Responses

Responses

Madden, Mike

8/31/2015

Thanks to all who responded to my inquiry. As per usual, OANDP-L is a tremendous and valuable resource. I had several requests to post the responses; below is both the original inquiry and the responses. I redacted names as I had not asked permission to repost them onto the forum in the original inquiry.

Original inquiry:

I would like to find out what gait analysis systems people are using in the O&P management of their patients. What have you found that you like, what works and what doesn't. Any help I can get in this regard would be greatly appreciated.

Responses:

#1:
I use a Zeno mat from Protoninetics. I love the PKMAS software and Easy reports. I used a Gaitrite mat previously and upgraded to the Zeno a year ago.
I walk about 30 patients a month on it. It us a very useful tool.

#2
I saw your post on the list serve and would like to offer a demonstration over a webinar of PnO Data Solutions. I am a certified Prosthetist and have partnered with a video analysis expert to bring these tools to O&P. The goal was to create a cost efficient method of gathering more information about patient's gait without a large cost and time commitment.
Feel free to check out our website at www.pnodata.com< <URL Redacted>>,
Please let me know when you have some time to schedule a 30 minute webinar.


#3

There are many good Gait Analysis Systems available out on the market. They are dependent on the space you would like to dedicate to some and how much you would like to spend.



Some clinicians who have a designated space like the GaitRite - the so called Gold Standard of Temporospatial Gait Analysis or the ProtoKIntetics Zeno Walkway which detects and collects pressure data during static and dynamic balance and gait assessment. These both are about $30,000 on up and require a designated space in your facility.



The MotionMonitor(r)

Real-time, interactive data collection with immediate playback

Hardware independent

Biofeedback for motor control, neuro research and rehabilitation

Used by research institutions worldwide



P&O Data Solutions-This O&P-customized video analysis platform uses drawing tools and supports iOS devices. Its features include playback, slow motion, frame-by-frame, split screen for comparison, graphic tools, measurement of angles and distances, and a stopwatch for timing. The practitioner can create reports on varied cadence and gait observations and participate in interactive discussions about a video or image



I prefer and use-BTS G-WALK. The G-Walk is an intuitive and easy-to-use solution to obtain accurate, objective and quantitative data. I can simple apply the belt and sensor to the patient and do a quick gait analysis as I do my visual/video gait analysis. They have also added a few new features including a TUG test. The cost on these are about $5000.



There are also a few good apps that offer some good quantitative kinematic data.



GaitAnalysisPro

'Gait analysis Pro' is developed for heathcare providers such as docors, physical therapists, physical trainers etc. Just fix your iPhone at your lower back (around L3) with belt and walk. Then you will get many parameters that you cannot get when using a stopwatch.
This iPhone application measures basic gate parameters such as gate speed, step length, as well as coefficient of variance, symmetry of and center of mass displacement during gate.

1. 10 m walk / free walk within 1 minute is possible.
2. You can measrue 10 m walk only three taps.
3. In free walk mode, you will select overground or treadmill where you can preset duration, speed and distance.
4. The computed gate parameters with center of mass trajectory graph will be sent via e-mail.
5. It can send you filtered acceleration data compensated to 100 Hz via-email.

Cost is about $14

Hope this helps. There are also lots of VGA systems people are using such as Dartfish, Coaches Eye, Ubersense to name a few.


#4

GWalk is the best


#5

The best tool to establish the most efficient A-P knee placement on transfemorals is DAW's new E-pad. It's a very cost effective version of Otto Bocks Lazer Posture, providing true ground reaction force/vector rather than guessing (TKA line is useless).

#6
I wanted to take a minute to respond to your inquiry about gait analysis systems. I am the Director of Clinical Research for SureStep. We are currently have three gait analysis mats company wide, two Zeno mats with the ProtoKinetics software and one older GAITRite mat. We transitioned from using solely GAITRite to the Zeno/ProtoKinetics a few years ago when the GAITRite company split. I have been using the mat for over seven years and feel that they are invaluable to our company, both from a research perspective and from a patient care perspective. The mat is portable (I drive and fly with it frequently), which fits very well into our patient care model, as we travel to many hospitals and physical therapy clinics to treat our patients. It takes an average of 15 minutes per patient to collect the data and the reporting system within the ProtoKinetics software is quick and easy to use once templates are set up. There are no dots or markers placed on the patients, which aids in patient cooperation and the speed at which we can evaluate. I find that for the majority of our kids, we do not need a full 3D gait analysis with vectors and EMG and that we can actually collect a substantial amount of information about their gait in a short period of time. The software calculates temporal spatial gait parameters, relative pressures under the feet, center of pressure and estimated center of mass. The data that we collect typically is sufficient in helping us determine primary and secondary gait deviations, as well as the best orthotic solution. Along with the data, the system also utilizes two cameras that sync with the diagrams and can be slowed down to 1/10 speed if necessary.

We use the systems clinically to help determine best treatment options and clinical care. We can walk a child at the initial evaluation to determine what orthosis might be best. We can also utilize it to collaborate with the care team to determine the best possible orthotic and therapy treatment. Once a patient receives a device, we can use the system to evaluate the changes that the orthoses made. We can also follow our patients over time to evaluate the long term effects of the devices and to determine when they may be ready to graduate from a particular device. In certain cases, we have made several devices to determine which one(s) is most effective.

The information and reports that are put together are typically sent to the patient's physician, physical therapist and insurance if necessary. It has helped us grow our business and build relationships with our referral sources, but most importantly, it has helped our patient care tremendously. If I can help answer any further questions about either the GAITRite or Zeno/ProtoKinetics systems, please let me know.


#7

If your need is to measure outcome in a means that gives you data that can withstand peer review the gait system must be validated.

Some of the systems on the market will not withstand peer review scrutiny.

It is a question you must ask the vendor.



I have used the Prototkinetics system <URL Redacted> As it has published papers validating the data.

It is a temporal/spatial system with some balance elements.



You do not need an engineer to set up and use the systems as is the case with a Vicon system.

<URL Redacted>

#8
https://www.pnodata.com/ This one is simple and specific to O&P. Set up with two iPads in my office. Easy capture, easy secure collaborative tools to interact with therapists, etc., ability to analyze the video with tools or just simply capture and keep before and after for the patient. They have integrated outcome measures and ability to create your own analysis templates.



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