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April 17, 2026Biomechanics0 citationsOpen Access

Comparison of Quantitative Evaluation Methods for Pathological Gait Abnormalities in Stroke Survivors

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KSKento SabashiRURyo Ueno

Key Points

  • The research aims to determine which quantitative method, GVS or mGAS, is more effective for evaluating gait abnormalities in stroke survivors.
  • Utilized open-access motion capture datasets from 43 stroke survivors and 82 healthy individuals.
  • Extracted nine kinematics and seven muscle activities for analysis.
  • Calculated GVS as the root mean square difference between pathological and healthy gait patterns.
  • Introduced modified GAS (mGAS) calculated from the absolute differences divided by the standard deviation of healthy patterns.
  • GVS and mGAS scores were significantly higher in stroke survivors than in healthy individuals.
  • There was a strong correlation (r = 0.921) between GVS and amplitude of kinematics and muscle activities.
  • No significant correlation (r = 0.167) was found between mGAS and amplitude.

Abstract

Background/Objectives: The Gait Variable Score (GVS) and Gait Abnormality Score (GAS) have been proposed as methods for quantitatively evaluating deviations from normal gait patterns. This study aimed to investigate whether the GVS or GAS is more useful for evaluating gait in stroke survivors. Methods: We used open-access motion capture datasets from 43 stroke survivors and 82 healthy individuals. Nine kinematics and seven muscle activities were extracted. The GVS was calculated as the root mean square difference between the pathological and healthy gait patterns. The modified GAS (mGAS) newly defined in this study was calculated as the mean value of the absolute differences between the pathological and healthy gait patterns divided by the standard deviation of healthy gait patterns. The amplitudes of kinematics and muscle activities were calculated. Results: Both the GVS and mGAS were significantly higher in stroke survivors than in healthy individuals. A significant strong correlation for 16 variables (nine kinematics and seven muscle activities) was observed between the GVS and amplitude (r = 0.921), but no significant correlation was found between the mGAS and amplitude (r = 0.167). Conclusions: As the mGAS is not affected by the amplitude of kinematics and muscle activities, it allows for a comprehensive comparison of abnormalities in both kinematics and muscle activities. The mGAS may be more useful than the GVS for evaluating gait abnormalities in stroke survivors.

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Cite This Study

Sabashi et al. (2026) studied this question.

synapsesocial.com/papers/69e1cfcb5cdc762e9d858c98https://doi.org/10.3390/biomechanics6020039
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