Dynamic Gait Index (DGI) Assessment Scales PDF

(‫)ﻧﺮﻛﺰ ﻋﻠﻴﻪ‬The dynamic gait index Description. The DGI consists of 8 walking tasks with varying demands, including (1) walking on a level surface, (2) walking and changing speed, (3 and 4) walking while turning the head in a horizo...

(‫)ﻧﺮﻛﺰ ﻋﻠﻴﻪ‬The dynamic gait index Description. The DGI consists of 8 walking tasks with varying demands, including (1) walking on a level surface, (2) walking and changing speed, (3 and 4) walking while turning the head in a horizontal and vertical direction, (5) maintaining walking balance during rapid directional changes, (6 and 7) walking and stepping over and around an obstacle, and (8) climbing stairs. :Score.2.The maximum score is 24 points :Each of the 8 tasks is scored on a 4-point scale No dysfunction = 3 Minimal impairment = 2 Moderate impairment = 1 Severe impairment = 0 :Interpretation.3 ,points = Perfect score (No issues with gait, balance 24.(or mobility +points = Average for people in their 8th decade (70 22.(years old Lower scores indicate greater impairment in balance and functional mobility, increasing the risk of falls :Area of Assessment.4  ‫‪:The DGI evaluates‬‬ ‫‪Gait‬‬ ‫‪(Balance (ability to maintain stability during movement‬‬ ‫‪Functional Mobility (ability to perform daily movements‬‬ ‫‪(climbing stairs like stepping over obstacles or‬‬ ‫ﺷ ﺮ ح اﻟ ﺘ ﻴﺴ ﺖ ﺑﺎﻟﻌﺎ ﻣ ﻴ ﺔ‬ ‫اﻟﻮﺻﻒ ‪:description‬‬ ‫الـ ‪ DGI‬ﻋﺒﺎرة ﻋﻦ اﺧﺘﺒﺎر ﻓﻴﻪ ‪ 8‬ﻣﻬﺎم ﻣﺸﻲ ﺑﻤﺴﺘﻮﻳﺎت ﻣﺨﺘﻠﻔﺔ ﻣﻦ‬ ‫اﻟ ﺼ ﻌ ﻮ ﺑ ﺔ‪ ،‬ز ي‪:‬‬ ‫‪.1‬اﻟﻤﺸﻲ ﻋﻠﻰ ﺳﻄﺢ ﻣﺴﺘﻮي‬ ‫‪.2‬اﻟﻤﺸﻲ ﻣﻊ ﺗﻐﻴﻴﺮ اﻟﺴﺮﻋﺔ‪.‬‬ ‫‪.3‬و ‪.4‬اﻟﻤﺸﻲ ﻣﻊ ﺗﺤﺮﻳﻚ اﻟﺮأس ﻓﻲ اﺗﺠﺎﻫﺎت أﻓﻘﻴﺔ وﻋﻤﻮدﻳﺔ‬ ‫‪.4‬اﻟﺤﻔﺎظ ﻋﻠﻰ ﺗﻮازن اﻟﻤﺸﻲ أﺛﻨﺎء ﺗﻐﻴﻴﺮ اﻻﺗﺠﺎه ﺑﺴﺮﻋﺔ‪.‬‬ ‫‪.5‬و ‪.7‬اﻟﻤﺸﻲ ﻣﻊ ﺗﺨﻄﻲ أو اﻟﻤﺮور ﺣﻮل ﻋﻘﺒﺔ‪.‬‬ ‫‪.6‬ﺻﻌﻮد اﻟﺴﻼﻟﻢ‪.‬‬ ‫أﻋﻠﻰ درﺟﺔ ﻣﻤﻜﻨﺔ ﻫﻲ ‪ 24‬ﻧﻘﻄﺔ‪.‬‬ ‫‪:Score‬‬ ‫أﻋﻠﻰ درﺟﺔ ﻫﻲ ‪ 24‬ﻧﻘﻄﺔ‪ ،‬وﻛﻞ ﻣﻬﻤﺔ ﻣﻦ الـ ‪ 8‬ﻣﻬﺎم ﺑﺘﺘﻘﻴﻢ ﻋﻠﻰ‬ ‫ﻣ ﻘ ﻴ ﺎس ﻣ ﻦ ‪ 4‬ﻧ ﻘﺎ ط ‪:‬‬ ‫‪ = 3‬ﻣ ﻔ ﻴ ﺶ ﻣﺸ ﻜﻠ ﺔ‬ ‫‪ = 2‬ﻣﺸ ﻜﻠ ﺔ ﺑﺴ ﻴ ﻄ ﺔ‬  ‫‪ = 1‬ﻣﺸ ﻜﻠ ﺔ ﻣ ﺘ ﻮ ﺳ ﻄ ﺔ‬ ‫‪ = 0‬ﻣ ﺸ ﻜﻠ ﺔ ﻛ ﺒ ﻴ ﺮة‬ ‫اﻟﺘﻔﺴﻴﺮ ‪:interpretation‬‬ ‫ﻟﻮ ﺟﺎب ‪ 24‬ﻧﻘﻄﺔ‪ ،‬ده ﻳﻌﻨﻲ إن اﻟﺸﺨﺺ ﻣﻔﻴﺶ ﻋﻨﺪه ﻣﺸﺎﻛﻞ ﻓﻲ‬ ‫اﻟﻤ ﺸ ﻲ أ و ا ﻟ ﺘ ﻮ از ن ‪.‬‬ ‫ﻟﻮ ﺟﺎب ﺣﻮاﻟﻲ ‪ 22‬ﻧﻘﻄﺔ‪ ،‬ده ﻣﺘﻮﺳﻂ ﻟﻸﺷﺨﺎص ﻓﻲ ﺳﻦ‬ ‫اﻟﺘﻤﺎﻧﻴﻨﺎت )ﻳﻌﻨﻲ ﺣﻮاﻟﻲ ‪ 70‬ﺳﻨﺔ أو أﻛﺜﺮ(‪.‬‬ ‫ﻟ ﻮ ا ﻟ ﺪ ر ﺟ ﺔ أ ﻗ ﻞ ﻣ ﻦ ﻛ ﺪ ه ‪ ،‬د ه ﺑ ﻴ ﺸ ﺎ ور إ ن ﻓ ﻴﻪ ﻣ ﺸﺎﻛ ﻞ ﻓ ﻲ ا ﻟ ﺘ ﻮ ا ز ن و‬ ‫ا ﻟ ﺤ ﺮﻛ ﺔ ا ﻟ ﻴ ﻮ ﻣ ﻴ ﺔ ‪ ،‬و ا ﻟﻠ ﻲ ﻣ ﻤ ﻜ ﻦ ﺗ ﺰ ﻳﺪ ﻣ ﻦ ﺧ ﻄ ﺮ ا ﻟ ﺴ ﻘ ﻮ ط ‪.‬‬ ‫ﻣﺠﺎل اﻟﺘﻘﻴﻴﻢ ‪:area of Assessment‬‬ ‫اﻻﺧﺘﺒﺎر ﺑﻴﻘﻴﻢ اﻟﺘﻮازن أﺛﻨﺎء اﻟﻤﺸﻲ‪ ،‬اﻟﺘﻮازن ﺑﺸﻜﻞ ﻋﺎم‪ ،‬واﻟﻘﺪرة‬ ‫ﻋﻠ ﻰ ا ﻟ ﺘ ﺤ ﺮ ك ﺑ ﺸ ﻜ ﻞ ﻃ ﺒ ﻴﻌ ﻲ ز ي ا ﻟﻤ ﺸ ﻲ ‪ ،‬و ا ﻟ ﺘ ﺨ ﻄ ﻲ ﻣ ﻦ ﻓ ﻮ ق ﻋ ﺎ ﺋ ﻖ ‪،‬‬ ‫و ﺻﻌ ﻮد ا ﻟﺴ ﻼﻟ ﻢ‪.‬‬  Modified Dynamic Gait Index (mDGI :Definition. The mDGI is an expanded version of the original 8-item DGI that includes additional scoring for time, level of assistance (LOA), and gait pattern (GP), providing a.comprehensive evaluation of gait and balance :Interpretation..Time: Measures the time taken to complete tasks, scored on a 4-level scale :LOA: Assesses the assistance required, scored on a 3-level scale.No assistance = 2.(Assistive device used (e.g., cane = 1.Physical assistance needed = 0 :GP: Evaluates gait quality, scored on a 4-level scale.Normal = 3.Mild impairment = 2.(Moderate impairment (can recover balance independently = 1.(Severe impairment (unable to recover balance = 0.(Total Score: 0 to 64 points (higher scores indicate better performance :Area of Assessment. functional mobility, balance , Gait :Score..Time Facet: 0–24 points.LOA Facet: 0–16 points.GP Facet: 0–24 points Overall Total: 0–64 points  ‫ﺷ ﺮ ح اﻟ ﺘ ﻴ ﺴ ﺖ ﺑﺎ ﻟ ﻌﺎ ﻣ ﻴ ﺔ‬ ‫‪ - Definition.1‬اﻟﺘﻌﺮﻳﻒ‪:‬‬ ‫اﻻﺧﺘﺒﺎر ده ﻧﺴﺨﺔ ﻣﻄﻮرة ﻣﻦ اﺧﺘﺒﺎر الـ ‪ DGI‬اﻷﺻﻠﻲ‪ ،‬اﻟﻠﻲ ﻛﺎن ﺑﻴﻘﻴﻢ ‪ 8‬ﻣﻬﺎم ﻣﺮﺗﺒﻄﺔ ﺑﺎﻟﻤﺸﻲ‪.‬‬ ‫ا ﻟ ﻨﺴ ﺨ ﺔ ا ﻟﻤ ﻌ ﺪ ﻟ ﺔ د ي ﺑ ﺘ ﻀ ﻴ ﻒ ﺗ ﻔ ﺎ ﺻ ﻴ ﻞ أ ﻛ ﺘ ﺮ ﻓ ﻲ ا ﻟ ﺘ ﻘ ﻴ ﻴ ﻢ ‪ ،‬ز ي ‪:‬‬ ‫ا ﻟ ﻮ ﻗ ﺖ ا ﻟ ﻠ ﻲ ﺑ ﻴ ﺎ ﺧ ﺪ ه ا ﻟ ﻤ ﺮ ﻳ ﺾ ﻓ ﻲ أ د ا ء ا ﻟ ﻤ ﻬ ﺎ م و ﻣﺴ ﺘ ﻮ ى اﻟ ﻤ ﺴ ﺎ ﻋ ﺪ ة ا ﻟ ﻠ ﻲ ﺑ ﻴ ﺤ ﺘ ﺎ ﺟ ﻪ ‪.‬‬ ‫وﻧﻤﻂ اﻟﻤﺸﻲ )ﻫﻞ اﻟﻤﺸﻲ ﻃﺒﻴﻌﻲ وﻻ ﻓﻴﻪ ﻣﺸﺎﻛﻞ( ‪ ،‬ﺑﺎﻟﺘﺎﻟﻲ‪ ،‬اﻟﻤﻘﻴﺎس ده ﺑﻴﺠﻤﻊ ﻣﻌﻠﻮﻣﺎت أدق ﻋﻦ‬ ‫ﺗ ﻮ از ن ا ﻟﻤ ﺮﻳ ﺾ و ﺣ ﺮﻛ ﺘﻪ‪.‬‬ ‫‪ - Interpretation.2‬اﻟﺘﻔﺴﻴﺮ‪:‬‬ ‫ﻧﺘﺎﺋﺞ اﻻﺧﺘﺒﺎر ﺑﺘﺘﻔﺴﺮ ﺑﻨﺎءً ﻋﻠﻰ ‪ 3‬ﺣﺎﺟﺎت‪:‬‬ ‫ا ﻟ ﻮ ﻗ ﺖ ‪ :‬ﺑ ﻴ ﻘ ﻴ ﺲ ﻗﺪ إﻳﻪ ا ﻟ ﻤ ﺮﻳ ﺾ أ ﺧ ﺪ و ﻗ ﺖ ﻓ ﻲ أ د ا ء ا ﻟ ﻤﻬ ﺎ م ‪ ،‬و ﺑ ﻴ ﺘ ﻘ ﻴ ﻢ ﻋﻠ ﻰ ‪ 4‬ﻣ ﺴ ﺘ ﻮﻳ ﺎ ت ) ﺣ ﺴ ﺐ‬ ‫اﻟﻤﻬﻤﺔ(‪.‬‬ ‫ﻣﺴﺘﻮى اﻟﻤﺴﺎﻋﺪة )‪ :(LOA‬ﻫﻞ اﻟﻤﺮﻳﺾ ﻣﺤﺘﺎج ﻣﺴﺎﻋﺪة؟ ودي ﺑﺘﺘﻘﻴﻢ ﻛﺎﻟﺘﺎﻟﻲ‪:‬‬ ‫‪ :2‬ﻣﻔﻴﺶ ﻣﺴﺎﻋﺪة‪.‬‬ ‫‪ :١‬ﺑﻴﺴﺘﺨﺪم أﺟﻬﺰة ﻣﺴﺎﻋﺪة )زي ﻋﺼﺎﻳﺔ أو ﻣﺸﺎﻳﺔ(‪.‬‬ ‫‪ :0‬ﻣﺤﺘﺎج ﺷﺨﺺ ﻳﺴﺎﻋﺪه ﺟﺴﺪﻳًﺎ )ﺣﺘﻰ ﻟﻮ ﻣﺠﺮد ﺳﻨﺪ ﺧﻔﻴﻒ(‪.‬‬ ‫ﻧﻤﻂ اﻟﻤﺸﻲ )‪ :(GP‬ﺷﻜﻞ اﻟﻤﺸﻲ ﻧﻔﺴﻪ ﺑﻴﺘﻘﻴﻢ ﻋﻠﻰ ‪ 4‬ﻣﺴﺘﻮﻳﺎت‪:‬‬ ‫‪ :3‬ﻃﺒﻴﻌﻲ‪ ،‬ﻣﻔﻴﺶ أي ﻣﺸﻜﻠﺔ‪.‬‬ ‫‪ :2‬ﻣﺸﺎﻛﻞ ﺑﺴﻴﻄﺔ ﺟﺪًا‪.‬‬ ‫‪ :1‬ﻣﺸﺎﻛﻞ ﻣﺘﻮﺳﻄﺔ‪ ،‬ﺑﺲ اﻟﻤﺮﻳﺾ ﺑﻴﻘﺪر ﻳﻮازن ﻧﻔﺴﻪ‪.‬‬ ‫‪ :0‬ﻣﺸﺎﻛﻞ ﺷﺪﻳﺪة‪ ،‬وﻣﻤﻜﻦ ﻳﻘﻊ وﻣﺶ ﻳﻌﺮف ﻳﻮازن ﻧﻔﺴﻪ ﻟﻮﺣﺪه‪.‬‬ ‫إﺟﻤﺎﻟﻲ اﻟﻨﺘﻴﺠﺔ ﺑﻴﺪﻳﻚ ﺻﻮرة ﻋﺎﻣﺔ ﻋﻦ ﻗﺪرة اﻟﻤﺮﻳﺾ ﻋﻠﻰ اﻟﻤﺸﻲ‪.‬اﻟﺪرﺟﺔ ﺑﺘﻜﻮن ﻣﻦ ‪ 0‬إﻟﻰ ‪:64‬‬ ‫ﻛ ﻞ ﻣ ﺎ ا ﻟ ﺪ ر ﺟ ﺔ أ ﻋ ﻠ ﻰ ‪ ،‬ﻛ ﻞ ﻣ ﺎ ﻛ ﺎ ن أ د ا ء ا ﻟ ﻤ ﺮ ﻳ ﺾ أ ﺣ ﺴ ﻦ و ﻣ ﺶ ﻣ ﺤ ﺘ ﺎ ج ﻣ ﺴ ﺎﻋ ﺪ ة‪.‬‬ ‫‪ - Area of Assessment.3‬ﻣﺠﺎﻻت اﻟﺘﻘﻴﻴﻢ ‪:‬‬ ‫اﻻﺧﺘﺒﺎر ﺑﻴﺮﻛﺰ ﻋﻠﻰ ‪ 3‬ﺣﺎﺟﺎت أﺳﺎﺳﻴﺔ‪:‬‬ ‫اﻟﻤﺸﻲ )‪ :(Gait‬ﻃﺮﻳﻘﺔ اﻟﺤﺮﻛﺔ ﻋﻠﻰ اﻷرض ‪ ،‬و اﻟﺘﻮازن )‪ :(Balance‬ﻗﺪرة اﻟﻤﺮﻳﺾ ﻋﻠﻰ اﻟﺘﺤﻜﻢ ﻓﻲ‬ ‫ﻧﻔﺴﻪ وﻫﻮ ﻣﺎﺷﻲ‪.‬و اﻟﺤﺮﻛﺔ اﻟﻮﻇﻴﻔﻴﺔ )‪ :(Functional Mobility‬اﻟﻤﻬﺎم اﻟﻠﻲ اﻟﻤﺮﻳﺾ ﺑﻴﻌﻤﻠﻬﺎ أﺛﻨﺎء‬ ‫اﻟﻤﺸﻲ )زي ﺗﺨﻄﻲ ﻋﻘﺒﺎت أو اﻟﻤﺸﻲ ﻋﻠﻰ اﻟﺴﻠﻢ(‪.‬‬  --- :‫ اﻟﺪرﺟﺎت‬- Score.4 : ‫ أ و ﺟﻪ‬3 ‫ا ﻟ ﺘ ﻘﻴ ﻴ ﻢ ﺑ ﻴ ﺘ ﻢ ﻋﻠ ﻰ‬.‫ ﻧﻘﻄﺔ‬24 ‫ إﻟﻰ‬0 ‫ ﺑﻴﺘﻘﻴﻢ ﻣﻦ‬:‫اﻟﻮﻗﺖ‬.‫ ﻧﻘﻄﺔ‬16 ‫ إﻟﻰ‬0 ‫ ﻣﻦ‬:(LOA) ‫ﻣﺴﺘﻮى اﻟﻤﺴﺎﻋﺪة‬.‫ ﻧﻘﻄﺔ‬24 ‫ إﻟﻰ‬0 ‫ ﻣﻦ‬:(GP) ‫ﻧﻤﻂ اﻟﻤﺸﻲ‬.‫ ﻧﻘﻄﺔ‬64 ‫ إﻟﻰ‬0 = ‫اﻟﺪرﺟﺔ اﻟﻜﻠﻴﺔ‬ ‫إ ز ا ي ﻧ ﻘ ﺮ أ ا ﻟ ﻨ ﺘ ﻴ ﺠ ﺔ؟‬.‫ ﻳﺒﻘﻰ أداؤه ﻛﻮﻳﺲ ﺟﺪًا وﻣﺶ ﻣﺤﺘﺎج دﻋﻢ‬،64 ‫ﻟﻮ اﻟﻤﺮﻳﺾ ﺟﺎب درﺟﺔ ﻗﺮﻳﺒﺔ ﻣﻦ‬. ‫ﻟ ﻮ ا ﻟ ﺪ ر ﺟ ﺔ ﻗ ﻠ ﻴ ﻠ ﺔ ﻳ ﺒ ﻘ ﻰ ﻓ ﻴ ﻪ ﻣ ﺸ ﺎ ﻛ ﻞ ﻓ ﻲ ا ﻟ ﺘ ﻮ ا ز ن أ و ا ﻟ ﻤ ﺸ ﻲ أ و ا ﻟﻤ ﺮ ﻳ ﺾ ﻣ ﺤ ﺘ ﺎ ج ﻣ ﺴ ﺎﻋ ﺪ ة‬ Functional Gait Assessment (FGA): 1. Definition: The FGA is an expanded version of the Dynamic Gait Index (DGI) designed to evaluate postural stability during various walking tasks. :2. Interpretation Each of the 10 tasks is scored on a 4-point scale: 0 = Severe impairment. 1 = Moderate impairment. 2 = Mild impairment. 3 = Normal ambulation. Highest total score: 30 points. Cut-off score: A score of 22/30 helps predict fall risk in community-dwelling older adults (scores below 22 indicate higher fall risk). :3. Area of Assessment Gait ، Balance ، Postural stability  ‫‪:4. Score‬‬ ‫‪Each task: 0–3 points.‬‬ ‫‪Total score: 0–30 points.‬‬ ‫ﺷ ﺮ ح ا ﻟ ﺘ ﻴﺴ ﺖ‬ ‫‪ - Definition.1‬اﻟﺘﻌﺮﻳﻒ‪:‬‬ ‫اﻻﺧﺘﺒﺎر ده ﻧﺴﺨﺔ ﻣﻄﻮرة ﻣﻦ الـ ‪ DGI‬اﻷﺻﻠﻲ‪ ،‬وﺑﻴﻬﺪف إﻧﻪ ﻳﻘﻴﻢ ﺛﺒﺎت وﺿﻌﻴﺔ اﻟﺠﺴﻢ )‪postural‬‬ ‫‪ (stability‬أﺛﻨﺎء اﻟﻤﺸﻲ ﻓﻲ ﻣﻬﺎم ﻣﺨﺘﻠﻔﺔ‪.‬‬ ‫‪ - Interpretation.2‬اﻟﺘﻔﺴﻴﺮ‪:‬‬ ‫اﻻﺧﺘﺒﺎر ﺑﻴﺘﻜﻮن ﻣﻦ ‪ 10‬ﻣﻬﺎم‪:‬‬ ‫‪ 7‬ﻣﻬﺎم ﻣﻦ الـ ‪ DGI‬اﻷﺻﻠﻲ‪.‬‬ ‫‪ 3‬ﻣﻬ ﺎ م ﺟﺪﻳﺪة و أ ﺻ ﻌ ﺐ ‪:‬‬ ‫‪.1‬اﻟﻤﺸﻲ ﺑﻘﺎﻋﺪة ﺿﻴﻘﺔ )‪.(narrow base‬‬ ‫‪.2‬اﻟﻤﺸﻲ ﻟﻠﺨﻠﻒ‪.‬‬ ‫‪.3‬اﻟﻤﺸﻲ واﻟﻌﻴﻨﻴﻦ ﻣﻐﻤﻀﻴﻦ‪.‬‬ ‫ا ﻟ ﻤ ﺮ ﻳ ﺾ ﻣ ﻤ ﻜ ﻦ ﻳ ﺴ ﺘ ﺨﺪ م أ د ا ة ﻣ ﺴﺎ ﻋﺪ ة ) ز ي اﻟ ﻌ ﺼﺎ ﻳ ﺔ أ و اﻟ ﻤ ﺸﺎ ﻳ ﺔ ( ﻟ ﻮ ﻣ ﺤ ﺘ ﺎ ج ‪.‬‬ ‫ا ﻟ ﺘ ﻘﻴ ﻴ ﻢ‪:‬‬ ‫ﻛ ﻞ ﻣﻬ ﻤ ﺔ ﺑ ﻴﺘ ﻢ ﺗ ﻘﻴ ﻴ ﻤ ﻬﺎ ﻋﻠ ﻰ ‪ 4‬ﻣ ﺴ ﺘ ﻮﻳﺎ ت ‪:‬‬ ‫‪ :0‬ﻣﺸﻜﻠﺔ ﺷﺪﻳﺪة ﺟﺪًا )‪.(severe impairment‬‬ ‫‪ :1‬ﻣﺸﻜﻠﺔ ﻣﺘﻮﺳﻄﺔ )‪.(moderate impairment‬‬ ‫‪ :2‬ﻣﺸﻜﻠﺔ ﺑﺴﻴﻄﺔ )‪.(mild impairment‬‬ ‫‪ :3‬ﻣﺸﻲ ﻃﺒﻴﻌﻲ )‪(normal ambulation‬‬ ‫ا ﻟﺪ ر ﺟ ﺔ ا ﻟ ﻜﻠ ﻴ ﺔ ‪:‬‬ ‫أﻋﻠﻰ درﺟﺔ ﻣﻤﻜﻨﺔ = ‪ 30‬ﻧﻘﻄﺔ‪.‬‬ ‫ﻟﻮ اﻟﻤﺮﻳﺾ ﺟﺎب أﻗﻞ ﻣﻦ ‪ 22‬ﻧﻘﻄﺔ‪ ،‬ﻳﺒﻘﻰ ﻋﻨﺪه ﺧﻄﺮ ﻋﺎﻟﻲ ﻟﻠﺴﻘﻮط )‪ ،(fall risk‬ﺧﺼﻮﺻًﺎ ﻋﻨﺪ ﻛﺒﺎر‬ ‫ا ﻟﺴ ﻦ ا ﻟ ﻠ ﻲ ﻋ ﺎ ﻳ ﺸ ﻴ ﻦ ﺑ ﺸ ﻜ ﻞ ﻣﺴ ﺘ ﻘ ﻞ ‪.‬‬ ‫‪ - Area of Assessment.3‬ﻣﺠﺎﻻت اﻟﺘﻘﻴﻴﻢ‪:‬‬  :‫اﻻﺧﺘﺒﺎر ﺑﻴﺮﻛﺰ ﻋﻠﻰ‬.(Balance) ‫ اﻟﺘﻮازن‬،.(Gait) ‫اﻟﻤﺸﻲ‬.(Postural Stability) ‫ﺛﺒﺎت اﻟﺠﺴﻢ أﺛﻨﺎء اﻟﺤﺮﻛﺔ‬ :‫ اﻟﺪرﺟﺎت‬- Score.4.‫ ﻧﻘﺎط‬3 ‫ لـ‬0 ‫ ﻣﻦ‬:‫ﻛﻞ ﻣﻬﻤﺔ‬.‫ ﻧﻘﻄﺔ‬30 ‫ لـ‬0 ‫ ﻣﻦ‬:‫اﻟﺪرﺟﺔ اﻟﻜﻠﻴﺔ‬.‫ ده ﻣﻌﻨﺎه إﻧﻪ ﻣﺶ ﻣﺤﺘﺎج ﻣﺴﺎﻋﺪة وﻣﺸﻴﻪ ﻃﺒﻴﻌﻲ‬،30 ‫ ﻟﻮ اﻟﻤﺮﻳﺾ ﺟﺎب درﺟﺔ ﻗﺮﻳﺒﺔ ﻣﻦ‬:‫ﺑﺒﺴﺎﻃﺔ‬.‫ ده ﺑﻴﻌﻨﻲ إﻧﻪ ﻣﻌﺮض ﻟﺨﻄﺮ اﻟﺴﻘﻮط وﺑﻴﺤﺘﺎج ﺗﺪﺧﻞ‬،22 ‫ﻟﻮ درﺟﺘﻪ أﻗﻞ ﻣﻦ‬ :(The Modified Gait Abnormality Rating Scale (GARS-M :Definition.1 The GARS-M is a 7-item version of the original 16-item scale, designed to estimate fall risk in elderly adults, particularly those living independently or in.frail conditions :Interpretation.2 The participant is videotaped walking on an 8-meter level surface, then :reviewed for 7 items. Each item is scored on a 4-point scale Normal = 0 Mildly impaired = 1 Moderately impaired = 2 Severely impaired = 3 Scoring.3 :(The 7 Items) Each item of the subject's gait is evaluated during videotape playback in :slow motion Gait variability.1 Guardedness.2  Staggering.3 Initial Contact.4 Hip range of motion.5 Shoulder extension.6 Arm-heel strike synchrony.7 Total score: 0 to 21 points, where a higher score indicates greater.impairment and higher fall risk Cut-off score: A score of 9 or higher helps distinguish between fallers and.non-fallers in frail elderly individuals :Area of Assessment.4 Balance ، Gait :Equipment.5 Video recording device ‫ﺷ ﺮ ح ا ﻟ ﺘ ﻴﺴ ﺖ‬ :‫ اﻟﺘﻌﺮﻳﻒ‬.1 ‫ ﺧﺎﺻﺔً ﻟﻮ ﻫﻤﺎ ﻋﺎﻳﺸﻴﻦ‬،‫ ده اﺧﺘﺒﺎر ﺑﻴﺴﺘﺨﺪم ﻟﺘﻘﻴﻴﻢ ﺧﻄﺮ اﻟﺴﻘﻮط ﻋﻨﺪ ﻛﺒﺎر اﻟﺴﻦ‬GARS-M ‫الـ‬.GARS ‫ ﻫﻮ ﻧﺴﺨﺔ ﻣﺨﺘﺼﺮة ﻣﻦ اﺧﺘﺒﺎر أﻛﺒﺮ اﺳﻤﻪ‬.‫ﻟﻮﺣﺪﻫﻢ أو ﻋﻨﺪﻫﻢ ﻣﺸﺎﻛﻞ ﺻﺤﻴﺔ‬ :‫ اﻟﺘﻔﺴﻴﺮ‬.2 ‫ و ﺑ ﻌﺪ ﻛﺪ ه ﺑ ﻨ ﺸ ﻮ ف ا ﻟ ﻔ ﻴﺪﻳ ﻮ ا ﻟﻠ ﻲ ا ﺗ ﺼ ﻮ ر ﻋﻠ ﺸﺎ ن ﻧ ﻘ ﻴ ﻢ‬، ‫ ﻣ ﺘ ﺮ‬8 ‫ا ﻟ ﺸ ﺨ ﺺ ﺑ ﻴﺘ ﺼ ﻮ ر و ﻫ ﻮ ﻣ ﺎ ﺷ ﻲ ﻋﻠ ﻰ ﻣ ﺴﺎ ﻓ ﺔ‬. ‫ ﺣﺎ ﺟ ﺎ ت ﻓ ﻲ ﻣ ﺸ ﻴﺘ ﻪ‬7 : ‫ د ر ﺟ ﺎ ت‬4 ‫ﺑ ﻨ ﻘﻴ ﻢ ﻛ ﻞ ﺣﺎ ﺟ ﺔ ﻋﻠ ﻰ ﻣ ﻘﻴ ﺎ س ﻣ ﻦ‬.‫ ﻳﻌﻨﻲ ﻣﺸﻲ ﻃﺒﻴﻌﻲ‬:0.‫ ﻳﻌﻨﻲ ﻓﻲ ﻣﺸﻜﻠﺔ ﺑﺴﻴﻄﺔ‬:1.‫ ﻳﻌﻨﻲ ﻓﻴﻪ ﻣﺸﻜﻠﺔ ﻣﺘﻮﺳﻄﺔ‬:2.‫ ﻳﻌﻨﻲ ﻓﻴﻪ ﻣﺸﻜﻠﺔ ﻛﺒﻴﺮة‬:3 :‫ ﺣﺎﺟﺎت اﻟﻠﻲ ﺑﻨﻘﻴﻤﻬﺎ‬7 ‫ الـ‬.3 (Gait variability) ‫ ﺗﻐﻴﺮ ﻓﻲ اﻟﻤﺸﻲ‬.1  ‫‪.2‬اﻟﺤﺬر ﻓﻲ اﻟﻤﺸﻲ )‪(Guardedness‬‬ ‫‪.3‬اﻟﺘﻤﺎﻳﻞ أﺛﻨﺎء اﻟﻤﺸﻲ )‪(Staggering‬‬ ‫‪.4‬اﻟﻄﺮﻳﻘﺔ اﻟﻠﻲ ﺑﻴﺤﻂ ﺑﻴﻬﺎ رﺟﻠﻴﻪ ﻋﻠﻰ اﻷرض أول ﻣﺎ ﻳﺒﺪأ ﻳﻤﺸﻲ )‪(Initial Contact‬‬ ‫‪.5‬ﻣﺪى ﺣﺮﻛﺔ اﻟﻔﺨﺬ )‪(Hip range of motion‬‬ ‫‪.6‬ﺣﺮﻛﺔ اﻟﻜﺘﻒ )‪(Shoulder extension‬‬ ‫‪.7‬ﺗﻨﺴﻴﻖ ﺣﺮﻛﺔ اﻟﻴﺪ ﻣﻊ اﻟﻘﺪم )‪(Arm-heel strike synchrony‬‬ ‫‪.4‬اﻟﺪرﺟﺎت‪:‬‬ ‫اﻟﺪرﺟﺎت ﺑﺘﺘﺮاوح ﻣﻦ ‪ 0‬ل ‪ ،21‬وﻛﻠﻤﺎ ﻛﺎﻧﺖ اﻟﺪرﺟﺔ ﻋﺎﻟﻴﺔ‪ ،‬ده ﻣﻌﻨﺎه إن اﻟﺸﺨﺺ ﻋﻨﺪه ﻣﺸﺎﻛﻞ أﻛﺘﺮ‬ ‫ﻓ ﻲ ا ﻟ ﻤ ﺸ ﻲ و ﻋ ﻨ ﺪ ه ﺧ ﻄ ﺮ أﻛ ﺒ ﺮ ﻟ ﻠ ﺴ ﻘ ﻮ ط ‪.‬‬ ‫درﺟﺔ اﻟﻘﻄﻊ ‪ : cut off‬ﻟﻮ ﺟﺎب ‪ 9‬أو أﻛﺘﺮ ﻣﻦ ‪ ،21‬ده ﺑﻴﺒﻘﻰ ﻣﺆﺷﺮ إﻧﻪ ﻣﻌﺮض ﻟﻠﺴﻘﻮط أﻛﺘﺮ‪.‬‬ ‫‪.5‬اﻷدوات اﻟﻤﺴﺘﺨﺪﻣﺔ‪:‬‬ ‫ﻛ ﺎ ﻣ ﻴ ﺮ ا ﻓ ﻴ ﺪ ﻳ ﻮ ﻋ ﻠﺸ ﺎ ن ﻧ ﺼ ﻮ ر ا ﻟ ﺸ ﺨ ﺺ و ﻫ ﻮ ﻣ ﺎ ﺷ ﻲ ‪.‬‬ ‫ﺑ ﺒ ﺴ ﺎ ﻃ ﺔ ‪ :‬ﺑ ﻨ ﺼ ﻮ ر ا ﻟ ﺸ ﺨ ﺺ و ﻫ ﻮ ﻣ ﺎ ﺷ ﻲ و ﺑﻌ ﺪ ﻳ ﻦ ﻧ ﻘ ﻴ ﻢ ‪ 7‬ﺣ ﺎ ﺟ ﺎ ت ز ي ا ﻟ ﺘ ﻮ ا ز ن و ا ﻟ ﻤ ﺸ ﻲ ‪ ،‬و ﻛ ﻠ ﻤ ﺎ ﻛ ﺎ ﻧ ﺖ‬ ‫درﺟﺘﻪ أﻋﻠﻰ‪ ،‬ده ﻣﻌﻨﺎه إﻧﻪ ﻋﻨﺪه ﻣﺸﺎﻛﻞ أﻛﺘﺮ ﻓﻲ اﻟﻤﺸﻲ‪.‬ﻟﻮ ﺣﺼﻞ ﻋﻠﻰ درﺟﺔ أﻋﻠﻰ ﻣﻦ ‪ ،9‬ﺑﻴﻜﻮن‬ ‫ﻋ ﻨ ﺪ ه ﺧ ﻄ ﺮ أﻛ ﺘ ﺮ ﻟ ﻠ ﺴ ﻘ ﻮ ط ‪.‬‬ ‫ﺑﺼﻮا ﻋﻨﺪﻧﺎ ‪ scale‬اﺳﻤﻪ ‪GARS‬و واﺣﺪ اﺳﻤﻪ ‪modified GARS‬‬ ‫ال ‪GARS‬ﻋﺒﺎرة ﻋﻦ ‪long version‬وال ‪modified‬ده ﻫﻮ ﻫﻮاه ﺑﺲ‬ ‫‪ short version‬ﻣﻨﻪ واﻟﺪﻛﺘﻮرة ﻛﺎﺗﺒﺔ ﻓﻲ اﻟﻔﺎﻳﻞ ان اﻟﻤﻘﺎرﻧﺔ ﺑﻴﻨﻬﻢ ﻣﻬﻤﻪ‬ ‫ﻓ ﻬﻨ ﺤﺎ و ل ﻧ ﻮ ﺿ ﺤ ﻬﺎ دﻟ ﻮﻗ ﺘ ﻲ‬ ‫‪.GAIT ABNORMALITY RATING SCALE (GARS) - Long Version vs‬‬ ‫‪ Short Version‬ﻧﺮﻛﺰ ﻋﻠﻰ اﻻﺗﻨﻴﻦ دول ال ‪short‬و ‪long‬‬ ‫‪---‬‬ ‫‪:Purpose‬‬ ‫‪Long version: Measures the relationship between gait abnormalities and‬‬ ‫‪.falls in elderly, and it’s predictive of future falls‬‬ ‫‪.Short version: A simpler tool with fewer items, also predictive of future falls‬‬ ‫‪:Equipment‬‬  None required for both versions :Instructions.Long version: 16 items.Short version: 7 items The test duration can range from 10 minutes to an hour, depending on which.version you are using :Scoring.(Both versions are scored on a 4-point scale (0–3.The higher the score, the worse the gait impairment (items 16) Long Version.Maximum score: 48.Risk for falls: If the score is greater than 18, it indicates a high risk for falls (items 7) Short Version.Maximum score: 21.Risk for falls: If the score is greater than 8, it indicates a high risk for falls :Categories Assessed :Long Version ,Includes detailed categories like variability, guardedness weaving, waddling, staggering, swing phase, foot contact, hip ,ROM, knee ROM, and upper extremity functions (elbow, shoulder.(arm synchrony :Short Version Focuses on critical categories: staggering, arm-heel-strike ,synchrony, variability, foot contact, hip ROM, shoulder extension.and guardedness  ‫ﻳﻌﻨﻲ‪ ،‬الـ ‪ Long Version‬ﺑﻴﺸﻤﻞ ﻓﺌﺎت أﻛﺜﺮ ﺗﻔﺼﻴﻠًﺎ ﻋﻠﺸﺎن‬ ‫ﻳﻌﺮف ﻛﻞ ﺣﺎﺟﺔ ﻋﻦ اﻟﺤﺮﻛﺔ‪ ،‬ﺑﻴﻨﻤﺎ الـ ‪ Short Version‬ﺑﻴﻘﻴﺲ‬ ‫اﻟﺤﺎﺟﺎت اﻷﺳﺎﺳﻴﺔ اﻟﻤﻬﻤﺔ ﺑﺸﻜﻞ أﺳﺮع ﻋﻠﺸﺎن ﻳﺴﺎﻋﺪ ﻓﻲ ﺗﻘﻴﻴﻢ‬ ‫ﺧ ﻄ ﺮ اﻟ ﺴ ﻘ ﻮ ط‪.‬‬ ‫اﻟ ﺸ ﺮ ح ﺑﺎﻟ ﻌﺎ ﻣ ﻴ ﺔ‪:‬‬ ‫الـ ‪ GARS‬ﻫﻮ ﻣﻘﻴﺎس ﻟﺘﻘﻴﻴﻢ اﻟﻤﺸﻲ ﻋﻨﺪ ﻛﺒﺎر اﻟﺴﻦ وارﺗﺒﺎﻃﻪ ﺑﺎﻟﺴﻘﻮط‪.‬‬ ‫ﻓ ﻴ ﻪ ﻧ ﺴ ﺨ ﺔ ﻃ ﻮ ﻳﻠ ﺔ و ﻧﺴ ﺨ ﺔ ﻗ ﺼ ﻴ ﺮ ة‪.‬‬ ‫اﻟ ﻨ ﺴ ﺨ ﺔ اﻟ ﻄ ﻮﻳﻠ ﺔ ‪:‬‬ ‫ﻓﻴﻬﺎ ‪ 16‬ﺑﻨﺪ وﺑﺘﺄﺧﺬ وﻗﺖ أﻃﻮل ﻋﻠﺸﺎن ﺗﺨﻠﺼﻬﺎ )ﻣﻤﻜﻦ ﺗﺎﺧﺪ ﻣﻦ ‪10‬‬ ‫دﻗﺎﺋﻖ ﻟﺴﺎﻋﺔ(‪ ،.‬اﻟﺤﺪ اﻷﻗﺼﻰ ﻟﻠﻨﻘﺎط ﻓﻴﻬﺎ ‪.48‬‬ ‫ﻟﻮ ﺟﺎب أﻛﺘﺮ ﻣﻦ ‪ ،18‬ده ﺑﻴﺸﺎور إن اﻟﺸﺨﺺ ﻣﻌﺮض ﻟﻠﺴﻘﻮط ﺑﺸﻜﻞ ﻛﺒﻴﺮ‪.‬‬ ‫ا ﻟ ﻨ ﺴ ﺨ ﺔ ا ﻟ ﻘ ﺼ ﻴ ﺮة ‪:‬‬ ‫ﻓ ﻴ ﻬ ﺎ ‪ 7‬ﺑ ﻨ ﻮد ‪ ،‬و ﺑ ﺘ ﺄ ﺧﺬ و ﻗ ﺖ أ ﻗ ﻞ ﻋﻠ ﺸ ﺎ ن ﺗ ﺨﻠ ﺼ ﻬ ﺎ‪.‬‬ ‫اﻟﺤﺪ اﻷﻗﺼﻰ ﻟﻠﻨﻘﺎط ﻓﻴﻬﺎ ‪.21‬‬ ‫ﻟﻮ ﺟﺎب أﻛﺘﺮ ﻣﻦ ‪ ،8‬ده ﺑﺮﺿﻮ ﺑﻴﺒﻘﻰ ﻣﺆﺷﺮ إﻧﻪ ﻣﻌﺮض ﻟﻠﺴﻘﻮط‪.‬‬