{"id":20607,"date":"2024-08-27T13:50:52","date_gmt":"2024-08-27T12:50:52","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=20607"},"modified":"2024-09-10T14:42:29","modified_gmt":"2024-09-10T13:42:29","slug":"clinical-gait-analysis-service","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/rehabilitation\/clinical-gait-analysis-service\/","title":{"rendered":"Clinical Gait Analysis Service"},"content":{"rendered":"\n<p><strong>Information<\/strong><\/p>\n\n\n\n<p>The service collects and analyses gait data for adults and children with complex walking problems.&nbsp; This is used in planning patient management and in evaluating outcomes of treatment.&nbsp; Gait analysis can also assist with potential diagnosis, e.g. differentiating between toe walkers and Diplegic CP or advise on further tests required.<\/p>\n\n\n\n<p><strong>Types of data that are collected<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sagittal and coronal plane video<\/li>\n\n\n\n<li>Kinetic and kinematic data (collected via a 3D motion capture system and force plates)<\/li>\n\n\n\n<li>Electromyography data<\/li>\n\n\n\n<li>A detailed physical examination of the lower limbs including ranges of motion, muscle strength, bony torsions, posture and balance etc.<\/li>\n<\/ul>\n\n\n\n<p><strong>Reporting process:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Data interpretation and biomechanical analysis<\/li>\n\n\n\n<li>Summary of gait problems<\/li>\n\n\n\n<li>Treatment recommendations<\/li>\n<\/ul>\n\n\n\n<p>After the gait analysis team has analysed all the collected data it is presented at a multi-disciplinary meeting.&nbsp; At this meeting treatment recommendations will be discussed and determined by relevant professionals e.g. Orthopaedic Surgeon, Physiotherapist, Orthotist.&nbsp; Visitors may join the MDT meeting via a Teams link. A report is sent to the referrer.<\/p>\n\n\n\n<p>Further information is available on the SMART Services website at <a href=\"https:\/\/www.smart.scot.nhs.uk\/service\/gait-lab\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.smart.scot.nhs.uk\/service\/gait-lab\/<\/a>.<\/p>\n\n\n\n<p><strong>M.A &amp; M.D 28-08-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">We can accept a referral if:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>It is for patients with complex neuromuscular or orthopaedic disorders for example cerebral palsy, spina bifida, congenital talipes equino varus.<\/li>\n\n\n\n<li>The referral question is one that can be answered by and requires the use of instrumented gait analysis (i.e. the use of 3D motion capture, force plate, and\/or electromyography equipment).<\/li>\n\n\n\n<li>Sufficient patient information is provided e.g. diagnosis, current pathology\/disability and any relevant interventions.<\/li>\n\n\n\n<li>The patient is able to walk with or without assistance for a minimum of 10 metres.<\/li>\n\n\n\n<li>The patient is at least 3 years of age and has the ability to co-operate with the gait analysis process (NB patients need to be comfortable in a state of undress and assessments are usually at least 2 hours long).<\/li>\n<\/ul>\n\n\n\n<p>For obese patients (BMI &gt; 40) we might not be able to do a full analysis.<\/p>\n\n\n\n<p>It is preferable if patients have at least had a physiotherapy assessment before being referred for gait analysis.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who can refer:<\/strong><\/h4>\n\n\n\n<p>A referral needs to be submitted either through a Hospital Consultant, GP, Physiotherapist or other health and social care professional who is involved in the person\u2019s care.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<p>Patients with complex neuromuscular or orthopaedic disorders who require complex analysis to determine the underlying causes and related gait treatment recommendations.&nbsp; Please also see the guidelines above.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Who not to refer:<\/strong><\/h4>\n\n\n\n<p>Anyone whose gait does not require complex analysis e.g. a simple video analysis might be sufficient to determine appropriate gait treatment recommendations.&nbsp; Please also see the guidelines above.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>How to refer:<\/strong><\/h4>\n\n\n\n<p>Please use link to webpage to download the most up to date version of the referral form.&nbsp; If you have any queries whether a patient is suitable for gait analysis please email us at loth.physiogaitlab@nhs.scot.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>SMART Services \u2013 Gait Lab: <a href=\"https:\/\/www.smart.scot.nhs.uk\/service\/gait-lab.\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.smart.scot.nhs.uk\/service\/gait-lab.<\/a><\/p>\n\n\n\n<p>NB Clinical Gait Analysis Service Referral Form is available to download from the above webpage. Clinical Movement Analysis Society: <a href=\"https:\/\/cmasuki.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/cmasuki.org\/<\/a><\/p>\n\n\n\n<p><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Information The service collects and analyses gait data for adults and children with complex walking problems.&nbsp; This is used in planning patient management and in evaluating outcomes of treatment.&nbsp; Gait analysis can also assist with potential diagnosis, e.g. differentiating between toe walkers and Diplegic CP or advise on further tests required. Types of data that<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4364,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1130],"class_list":["post-20607","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-clinical-gait-analysis-service"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/rehabilitation\/https-apps-nhslothian-scot-refhelp-clinical-gait-analysis-service\/\" rel=\"tag\">Clinical Gait Analysis Service<\/a>","rttpg_excerpt":"Information The service collects and analyses gait data for adults and children with complex walking problems.&nbsp; This is used in planning patient management and in evaluating outcomes of treatment.&nbsp; Gait analysis can also assist with potential diagnosis, e.g. differentiating between toe walkers and Diplegic CP or advise on further tests required. Types of data that","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/20607","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=20607"}],"version-history":[{"count":2,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/20607\/revisions"}],"predecessor-version":[{"id":20641,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/20607\/revisions\/20641"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4364"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=20607"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=20607"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}