met eligibility criteria, giving a *Reach* rate of 80%. Twelve clinicians from 10 different clinics participated, giving an *Adoption* rate of 83%. For *Effectiveness*, the majority of clinicians valued having a checklist, and reported the protocol was easy to conduct, the methodology was reasonable and appropriate, and patients saw the benefits of using the protocol. Assessing *Implementation*, 92% performed all steps of the protocol on all appropriate runners. Average time spent conducting the protocol was 32 minutes. With respect to *Maintenance*, 50% reported continuing to use the protocol, while 50% answered they were not to continue use.
# Conclusion
Clinicians expressed a perceived benefit of implementing a running gait analysis protocol with common themes of ease of use, being a useful adjunct to evaluating a patient, and increased satisfaction with treating injured runners. Potential barriers for not using the protocol included not having an appropriate clinic setup, time constraints, and not having adequate caseload.
# Level of Evidence
3b |
| format | Article |
| id | doaj-art-e493d154cdcd436887d617f6d72a53db |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-e493d154cdcd436887d617f6d72a53db2025-02-11T20:28:04ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962023-06-01183Implementation of 2D Running Gait Analysis in Orthopedic Physical Therapy ClinicsTiffany BarrettKai-Yu HoJustin RasavageMicah WilsonMelissa Goo-TamTristan Trumbull# Background Despite 2D motion analysis deemed valid and reliable in assessing gait deviations in runners, current use of video-based motion analysis among orthopedic physical therapists is not prevalent. # Purpose/Hypothesis To investigate clinician-perceived effectiveness, adherence, and barriers to using a 2D running gait analysis protocol for patients with running-related injuries. # Study Design Survey # Methods Thirty outpatient physical therapy clinics were contacted to assess interest in participation. Participating therapists were trained on 2D running gait analysis protocol and given a running gait checklist. The Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework was used to assess the implementation process by collecting a baseline survey at the beginning of the study, effectiveness and implementation surveys at two months, and a maintenance survey at six months. # Results Twelve of the 15 responding clinics met eligibility criteria, giving a *Reach* rate of 80%. Twelve clinicians from 10 different clinics participated, giving an *Adoption* rate of 83%. For *Effectiveness*, the majority of clinicians valued having a checklist, and reported the protocol was easy to conduct, the methodology was reasonable and appropriate, and patients saw the benefits of using the protocol. Assessing *Implementation*, 92% performed all steps of the protocol on all appropriate runners. Average time spent conducting the protocol was 32 minutes. With respect to *Maintenance*, 50% reported continuing to use the protocol, while 50% answered they were not to continue use. # Conclusion Clinicians expressed a perceived benefit of implementing a running gait analysis protocol with common themes of ease of use, being a useful adjunct to evaluating a patient, and increased satisfaction with treating injured runners. Potential barriers for not using the protocol included not having an appropriate clinic setup, time constraints, and not having adequate caseload. # Level of Evidence 3bhttps://doi.org/10.26603/001c.74726 |
| spellingShingle | Tiffany Barrett Kai-Yu Ho Justin Rasavage Micah Wilson Melissa Goo-Tam Tristan Trumbull Implementation of 2D Running Gait Analysis in Orthopedic Physical Therapy Clinics International Journal of Sports Physical Therapy |
| title | Implementation of 2D Running Gait Analysis in Orthopedic Physical Therapy Clinics |
| title_full | Implementation of 2D Running Gait Analysis in Orthopedic Physical Therapy Clinics |
| title_fullStr | Implementation of 2D Running Gait Analysis in Orthopedic Physical Therapy Clinics |
| title_full_unstemmed | Implementation of 2D Running Gait Analysis in Orthopedic Physical Therapy Clinics |
| title_short | Implementation of 2D Running Gait Analysis in Orthopedic Physical Therapy Clinics |
| title_sort | implementation of 2d running gait analysis in orthopedic physical therapy clinics |
| url | https://doi.org/10.26603/001c.74726 |
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