What objective measures do you use to test for gait improvement after large volume LP for NPH treatment?
How do you incorporate these tests into your management?
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What objective measures do you use to test for gait improvement after large volume LP for NPH treatment?
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2 Answers
Mednet MemberInvited Expert
Neurology · Wake Forest School of Medicine
Answered on
For objective measures, we use a timed 10-meter walk test before and after the large-volume tap test. It measures walking speed and step count.
In addition, we use the Clinical Global Impression Scale of Change (CGI-C) by the clinician and by the patient.
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Mednet MemberInvited Expert
Neurology · VUMC Neurology
Answered on
This is the protocol that is used at Vanderbilt for NPH assessments: https://pmc.ncbi.nlm.nih.gov/articles/PMC8382413/
The specific gait assessment is similar to this one: https://pmc.ncbi.nlm.nih.gov/articles/PMC2690636/pdf/nihms104253.pdf
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Keep in mind that gait can be affected by many variables...
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