Standard of clinical gait analysis

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* 1. Where is your gait laboratory? (country)

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* 2. Where is your gait laboratory? (city)

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* 3. Where is your gait laboratory located?

University Hospital

Public Hospital

Private Hospital

Clinic

University

Rehabilitation center

Other (please specify)

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* 4. How many years have you been working in relation with Clinical Gait Analysis?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 5. Which populations of patients mainly undergo Clinical Gait Analyses in your laboratory?

	Children	Adults
Cerebral Palsy	Cerebral Palsy Children	Cerebral Palsy Adults
Neuromuscular disorders (Myopathy,etc..)	Neuromuscular disorders (Myopathy,etc..) Children	Neuromuscular disorders (Myopathy,etc..) Adults
Foot deformations	Foot deformations Children	Foot deformations Adults
Spinal injuries	Spinal injuries Children	Spinal injuries Adults
Stroke	Stroke Children	Stroke Adults
Parkinson	Parkinson Children	Parkinson Adults
Osteoarthritis	Osteoarthritis Children	Osteoarthritis Adults
Orthotics	Orthotics Children	Orthotics Adults
Amputees	Amputees Children	Amputees Adults
Sport injuries	Sport injuries Children	Sport injuries Adults
Sport performance	Sport performance Children	Sport performance Adults

Other (please specify)

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* 6. Are CGA performed in your laboratory reimbursed by?

National health system

Private health insurance

Self funded by family

By other means - please specify

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* 7. How much (in Euros) does a Clinical Gait Analysis in your institution cost?

1-100

100-200

200-500

500-1000

1000-1500

1500-2000

>2000

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* 8. What is your role in the gait laboratory?

Orthopaedic Surgeon

Rehabilitation Consultant

Paediatrician

Neurologist

Physiotherapist

Sports Scientist

Bioengineer (Clin Sci)

Clinical Technologist

Orthotist

Prosthetist

Podiatrist

Researcher

Other (please specify)

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* 9. How many Clinical Gait Analyses are performed in your laboratory every year?

<10

10-50

50-100

100-200

200-500

>500

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* 10. Are you affiliated (membership) with the ESMAC?

Yes

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* 11. Do you attend frequently the ESMAC conference?

Yes

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* 12. Are you affiliated (membership) with one of the national societies?

CMAS

GAMMA

GCMAS

SIAMOC

SMALLL

SOFAMEA

Other (please specify)

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* 13. Do you frequently attend the conferences of one of the national societies?

CMAS

GAMMA

GCMAS

SIAMOC

SMALLL

SOFAMEA

Other (please specify)

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* 14. Do you think that a European Clinical Practice Guideline for Gait Analysis is needed?

Yes, please explain why

No, please explain why

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* 15. Are you currently participating in a process to set up a national standard for clinical gait analysis?

Yes
Please specify the process:

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* 16. What would be the purposes of a European Clinical Practice Guideline for Gait Analysis?
Please rate importance for each of the following items (importance between 0, not important at all, and 10, extremely important)

	1	2	3	4	5	6	7	8	9	10
Improve quality of CGA	Improve quality of CGA 1	Improve quality of CGA 2	Improve quality of CGA 3	Improve quality of CGA 4	Improve quality of CGA 5	Improve quality of CGA 6	Improve quality of CGA 7	Improve quality of CGA 8	Improve quality of CGA 9	Improve quality of CGA 10
Reimbursement of CGA	Reimbursement of CGA 1	Reimbursement of CGA 2	Reimbursement of CGA 3	Reimbursement of CGA 4	Reimbursement of CGA 5	Reimbursement of CGA 6	Reimbursement of CGA 7	Reimbursement of CGA 8	Reimbursement of CGA 9	Reimbursement of CGA 10
Improve transparency of data related to CGA	Improve transparency of data related to CGA 1	Improve transparency of data related to CGA 2	Improve transparency of data related to CGA 3	Improve transparency of data related to CGA 4	Improve transparency of data related to CGA 5	Improve transparency of data related to CGA 6	Improve transparency of data related to CGA 7	Improve transparency of data related to CGA 8	Improve transparency of data related to CGA 9	Improve transparency of data related to CGA 10
Promote CGA as a diagnostic tool	Promote CGA as a diagnostic tool 1	Promote CGA as a diagnostic tool 2	Promote CGA as a diagnostic tool 3	Promote CGA as a diagnostic tool 4	Promote CGA as a diagnostic tool 5	Promote CGA as a diagnostic tool 6	Promote CGA as a diagnostic tool 7	Promote CGA as a diagnostic tool 8	Promote CGA as a diagnostic tool 9	Promote CGA as a diagnostic tool 10
Standardize protocols of GCA	Standardize protocols of GCA 1	Standardize protocols of GCA 2	Standardize protocols of GCA 3	Standardize protocols of GCA 4	Standardize protocols of GCA 5	Standardize protocols of GCA 6	Standardize protocols of GCA 7	Standardize protocols of GCA 8	Standardize protocols of GCA 9	Standardize protocols of GCA 10
Standardize gait reports	Standardize gait reports 1	Standardize gait reports 2	Standardize gait reports 3	Standardize gait reports 4	Standardize gait reports 5	Standardize gait reports 6	Standardize gait reports 7	Standardize gait reports 8	Standardize gait reports 9	Standardize gait reports 10
Improve professional training	Improve professional training 1	Improve professional training 2	Improve professional training 3	Improve professional training 4	Improve professional training 5	Improve professional training 6	Improve professional training 7	Improve professional training 8	Improve professional training 9	Improve professional training 10
Improve clinical interpretation of CGA	Improve clinical interpretation of CGA 1	Improve clinical interpretation of CGA 2	Improve clinical interpretation of CGA 3	Improve clinical interpretation of CGA 4	Improve clinical interpretation of CGA 5	Improve clinical interpretation of CGA 6	Improve clinical interpretation of CGA 7	Improve clinical interpretation of CGA 8	Improve clinical interpretation of CGA 9	Improve clinical interpretation of CGA 10

Other (please specify)

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* 17. What the European Clinical Practice Guideline for Gait Analysis should cover?

	1	2	3	4	5	6	7	8	9	10
Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …)	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 1	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 2	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 3	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 4	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 5	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 6	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 7	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 8	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 9	Resource, environment and facilities (room dimension, facilities for disabled patients, temperature, …) 10
Staffing (role, expertise, training )	Staffing (role, expertise, training ) 1	Staffing (role, expertise, training ) 2	Staffing (role, expertise, training ) 3	Staffing (role, expertise, training ) 4	Staffing (role, expertise, training ) 5	Staffing (role, expertise, training ) 6	Staffing (role, expertise, training ) 7	Staffing (role, expertise, training ) 8	Staffing (role, expertise, training ) 9	Staffing (role, expertise, training ) 10
Document control (Protocols, notebook keeping …)	Document control (Protocols, notebook keeping …) 1	Document control (Protocols, notebook keeping …) 2	Document control (Protocols, notebook keeping …) 3	Document control (Protocols, notebook keeping …) 4	Document control (Protocols, notebook keeping …) 5	Document control (Protocols, notebook keeping …) 6	Document control (Protocols, notebook keeping …) 7	Document control (Protocols, notebook keeping …) 8	Document control (Protocols, notebook keeping …) 9	Document control (Protocols, notebook keeping …) 10
Accreditation, Audit, ISO (International Organization for Standardization)	Accreditation, Audit, ISO (International Organization for Standardization) 1	Accreditation, Audit, ISO (International Organization for Standardization) 2	Accreditation, Audit, ISO (International Organization for Standardization) 3	Accreditation, Audit, ISO (International Organization for Standardization) 4	Accreditation, Audit, ISO (International Organization for Standardization) 5	Accreditation, Audit, ISO (International Organization for Standardization) 6	Accreditation, Audit, ISO (International Organization for Standardization) 7	Accreditation, Audit, ISO (International Organization for Standardization) 8	Accreditation, Audit, ISO (International Organization for Standardization) 9	Accreditation, Audit, ISO (International Organization for Standardization) 10
Equipment management (periodic checking, calibration)	Equipment management (periodic checking, calibration) 1	Equipment management (periodic checking, calibration) 2	Equipment management (periodic checking, calibration) 3	Equipment management (periodic checking, calibration) 4	Equipment management (periodic checking, calibration) 5	Equipment management (periodic checking, calibration) 6	Equipment management (periodic checking, calibration) 7	Equipment management (periodic checking, calibration) 8	Equipment management (periodic checking, calibration) 9	Equipment management (periodic checking, calibration) 10
Data collection (protocol, instructions)	Data collection (protocol, instructions) 1	Data collection (protocol, instructions) 2	Data collection (protocol, instructions) 3	Data collection (protocol, instructions) 4	Data collection (protocol, instructions) 5	Data collection (protocol, instructions) 6	Data collection (protocol, instructions) 7	Data collection (protocol, instructions) 8	Data collection (protocol, instructions) 9	Data collection (protocol, instructions) 10
Data processing (gap filling, filtering, biomechanical models)	Data processing (gap filling, filtering, biomechanical models) 1	Data processing (gap filling, filtering, biomechanical models) 2	Data processing (gap filling, filtering, biomechanical models) 3	Data processing (gap filling, filtering, biomechanical models) 4	Data processing (gap filling, filtering, biomechanical models) 5	Data processing (gap filling, filtering, biomechanical models) 6	Data processing (gap filling, filtering, biomechanical models) 7	Data processing (gap filling, filtering, biomechanical models) 8	Data processing (gap filling, filtering, biomechanical models) 9	Data processing (gap filling, filtering, biomechanical models) 10
Data quality check	Data quality check 1	Data quality check 2	Data quality check 3	Data quality check 4	Data quality check 5	Data quality check 6	Data quality check 7	Data quality check 8	Data quality check 9	Data quality check 10
Data management (support formats, sharing, metadata, backup)	Data management (support formats, sharing, metadata, backup) 1	Data management (support formats, sharing, metadata, backup) 2	Data management (support formats, sharing, metadata, backup) 3	Data management (support formats, sharing, metadata, backup) 4	Data management (support formats, sharing, metadata, backup) 5	Data management (support formats, sharing, metadata, backup) 6	Data management (support formats, sharing, metadata, backup) 7	Data management (support formats, sharing, metadata, backup) 8	Data management (support formats, sharing, metadata, backup) 9	Data management (support formats, sharing, metadata, backup) 10
Interpretation of data and reporting	Interpretation of data and reporting 1	Interpretation of data and reporting 2	Interpretation of data and reporting 3	Interpretation of data and reporting 4	Interpretation of data and reporting 5	Interpretation of data and reporting 6	Interpretation of data and reporting 7	Interpretation of data and reporting 8	Interpretation of data and reporting 9	Interpretation of data and reporting 10
Reference data from asymptomatic individuals	Reference data from asymptomatic individuals 1	Reference data from asymptomatic individuals 2	Reference data from asymptomatic individuals 3	Reference data from asymptomatic individuals 4	Reference data from asymptomatic individuals 5	Reference data from asymptomatic individuals 6	Reference data from asymptomatic individuals 7	Reference data from asymptomatic individuals 8	Reference data from asymptomatic individuals 9	Reference data from asymptomatic individuals 10
Physical examination (range of motion, spasticity, pain, strength, etc)	Physical examination (range of motion, spasticity, pain, strength, etc) 1	Physical examination (range of motion, spasticity, pain, strength, etc) 2	Physical examination (range of motion, spasticity, pain, strength, etc) 3	Physical examination (range of motion, spasticity, pain, strength, etc) 4	Physical examination (range of motion, spasticity, pain, strength, etc) 5	Physical examination (range of motion, spasticity, pain, strength, etc) 6	Physical examination (range of motion, spasticity, pain, strength, etc) 7	Physical examination (range of motion, spasticity, pain, strength, etc) 8	Physical examination (range of motion, spasticity, pain, strength, etc) 9	Physical examination (range of motion, spasticity, pain, strength, etc) 10
Clinical conditions for which CGA is appropriate	Clinical conditions for which CGA is appropriate 1	Clinical conditions for which CGA is appropriate 2	Clinical conditions for which CGA is appropriate 3	Clinical conditions for which CGA is appropriate 4	Clinical conditions for which CGA is appropriate 5	Clinical conditions for which CGA is appropriate 6	Clinical conditions for which CGA is appropriate 7	Clinical conditions for which CGA is appropriate 8	Clinical conditions for which CGA is appropriate 9	Clinical conditions for which CGA is appropriate 10

Other topics to include (please specify)

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* 18. Should the European Clinical Practice Guideline for Gait Analysis include recommendations with regards to these assessments?
(please rate importance for each item between 0, not important and 10, extremely important)

	1	2	3	4	5	6	7	8	9	10
Image (Video)	Image (Video) 1	Image (Video) 2	Image (Video) 3	Image (Video) 4	Image (Video) 5	Image (Video) 6	Image (Video) 7	Image (Video) 8	Image (Video) 9	Image (Video) 10
Kinematics (3D optoelectronic system, inertial sensors, etc.)	Kinematics (3D optoelectronic system, inertial sensors, etc.) 1	Kinematics (3D optoelectronic system, inertial sensors, etc.) 2	Kinematics (3D optoelectronic system, inertial sensors, etc.) 3	Kinematics (3D optoelectronic system, inertial sensors, etc.) 4	Kinematics (3D optoelectronic system, inertial sensors, etc.) 5	Kinematics (3D optoelectronic system, inertial sensors, etc.) 6	Kinematics (3D optoelectronic system, inertial sensors, etc.) 7	Kinematics (3D optoelectronic system, inertial sensors, etc.) 8	Kinematics (3D optoelectronic system, inertial sensors, etc.) 9	Kinematics (3D optoelectronic system, inertial sensors, etc.) 10
Kinetics (forceplate)	Kinetics (forceplate) 1	Kinetics (forceplate) 2	Kinetics (forceplate) 3	Kinetics (forceplate) 4	Kinetics (forceplate) 5	Kinetics (forceplate) 6	Kinetics (forceplate) 7	Kinetics (forceplate) 8	Kinetics (forceplate) 9	Kinetics (forceplate) 10
Muscle activity (EMG)	Muscle activity (EMG) 1	Muscle activity (EMG) 2	Muscle activity (EMG) 3	Muscle activity (EMG) 4	Muscle activity (EMG) 5	Muscle activity (EMG) 6	Muscle activity (EMG) 7	Muscle activity (EMG) 8	Muscle activity (EMG) 9	Muscle activity (EMG) 10
Plantar Pressures (Pressure mats)	Plantar Pressures (Pressure mats) 1	Plantar Pressures (Pressure mats) 2	Plantar Pressures (Pressure mats) 3	Plantar Pressures (Pressure mats) 4	Plantar Pressures (Pressure mats) 5	Plantar Pressures (Pressure mats) 6	Plantar Pressures (Pressure mats) 7	Plantar Pressures (Pressure mats) 8	Plantar Pressures (Pressure mats) 9	Plantar Pressures (Pressure mats) 10
Energy expenditure (O2, FC…)	Energy expenditure (O2, FC…) 1	Energy expenditure (O2, FC…) 2	Energy expenditure (O2, FC…) 3	Energy expenditure (O2, FC…) 4	Energy expenditure (O2, FC…) 5	Energy expenditure (O2, FC…) 6	Energy expenditure (O2, FC…) 7	Energy expenditure (O2, FC…) 8	Energy expenditure (O2, FC…) 9	Energy expenditure (O2, FC…) 10
Physical examination (range of motion, spasticity, pain, strength)	Physical examination (range of motion, spasticity, pain, strength) 1	Physical examination (range of motion, spasticity, pain, strength) 2	Physical examination (range of motion, spasticity, pain, strength) 3	Physical examination (range of motion, spasticity, pain, strength) 4	Physical examination (range of motion, spasticity, pain, strength) 5	Physical examination (range of motion, spasticity, pain, strength) 6	Physical examination (range of motion, spasticity, pain, strength) 7	Physical examination (range of motion, spasticity, pain, strength) 8	Physical examination (range of motion, spasticity, pain, strength) 9	Physical examination (range of motion, spasticity, pain, strength) 10
Functional tests	Functional tests 1	Functional tests 2	Functional tests 3	Functional tests 4	Functional tests 5	Functional tests 6	Functional tests 7	Functional tests 8	Functional tests 9	Functional tests 10
Medical history	Medical history 1	Medical history 2	Medical history 3	Medical history 4	Medical history 5	Medical history 6	Medical history 7	Medical history 8	Medical history 9	Medical history 10
Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List)	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 1	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 2	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 3	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 4	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 5	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 6	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 7	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 8	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 9	Questionnaires (such as: Functional Mobility Scale, Gillette Functional Assessment Questionnaire, Gait Outcomes Assessment List) 10

Other assessments (please specify)

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* 19. Would you be interested in participating to the set up of the European Clinical Practice Guideline for Gait Analysis?

Yes (Please enter your name and e-mail)

Standard of clinical gait analysis

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* 1. Where is your gait laboratory? (country)

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* 2. Where is your gait laboratory? (city)

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* 3. Where is your gait laboratory located?

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* 4. How many years have you been working in relation with Clinical Gait Analysis?

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* 5. Which populations of patients mainly undergo Clinical Gait Analyses in your laboratory?

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* 6. Are CGA performed in your laboratory reimbursed by?

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* 7. How much (in Euros) does a Clinical Gait Analysis in your institution cost?

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* 8. What is your role in the gait laboratory?

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* 9. How many Clinical Gait Analyses are performed in your laboratory every year?

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* 10. Are you affiliated (membership) with the ESMAC?

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* 11. Do you attend frequently the ESMAC conference?

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* 12. Are you affiliated (membership) with one of the national societies?

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* 13. Do you frequently attend the conferences of one of the national societies?

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* 14. Do you think that a European Clinical Practice Guideline for Gait Analysis is needed?

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* 15. Are you currently participating in a process to set up a national standard for clinical gait analysis?

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* 16. What would be the purposes of a European Clinical Practice Guideline for Gait Analysis? Please rate importance for each of the following items (importance between 0, not important at all, and 10, extremely important)

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* 17. What the European Clinical Practice Guideline for Gait Analysis should cover?

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* 18. Should the European Clinical Practice Guideline for Gait Analysis include recommendations with regards to these assessments?(please rate importance for each item between 0, not important and 10, extremely important)

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* 19. Would you be interested in participating to the set up of the European Clinical Practice Guideline for Gait Analysis?

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* 20. Free comments and suggestions:

* 16. What would be the purposes of a European Clinical Practice Guideline for Gait Analysis?
Please rate importance for each of the following items (importance between 0, not important at all, and 10, extremely important)

* 18. Should the European Clinical Practice Guideline for Gait Analysis include recommendations with regards to these assessments?
(please rate importance for each item between 0, not important and 10, extremely important)