Gait Analysis

Gait Analysis

Bioengineering installed its first gait analysis system (consisting of 3 infra-red cameras, a force platform and an 8-channel EMG) in in the hospital’s physiotherapy gym in 1986. At first it was used for research and teaching purposes only. When the laboratory was relocated into its own space (within the main hospital building), the laboratory was renamed the ‘Anderson Gait Laboratory’. This was in recognition of the James and Grace Anderson Trust’s support and research funding. It was formally opened by the Scottish rugby international Gavin Hastings on 8th November 1995.

Gait analysis, like many other aspects of the service’s current work, started as research and development and gradually progressed in to a routine clinical service. Recurrent NHS funding was secured in 1996 for a clinical service. Today, the Gait Lab uses a gait analysis system consists of 6 high definition infra-red cameras, 2 force platforms and a 16-channel wireless EMG. The laboratory is staffed by a highly experienced, multi-disciplinary team with particular expertise in cerebral palsy.

The laboratory has a highly successful research record with a particular focus on the clinical relevance of gait analysis in children with cerebral palsy. It has also published widely on the characterisation of normal gait in children and the development of the Edinburgh Visual Gait Score. Indeed, gait analysis accounts for around 25 of the 85 or so peer-reviewed journal articles that have been published on the service’s work.

Selected Further Reading

Hullin MG, Robb JE, Loudon IR.
Gait patterns in children with hemiplegic spastic cerebral palsy.
Journal of Pediatric Orthopaedics. Part B 1996;5(4):247-251.

Read HS, Hillman SJ, Hazlewood ME, Robb JE.
The Edinburgh visual gait analysis interval testing (G.A.I.T.) scale.
Gait & Posture 1999;10(1):63-64.

Cook RE, Schneider I, Hazlewood ME, Hillman SJ, Robb JE.
Gait analysis alters decision-making in cerebral palsy.
Journal of Pediatric Orthopaedics 2003;23(3):292-295.

van der Linden ML, Hazlewood ME, Aitchison AM, Hillman SJ, Robb JE.
Electrical stimulation of gluteus maximus in children with cerebral palsy: effects on gait characteristics and muscle strength.
Developmental Medicine & Child Neurology 2003;45(6):385–390.

Hillman SJ, Donald SC, Herman J, McCurrach E, McGarry A, Richardson AM, Robb JE.
Repeatability of a new observational gait score for unilateral lower limb amputees.
Gait & Posture 2010 32(1):39-45.

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Written & compiled by Dr Michael J Dolan, SMART Centre, NHS Lothian, Edinburgh.

First published 15th March 2013. Last updated 15th March 2013. Version 1.0.

NHS Lothian's Southeast Scotland Mobility & Assistive Technology Centre