Show Menu

Dynamic Gait Index (DGI) Cheat Sheet by

index     gate     dynamic     healthcare     dgi

Introd­uction

A clinical tool to assess gait, balance and fall risk. It evaluates usual steady­-state walking and more challe­nging tasks during walking.

Grading: record the lowest category that applies.

1. Gait level surface

Inst­ruc­tio­ns: Walk at your normal speed from here to the next mark (20’).
(3) Normal: walks 20’, no assistive devices, good speed, no evidence for imbalance, normal gait pattern.
(2) Mild impair­ment: walks 20’, uses assistive devices, slower speed, mild gait deviat­ions.
1) Moderate impair­ment: walks 20’, slow speed, abnormal gait patters, evidence for imbalance.
(0) Severe impair­ment: cannot walk 20’ without assist­ance, severe gait deviations or imbalance.

2. Change in gait speed

Inst­ruc­tio­ns: Begin walking at your normal pace (for 5’), when I tell you “go”, walk as fast as you can (for 5’). When I te
ll you “slow”, walk as slowly as you can (for 5’).
(3) Normal: Able to smoothly change walking speed without loss of balance or gait deviation. Shows signif­icant difference in walking speeds between normal, fast and slow paces.
(2) Mild impair­ment: Is able to change speed but demons­trates mild gait deviat­ions, or no gait deviations but unable to achieve a signif­icant change in velocity, or uses as assistive device.
(1) Moderate impair­ment: Makes only minor adjust­ments to walking speed, or accomp­lishes a change in speed with signif­icant gait deviat­ions, or changes speed but loses balance but is
able to recover and continue walking.
(0) Severe impair­ment: Cannot change speeds, or loss balance and has to reach for a wall or be caught.

3. Gait with horizontal head turns.

Inst­ruc­tio­ns: Begin walking at your normal pace. When I tell you to “look right”, keep walking straight, but turn your head to the right. Keep looking to the right until I tell you “look left”, then keep walking straight and turn your head to the left. Keep your head to the left until I tell you, “look straight”, then keep walking straight, but return your head to the center.
(3) Normal: Performs head turns smoothly with no change in gait.
(2) Mild impair­ment: Performs head turns smoothly with slight change in gait velocity, i.e. minor disruption to smooth gait path or uses walking aid.
(1) Moderate impair­ment: Performs head turns with moderate change in gait velocity, slows down, staggers, but recovers, can continue to walk.
(0) Severe impair­ment: Performs task with severe disruption of gait, i.e. staggers outside 15” path, loses balance, stops, reaches for wall.
 

4. Gait with vertical head turns

Inst­ruc­tio­ns: Begin walking at your normal pace. When I tell you to “look up”, keep walking straight, but tip your head and look up. Keep looking up until I tell you, “look down”. Then keep walking straight and turn your head down. Keep looking down until I tell you, “ look straight”, then keep walking straight, but return your head to the centre.
(3) Normal: Performs head turns smoothly with no change in gait.
(2) Mild impair­ment: Performs head turns smoothly with slight change in gait velocity, i.e. minor disruption to smooth gait path or uses walking aid.
(1) Moderate impair­ment: Performs head turns with moderate change in gait velocity, slows down, staggers, but recovers, can continue to walk.
(0) Severe impair­ment: Performs task with severe disruption of gait, i.e. staggers outside 15” path, loses balance, stops, reaches for wall.

5. Gait and pivot turn.

Inst­ruc­tio­ns: Begin walking at your normal pace. When I tell you, “turn and stop”, turn as quickly as you can to face the opposite direction and stop.
(3) Normal: Pivot turns safely within 3 seconds and stops quickly with no loss of balance.
(2) Mild impair­ment: pivot turns safely in >3 seconds and stops with no loss of balance.
(1) Moderate impair­ment: Turns slowly, requires verbal cueing, requires several small steps to catch balance following turn and stop.
(0) Severe impair­ment: Cannot turn safely, requires assistance to turn and stop.

6. Step over obstacle

Inst­ruc­tio­ns: Begin walking at your normal speed. When you come to the shoebox, step over it, not around it, and keep walking.
(3) Normal: Is able to step over box without changing gait speed; no evidence for imbalance.
(2) Mild impair­ment: Is able to step over shoe box, but must slow down and adjust steps to clear box safely.
(1) Moderate impair­ment: Is able to step over box but must stop, then step over. May require verbal cueing.
(0) Severe impair­ment: Cannot perform without assist­ance.

7. Step around obstacles

Inst­ruc­tio­ns: Begin walking at normal speed. When you come to the first cone (about 6’ away), walk around the right side of it. When you some to the second cone (6’ past first cone), walk around it to the left.
(3) Normal: Is able to walk safely around cones safely without changing gait speed; no evidence of imbalance.
(2) Mild impair­ment: Is able to step around both cones, but must slow down and adjust steps to clear cones.
(1) Moderate impair­ment: Is able to clear cones but must signif­icantly slow speed to accomplish task, or requires verbal cueing.
(0) Severe impair­ment: Unable to clear cones, walks into one or both cones, or requires physical assist­ance.

8. Steps

Inst­ruc­tio­ns: Walk up these stairs as you would at home.(i.e. using a rail if necessary. At the top, turn around and walk down.
(3) Normal: Altern­ating feet, no rail.
(2) Mild impair­ment: Altern­ating feet, must use rail.
(1) Moderate impair­ment: Two feet to a stair, must use rail.
(0) Severe impair­ment: Cannot do safely.

Download the Dynamic Gait Index (DGI) Cheat Sheet

2 Pages
//media.cheatography.com/storage/thumb/davidpol_dynamic-gait-index-dgi.750.jpg

PDF (recommended)

Alternative Downloads

Share This Cheat Sheet!

 

Comments

No comments yet. Add yours below!

Add a Comment

Your Comment

Please enter your name.

    Please enter your email address

      Please enter your Comment.

          Related Cheat Sheets

          7 Types of Incontinence Cheat Sheet
          Diet: Low Glycemic Vegetables Cheat Sheet

          More Cheat Sheets by Davidpol

          Types of Managed Care Entities Cheat Sheet
          SNF: Discharge Planning Checklist Cheat Sheet