Gait Abnormality Rating Scale
{{Infobox diagnostic
| name = Gait Abnormality Rating Scale
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| purpose =evaluate individuals who are a risk to fall
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Gait Abnormality Rating Scale (GARS){{cite journal |vauthors=Wolfson L, Whipple R, Amerman P, Tobin JN |title=Gait assessment in the elderly: a gait abnormality rating scale and its relation to falls |journal=J Gerontol |volume=45 |issue=1 |pages=M12–9 |date=January 1990 |pmid=2295773 |doi= 10.1093/geronj/45.1.m12|doi-access=free }} is a videotape-based analysis of 16 facets of human gait. It has been evaluated as a screening tool to identify patients at risk for injury from falls.{{cite journal |vauthors=VanSwearingen JM, Paschal KA, Bonino P, Chen TW |title=Assessing recurrent fall risk of community-dwelling, frail older veterans using specific tests of mobility and the physical performance test of function |journal=J. Gerontol. A Biol. Sci. Med. Sci. |volume=53 |issue=6 |pages=M457–64 |date=November 1998 |pmid=9823750 |doi= 10.1093/gerona/53a.6.m457|doi-access=free }} and has been used in remote gait evaluation.{{cite journal |vauthors=Russell TG, Jull GA, Wootton R |title=The diagnostic reliability of Internet-based observational kinematic gait analysis |journal=J Telemed Telecare |volume=Suppl 2 |issue= Supplement 2|pages=S48–51 |series=9 |year=2003 |pmid=14728760 |doi=10.1258/135763303322596255 |s2cid=6910676 }} A modified version was published in 1996.{{cite journal |vauthors=VanSwearingen JM, Paschal KA, Bonino P, Yang JF |title=The modified Gait Abnormality Rating Scale for recognizing the risk of recurrent falls in community-dwelling elderly adults |journal=Phys Ther |volume=76 |issue=9 |pages=994–1002 |date=September 1996 |pmid=8790277 |doi= 10.1093/ptj/76.9.994|doi-access=free }}
Scoring and assessment
The scale comprises three categories:{{cite web |url=http://www.ohcponline.com/gars.html |title=GAIT ASSESSMENT RATING SCALE |archive-url=https://web.archive.org/web/20120213152531/http://www.ohcponline.com/gars.html|archive-date=13 February 2012}}
- five general facets
- four lower extremity facets
- seven trunk, head and upper extremity facets
Each item has a score range from 0 (good
function) to 3 (poor function).{{cite web |url=http://www.patient.co.uk/showdoc/40002327/ |title=Abnormal Gait }}
The total GARS score is the sum of the 16 individual facets, and the total score represents a rank ordering of risk for falling, based on the number of gait abnormalities recognized and the severity of any gait abnormality identified.