Gait and lower limb observation of paediatrics (GALLOP)

Miss Simone Cranage1, Dr Helen Banwell2, Dr Cylie Williams1,2,3

1Peninsula Health, Frankston, Australia, 2School of Health Sciences, University of South Australia, Adelaide, Australia, 3School of Physiotherapy, Monash University, Melbourne, Australia

Aim: To develop a gait and lower limb standardised recording proforma guided by the literature and consensus, for assessment of the paediatric foot and lower limb in children aged 0–18 years.

Method: Expert Australian podiatrists and physiotherapists were invited to participate in a three round Delphi survey panel. The first round consisted of questions on paediatric gait and lower limb assessment developed from existing templates and a literature search of standardised lower limb assessment methods. Rounds two and three consisted of statements developed from the first round. Questions and statements were included in the final proforma if 70 % or more of the participants indicated consensus or agreement with the assessment method and if there was support within the literature for paediatric age-specific normative data with acceptable reliability of outcome measures.

Results: There were 17 of the 21 (81 %) participants who completed three rounds of the survey. Consensus was achieved for 41 statements in Round one, 54 statements achieved agreement in two subsequent rounds. Participants agreed on 95 statements relating to birth history, developmental history, hip measurement, rotation of the lower limb, ankle range of motion, foot posture, balance and gait. Assessments with acceptable validity and reliability were included within the final proforma.

Significance of the findings to allied health:  This standardised recording proforma will assist professions to collect information in a standardised format based on best evidence assessment methods whilst aiding consistency in communication between health professionals