Survey 2 - ESMAC Standard

Objective: To review current practice in Europe concerning Clinical Gait Analysis

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* 1. What is the name of your gait lab?

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* 2. Where is your gait laboratory? (country)

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* 3. Where is your gait laboratory? (city)

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* 4. In what type of institution is your Gait Lab located?

University Hospital

Public Hospital

Private Hospital

Clinical

University

Rehabilitation center

Other (please specify)

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* 5. How many patients did you assess using instrumented 3-D gait analysis during the last 5 years?

<100

100-200

200-500

500-1000

>1000

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* 6. How many patients did you assess using only video analysis during the last 5 years?

<100

100-200

200-500

500-1000

>1000

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* 7. In your lab which age groups of patients do you assess?

Children

Adults

Both

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* 8. Which patient populations come into your lab for Clinical Gait Analysis (CGA)? Neurological problems:

Cerebral palsy

Traumatic brain injury

Stroke

Spina Bifida

Idiopathic Toe Walkers

Neuromuscular diseases

Multiple sclerosis

Parkinson

None

Other

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* 9. Which patient populations come into your lab for Clinical Gait Analysis (CGA)? Non-neurological problems:

Arthrosis

Spinal deformities

Lower limb amputees

Orthopedic trauma

Club Foot

None

Other

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* 10. Which patient population do you see the most in your lab for CGA? Neurological problems:

Cerebral palsy

Traumatic brain injury

Stroke

Spina Bifida

Idiopathic Toe Walkers

Neuromuscular diseases

Multiple sclerosis

Parkinson

Other

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* 11. Which patient population do you see the most in your lab for CGA? Non-neurological problems:

Arthrosis

Spinal deformities

Lower limb amputees

Orthopedic trauma

Club Foot

Other

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* 12. How often do you use CGA when:
Scale 0-10 for each item (0-never, 10-always)

	0	1	2	3	4	5	6	7	8	9	10
Deciding on treatment specifics as a baseline measurement	Deciding on treatment specifics as a baseline measurement 0	Deciding on treatment specifics as a baseline measurement 1	Deciding on treatment specifics as a baseline measurement 2	Deciding on treatment specifics as a baseline measurement 3	Deciding on treatment specifics as a baseline measurement 4	Deciding on treatment specifics as a baseline measurement 5	Deciding on treatment specifics as a baseline measurement 6	Deciding on treatment specifics as a baseline measurement 7	Deciding on treatment specifics as a baseline measurement 8	Deciding on treatment specifics as a baseline measurement 9	Deciding on treatment specifics as a baseline measurement 10
Determining treatment effect - short term	Determining treatment effect - short term 0	Determining treatment effect - short term 1	Determining treatment effect - short term 2	Determining treatment effect - short term 3	Determining treatment effect - short term 4	Determining treatment effect - short term 5	Determining treatment effect - short term 6	Determining treatment effect - short term 7	Determining treatment effect - short term 8	Determining treatment effect - short term 9	Determining treatment effect - short term 10
Determining treatment effect - long term	Determining treatment effect - long term 0	Determining treatment effect - long term 1	Determining treatment effect - long term 2	Determining treatment effect - long term 3	Determining treatment effect - long term 4	Determining treatment effect - long term 5	Determining treatment effect - long term 6	Determining treatment effect - long term 7	Determining treatment effect - long term 8	Determining treatment effect - long term 9	Determining treatment effect - long term 10
Follow up the natural history of the disease	Follow up the natural history of the disease 0	Follow up the natural history of the disease 1	Follow up the natural history of the disease 2	Follow up the natural history of the disease 3	Follow up the natural history of the disease 4	Follow up the natural history of the disease 5	Follow up the natural history of the disease 6	Follow up the natural history of the disease 7	Follow up the natural history of the disease 8	Follow up the natural history of the disease 9	Follow up the natural history of the disease 10

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* 13. How much (in Euros) does a Clinical Gait Analysis in your institution cost?

No costs

1-100

100-200

200-500

500-1000

1000-1500

1500-2000

>2000

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* 14. Do you use one of the best practice guidelines for CGA?

	No	Partially	Completely
CMAS	CMAS No	CMAS Partially	CMAS Completely
SIAMOC	SIAMOC No	SIAMOC Partially	SIAMOC Completely
SENIAM	SENIAM No	SENIAM Partially	SENIAM Completely
CMLA	CMLA No	CMLA Partially	CMLA Completely
Other	Other No	Other Partially	Other Completely

Please specify the society

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* 15. How many people in your lab are members of one of these societies? Please write a number.

ESMAC

SIAMOC

CMAS

GAMMA

SOFAMEA

SMALLL

Other (please write the name of the society and number)

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* 16. Does your lab have a licence to conduct CGA?

Yes

There is no licence to conduct CGA in my country

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* 17. How many people in each of the following disciplines work in the gait lab team? Please write a number.

Physiotherapist

Orthopaedic surgeon

PRM doctor

Sport scientist

Bioengineer

Clinical technologist

Neurologist

Orthotist

Prosthetist

Podiatrist

Pediatrician

Researcher

If other specify who and numbers

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* 18. Who is the head of the gait lab?

	Physiotherapist	Orthopaedic surgeon	PRM doctor	Sport Scientist	Bioengineer	Clinical technologist	Neurologist	Orthotist	Prosthetist	Podiatrist	Pediatrician	Researcher
Medical	Medical Physiotherapist	Medical Orthopaedic surgeon	Medical PRM doctor	Medical Sport Scientist	Medical Bioengineer	Medical Clinical technologist	Medical Neurologist	Medical Orthotist	Medical Prosthetist	Medical Podiatrist	Medical Pediatrician	Medical Researcher
Technical	Technical Physiotherapist	Technical Orthopaedic surgeon	Technical PRM doctor	Technical Sport Scientist	Technical Bioengineer	Technical Clinical technologist	Technical Neurologist	Technical Orthotist	Technical Prosthetist	Technical Podiatrist	Technical Pediatrician	Technical Researcher

Please specify who

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* 19. In which of the following tasks are the staff working in the CGA involved?

Decision to perform the CGA

Physical exam

Data collection

Data processing

Data reduction/analysis

Data interpretation

Clinical decision-making related to the outcomes of the CGA

Other

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* 20. How often do staff receive training in the following tasks?

	Never	Only at the opening of the lab	At least once a year	At least once each 2 years	At least once each 5 years	Randomly	Not used in my lab	Other (please specify below)
Physical exam	Physical exam Never	Physical exam Only at the opening of the lab	Physical exam At least once a year	Physical exam At least once each 2 years	Physical exam At least once each 5 years	Physical exam Randomly	Physical exam Not used in my lab	Physical exam Other (please specify below)
Marker placement	Marker placement Never	Marker placement Only at the opening of the lab	Marker placement At least once a year	Marker placement At least once each 2 years	Marker placement At least once each 5 years	Marker placement Randomly	Marker placement Not used in my lab	Marker placement Other (please specify below)
Surface EMG placement	Surface EMG placement Never	Surface EMG placement Only at the opening of the lab	Surface EMG placement At least once a year	Surface EMG placement At least once each 2 years	Surface EMG placement At least once each 5 years	Surface EMG placement Randomly	Surface EMG placement Not used in my lab	Surface EMG placement Other (please specify below)
Fine-wire EMG placement	Fine-wire EMG placement Never	Fine-wire EMG placement Only at the opening of the lab	Fine-wire EMG placement At least once a year	Fine-wire EMG placement At least once each 2 years	Fine-wire EMG placement At least once each 5 years	Fine-wire EMG placement Randomly	Fine-wire EMG placement Not used in my lab	Fine-wire EMG placement Other (please specify below)
Data collection	Data collection Never	Data collection Only at the opening of the lab	Data collection At least once a year	Data collection At least once each 2 years	Data collection At least once each 5 years	Data collection Randomly	Data collection Not used in my lab	Data collection Other (please specify below)
Data reduction/analysis	Data reduction/analysis Never	Data reduction/analysis Only at the opening of the lab	Data reduction/analysis At least once a year	Data reduction/analysis At least once each 2 years	Data reduction/analysis At least once each 5 years	Data reduction/analysis Randomly	Data reduction/analysis Not used in my lab	Data reduction/analysis Other (please specify below)
Data interpretation	Data interpretation Never	Data interpretation Only at the opening of the lab	Data interpretation At least once a year	Data interpretation At least once each 2 years	Data interpretation At least once each 5 years	Data interpretation Randomly	Data interpretation Not used in my lab	Data interpretation Other (please specify below)
Clinical recommendations	Clinical recommendations Never	Clinical recommendations Only at the opening of the lab	Clinical recommendations At least once a year	Clinical recommendations At least once each 2 years	Clinical recommendations At least once each 5 years	Clinical recommendations Randomly	Clinical recommendations Not used in my lab	Clinical recommendations Other (please specify below)
Other (please specify below)	Other (please specify below) Never	Other (please specify below) Only at the opening of the lab	Other (please specify below) At least once a year	Other (please specify below) At least once each 2 years	Other (please specify below) At least once each 5 years	Other (please specify below) Randomly	Other (please specify below) Not used in my lab	Other (please specify below) Other (please specify below)

Please specify

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* 21. How often do you test within and between consistency of the personnel for the following tasks?

	Never	Only at the opening of the lab	At least once a year	At least once each 2 years	At least once each 5 years	Randomly	Not used in my lab	Other
Physical exam	Physical exam Never	Physical exam Only at the opening of the lab	Physical exam At least once a year	Physical exam At least once each 2 years	Physical exam At least once each 5 years	Physical exam Randomly	Physical exam Not used in my lab	Physical exam Other
Marker placement	Marker placement Never	Marker placement Only at the opening of the lab	Marker placement At least once a year	Marker placement At least once each 2 years	Marker placement At least once each 5 years	Marker placement Randomly	Marker placement Not used in my lab	Marker placement Other
Surface EMG placement	Surface EMG placement Never	Surface EMG placement Only at the opening of the lab	Surface EMG placement At least once a year	Surface EMG placement At least once each 2 years	Surface EMG placement At least once each 5 years	Surface EMG placement Randomly	Surface EMG placement Not used in my lab	Surface EMG placement Other
Fine-wire EMG placement	Fine-wire EMG placement Never	Fine-wire EMG placement Only at the opening of the lab	Fine-wire EMG placement At least once a year	Fine-wire EMG placement At least once each 2 years	Fine-wire EMG placement At least once each 5 years	Fine-wire EMG placement Randomly	Fine-wire EMG placement Not used in my lab	Fine-wire EMG placement Other
Data collection	Data collection Never	Data collection Only at the opening of the lab	Data collection At least once a year	Data collection At least once each 2 years	Data collection At least once each 5 years	Data collection Randomly	Data collection Not used in my lab	Data collection Other
Data reduction/analysis	Data reduction/analysis Never	Data reduction/analysis Only at the opening of the lab	Data reduction/analysis At least once a year	Data reduction/analysis At least once each 2 years	Data reduction/analysis At least once each 5 years	Data reduction/analysis Randomly	Data reduction/analysis Not used in my lab	Data reduction/analysis Other
Data interpretation	Data interpretation Never	Data interpretation Only at the opening of the lab	Data interpretation At least once a year	Data interpretation At least once each 2 years	Data interpretation At least once each 5 years	Data interpretation Randomly	Data interpretation Not used in my lab	Data interpretation Other
Clinical recommendations	Clinical recommendations Never	Clinical recommendations Only at the opening of the lab	Clinical recommendations At least once a year	Clinical recommendations At least once each 2 years	Clinical recommendations At least once each 5 years	Clinical recommendations Randomly	Clinical recommendations Not used in my lab	Clinical recommendations Other
Other	Other Never	Other Only at the opening of the lab	Other At least once a year	Other At least once each 2 years	Other At least once each 5 years	Other Randomly	Other Not used in my lab	Other Other

Please specify

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* 22. What time (in minutes) allocation do you allow for the following tasks related to the CGA? Please write down a number in scale 0 - 180 mins.

Appointment scheduling

Preparation of the lab

Physical exam

Subject preparation (marker, EMG placement)

Data collection

Data reduction/analysis

Creation of CGA report

Data interpretation and reporting

Other tasks, please specify

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* 23. What are the physical dimensions of your gait lab? Size of room (in metres)

Length

Width

Height

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* 24. Do your gait lab facilities include the following?

	Yes	No
Access for disabled patients	Access for disabled patients Yes	Access for disabled patients No
Controlled access for security purposes during patient assessment	Controlled access for security purposes during patient assessment Yes	Controlled access for security purposes during patient assessment No
A minimum 7 metre walking space for gait data collection	A minimum 7 metre walking space for gait data collection Yes	A minimum 7 metre walking space for gait data collection No
Room temperature adjustable thermostat	Room temperature adjustable thermostat Yes	Room temperature adjustable thermostat No
A quiet and non-distracting environment	A quiet and non-distracting environment Yes	A quiet and non-distracting environment No
A designated area where the patient can both change and be examined in privacy	A designated area where the patient can both change and be examined in privacy Yes	A designated area where the patient can both change and be examined in privacy No
Patient toilet facilities, including toilet for the disabled	Patient toilet facilities, including toilet for the disabled Yes	Patient toilet facilities, including toilet for the disabled No
Adequate seating facilities available for patients and families	Adequate seating facilities available for patients and families Yes	Adequate seating facilities available for patients and families No
Staff hand washing facilities	Staff hand washing facilities Yes	Staff hand washing facilities No
Non-slip, level and obstacle free floor	Non-slip, level and obstacle free floor Yes	Non-slip, level and obstacle free floor No
Daily floor cleaning	Daily floor cleaning Yes	Daily floor cleaning No
Examination couch and covers which are cleaned between each patient	Examination couch and covers which are cleaned between each patient Yes	Examination couch and covers which are cleaned between each patient No

Other facilities, please specify

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* 25. Which equipment do you use for CGA and how much of each device do you use in your lab? Please type 0 if none.

Video camera

Stereophotogrammetric system with passive markers

Stereophotogrammetric system with active markers

Force plates

Surface electromyography

Fine-wire electromyography

Plantar pressure plate

Plantar pressure insoles

Inertial sensors

Oxygen consumption system

Activity monitor

GPS

Treadmill

Instrumented Treadmill

Other (please specify)

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* 26. Which equipment used in your lab for CGA has a medical CE marking?

	Yes	No	I don't know	Not used in my lab
Video camera	Video camera Yes	Video camera No	Video camera I don't know	Video camera Not used in my lab
Stereophotogrammetric system	Stereophotogrammetric system Yes	Stereophotogrammetric system No	Stereophotogrammetric system I don't know	Stereophotogrammetric system Not used in my lab
Force plates	Force plates Yes	Force plates No	Force plates I don't know	Force plates Not used in my lab
Electromyography	Electromyography Yes	Electromyography No	Electromyography I don't know	Electromyography Not used in my lab
Fine-Wire Electromyography	Fine-Wire Electromyography Yes	Fine-Wire Electromyography No	Fine-Wire Electromyography I don't know	Fine-Wire Electromyography Not used in my lab
Plantar pressure plate	Plantar pressure plate Yes	Plantar pressure plate No	Plantar pressure plate I don't know	Plantar pressure plate Not used in my lab
Plantar pressure insoles	Plantar pressure insoles Yes	Plantar pressure insoles No	Plantar pressure insoles I don't know	Plantar pressure insoles Not used in my lab
Inertial sensors	Inertial sensors Yes	Inertial sensors No	Inertial sensors I don't know	Inertial sensors Not used in my lab
Oxygen consumption system	Oxygen consumption system Yes	Oxygen consumption system No	Oxygen consumption system I don't know	Oxygen consumption system Not used in my lab
Activity monitor	Activity monitor Yes	Activity monitor No	Activity monitor I don't know	Activity monitor Not used in my lab
GPS	GPS Yes	GPS No	GPS I don't know	GPS Not used in my lab
Treadmill	Treadmill Yes	Treadmill No	Treadmill I don't know	Treadmill Not used in my lab
Instrumented Treadmill	Instrumented Treadmill Yes	Instrumented Treadmill No	Instrumented Treadmill I don't know	Instrumented Treadmill Not used in my lab

Other (please specify)

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* 27. What is the measurement frequency in Hertz of acquisition of the equipment that you use in your lab for CGA? Please type 0 if not used in my lab.

Video camera

Stereophotogrammetric system

Force plates

Electromyography

Fine-Wire Electromyography

Plantar pressure plate

Plantar pressure insoles

Inertial sensors

Activity monitor

GPS

Instrumented Treadmill

Other (please specify)

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* 28. Which of the following devices of your lab are synchronized to each other?

Video camera

Stereophotogrammetric system

Force plates

Surface Electromyography

Fine-Wire Electromyography

Plantar pressure plate

Plantar pressure insoles

Inertial sensors

Oxygen consumption system

Activity monitor

GPS

Treadmill

Instrumented Treadmill

Other (please specify)

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* 29. How often do you collect the following datasets during CGA?

	Never	Sometimes	Regularly	Often	Always
Video footage	Video footage Never	Video footage Sometimes	Video footage Regularly	Video footage Often	Video footage Always
Lower limb kinematics	Lower limb kinematics Never	Lower limb kinematics Sometimes	Lower limb kinematics Regularly	Lower limb kinematics Often	Lower limb kinematics Always
Lower limb kinetics	Lower limb kinetics Never	Lower limb kinetics Sometimes	Lower limb kinetics Regularly	Lower limb kinetics Often	Lower limb kinetics Always
Trunk and/or arm kinematics	Trunk and/or arm kinematics Never	Trunk and/or arm kinematics Sometimes	Trunk and/or arm kinematics Regularly	Trunk and/or arm kinematics Often	Trunk and/or arm kinematics Always
Foot multi-segment kinematics	Foot multi-segment kinematics Never	Foot multi-segment kinematics Sometimes	Foot multi-segment kinematics Regularly	Foot multi-segment kinematics Often	Foot multi-segment kinematics Always
GRFs ( video vector)	GRFs ( video vector) Never	GRFs ( video vector) Sometimes	GRFs ( video vector) Regularly	GRFs ( video vector) Often	GRFs ( video vector) Always
Surface EMG	Surface EMG Never	Surface EMG Sometimes	Surface EMG Regularly	Surface EMG Often	Surface EMG Always
Fine-wire EMG	Fine-wire EMG Never	Fine-wire EMG Sometimes	Fine-wire EMG Regularly	Fine-wire EMG Often	Fine-wire EMG Always
Plantar pressure	Plantar pressure Never	Plantar pressure Sometimes	Plantar pressure Regularly	Plantar pressure Often	Plantar pressure Always
Physical exam	Physical exam Never	Physical exam Sometimes	Physical exam Regularly	Physical exam Often	Physical exam Always
Questionnaires	Questionnaires Never	Questionnaires Sometimes	Questionnaires Regularly	Questionnaires Often	Questionnaires Always
Inertial sensors	Inertial sensors Never	Inertial sensors Sometimes	Inertial sensors Regularly	Inertial sensors Often	Inertial sensors Always
Oxygen consumption	Oxygen consumption Never	Oxygen consumption Sometimes	Oxygen consumption Regularly	Oxygen consumption Often	Oxygen consumption Always

Please specify

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* 30. Do you use additional measurements on top of the standard CGA for specific treatments and/or pathologies? If so, which ?

Energy expenditure/Oxygen consumption

Instrumented spasticity measurements

Instrumented strength measurements (other than MMT and HHD)

Muscle imaging

Bone imaging

Activity and participation questionnaires

Extended marker configuration (i.e: Multisegment foot model)

Upper limb assessments (specific tasks for the upper limb)

Markerless tracking devices

Pressure insoles

None

Other (please specify)

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* 31. What is the minimal number of gait cycles that you consider it necessary to collect to satisfactorily interpret CGA for (please type 0 if none):

Spatio-temporal parameters

Kinematics

Kinetics

Surface EMG

Fine-wire EMG

Plantar pressure

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* 32. Do an external company (e.g. the manufacturer) perform a technical calibration of the systems used for CGA?

	Never	Only at the opening of the lab	On specific request without an established review schedule	Once a year	Once two years	Not used in my lab
Video camera	Video camera Never	Video camera Only at the opening of the lab	Video camera On specific request without an established review schedule	Video camera Once a year	Video camera Once two years	Video camera Not used in my lab
Stereophotogrammetric system	Stereophotogrammetric system Never	Stereophotogrammetric system Only at the opening of the lab	Stereophotogrammetric system On specific request without an established review schedule	Stereophotogrammetric system Once a year	Stereophotogrammetric system Once two years	Stereophotogrammetric system Not used in my lab
Force plates	Force plates Never	Force plates Only at the opening of the lab	Force plates On specific request without an established review schedule	Force plates Once a year	Force plates Once two years	Force plates Not used in my lab
Surface electromyography	Surface electromyography Never	Surface electromyography Only at the opening of the lab	Surface electromyography On specific request without an established review schedule	Surface electromyography Once a year	Surface electromyography Once two years	Surface electromyography Not used in my lab
Fine-wire electromyography	Fine-wire electromyography Never	Fine-wire electromyography Only at the opening of the lab	Fine-wire electromyography On specific request without an established review schedule	Fine-wire electromyography Once a year	Fine-wire electromyography Once two years	Fine-wire electromyography Not used in my lab
Plantar pressure plate	Plantar pressure plate Never	Plantar pressure plate Only at the opening of the lab	Plantar pressure plate On specific request without an established review schedule	Plantar pressure plate Once a year	Plantar pressure plate Once two years	Plantar pressure plate Not used in my lab
Plantar pressure insoles	Plantar pressure insoles Never	Plantar pressure insoles Only at the opening of the lab	Plantar pressure insoles On specific request without an established review schedule	Plantar pressure insoles Once a year	Plantar pressure insoles Once two years	Plantar pressure insoles Not used in my lab
Inertial sensors	Inertial sensors Never	Inertial sensors Only at the opening of the lab	Inertial sensors On specific request without an established review schedule	Inertial sensors Once a year	Inertial sensors Once two years	Inertial sensors Not used in my lab
Oxygen consumption system	Oxygen consumption system Never	Oxygen consumption system Only at the opening of the lab	Oxygen consumption system On specific request without an established review schedule	Oxygen consumption system Once a year	Oxygen consumption system Once two years	Oxygen consumption system Not used in my lab
Activity monitor	Activity monitor Never	Activity monitor Only at the opening of the lab	Activity monitor On specific request without an established review schedule	Activity monitor Once a year	Activity monitor Once two years	Activity monitor Not used in my lab
GPS	GPS Never	GPS Only at the opening of the lab	GPS On specific request without an established review schedule	GPS Once a year	GPS Once two years	GPS Not used in my lab
Treadmill	Treadmill Never	Treadmill Only at the opening of the lab	Treadmill On specific request without an established review schedule	Treadmill Once a year	Treadmill Once two years	Treadmill Not used in my lab
Instrumented Treadmill	Instrumented Treadmill Never	Instrumented Treadmill Only at the opening of the lab	Instrumented Treadmill On specific request without an established review schedule	Instrumented Treadmill Once a year	Instrumented Treadmill Once two years	Instrumented Treadmill Not used in my lab
Other (please specify)	Other (please specify) Never	Other (please specify) Only at the opening of the lab	Other (please specify) On specific request without an established review schedule	Other (please specify) Once a year	Other (please specify) Once two years	Other (please specify) Not used in my lab

Please specify

Question Title

* 33. Do an external company (e.g. the manufacturer) perform a quality control assessment of the systems used for CGA?

	Not used in my lab	Never	Only at the opening of the lab	On specific request without an established review schedule	Once a year	Once two years
Video camera	Video camera Not used in my lab	Video camera Never	Video camera Only at the opening of the lab	Video camera On specific request without an established review schedule	Video camera Once a year	Video camera Once two years
Stereophotogrammetric system	Stereophotogrammetric system Not used in my lab	Stereophotogrammetric system Never	Stereophotogrammetric system Only at the opening of the lab	Stereophotogrammetric system On specific request without an established review schedule	Stereophotogrammetric system Once a year	Stereophotogrammetric system Once two years
Force plates	Force plates Not used in my lab	Force plates Never	Force plates Only at the opening of the lab	Force plates On specific request without an established review schedule	Force plates Once a year	Force plates Once two years
Surface electromyography	Surface electromyography Not used in my lab	Surface electromyography Never	Surface electromyography Only at the opening of the lab	Surface electromyography On specific request without an established review schedule	Surface electromyography Once a year	Surface electromyography Once two years
Fine-wire electromyography	Fine-wire electromyography Not used in my lab	Fine-wire electromyography Never	Fine-wire electromyography Only at the opening of the lab	Fine-wire electromyography On specific request without an established review schedule	Fine-wire electromyography Once a year	Fine-wire electromyography Once two years
Plantar pressure plate	Plantar pressure plate Not used in my lab	Plantar pressure plate Never	Plantar pressure plate Only at the opening of the lab	Plantar pressure plate On specific request without an established review schedule	Plantar pressure plate Once a year	Plantar pressure plate Once two years
Plantar pressure insoles	Plantar pressure insoles Not used in my lab	Plantar pressure insoles Never	Plantar pressure insoles Only at the opening of the lab	Plantar pressure insoles On specific request without an established review schedule	Plantar pressure insoles Once a year	Plantar pressure insoles Once two years
Inertial sensors	Inertial sensors Not used in my lab	Inertial sensors Never	Inertial sensors Only at the opening of the lab	Inertial sensors On specific request without an established review schedule	Inertial sensors Once a year	Inertial sensors Once two years
Oxygen consumption system	Oxygen consumption system Not used in my lab	Oxygen consumption system Never	Oxygen consumption system Only at the opening of the lab	Oxygen consumption system On specific request without an established review schedule	Oxygen consumption system Once a year	Oxygen consumption system Once two years
Activity monitor	Activity monitor Not used in my lab	Activity monitor Never	Activity monitor Only at the opening of the lab	Activity monitor On specific request without an established review schedule	Activity monitor Once a year	Activity monitor Once two years
GPS	GPS Not used in my lab	GPS Never	GPS Only at the opening of the lab	GPS On specific request without an established review schedule	GPS Once a year	GPS Once two years
Treadmill	Treadmill Not used in my lab	Treadmill Never	Treadmill Only at the opening of the lab	Treadmill On specific request without an established review schedule	Treadmill Once a year	Treadmill Once two years
Instrumented Treadmill	Instrumented Treadmill Not used in my lab	Instrumented Treadmill Never	Instrumented Treadmill Only at the opening of the lab	Instrumented Treadmill On specific request without an established review schedule	Instrumented Treadmill Once a year	Instrumented Treadmill Once two years
Other	Other Not used in my lab	Other Never	Other Only at the opening of the lab	Other On specific request without an established review schedule	Other Once a year	Other Once two years

Please specify

Question Title

* 34. Do you have documentation (written or electronic) in your CGA including the following

Other (please specify)

Question Title

* 35. Are your documents...?

	Yes	No
Stored in a folder in the lab	Stored in a folder in the lab Yes	Stored in a folder in the lab No
Available in electronic format	Available in electronic format Yes	Available in electronic format No
Backed up	Backed up Yes	Backed up No
Revised after a defined period	Revised after a defined period Yes	Revised after a defined period No

Question Title

* 36. In order to review your documents and your practice, does your lab have appointed auditors?

	Yes	No
Internal auditor	Internal auditor Yes	Internal auditor No
External auditor	External auditor Yes	External auditor No

Question Title

* 37. Which equipment is checked before data acquisition?

	Yes	No	Not relevant (because I do not use this equipment)
Digital video quality	Digital video quality Yes	Digital video quality No	Digital video quality Not relevant (because I do not use this equipment)
Stereophotogrammetric system Calibration quality	Stereophotogrammetric system Calibration quality Yes	Stereophotogrammetric system Calibration quality No	Stereophotogrammetric system Calibration quality Not relevant (because I do not use this equipment)
Presence of all stereophotogrammetric system markers	Presence of all stereophotogrammetric system markers Yes	Presence of all stereophotogrammetric system markers No	Presence of all stereophotogrammetric system markers Not relevant (because I do not use this equipment)
Forceplates offset	Forceplates offset Yes	Forceplates offset No	Forceplates offset Not relevant (because I do not use this equipment)
EMG - good signal for each muscle	EMG - good signal for each muscle Yes	EMG - good signal for each muscle No	EMG - good signal for each muscle Not relevant (because I do not use this equipment)
EMG - crosstalk	EMG - crosstalk Yes	EMG - crosstalk No	EMG - crosstalk Not relevant (because I do not use this equipment)
Others	Others Yes	Others No	Others Not relevant (because I do not use this equipment)

Please specify

Question Title

* 38. What do you check during data acquisition?

	Yes	No	Not relevant (because I do not use this equipment)
Visibility of stereophotogrammetric system markers trajectories	Visibility of stereophotogrammetric system markers trajectories Yes	Visibility of stereophotogrammetric system markers trajectories No	Visibility of stereophotogrammetric system markers trajectories Not relevant (because I do not use this equipment)
Loss of EMG signal	Loss of EMG signal Yes	Loss of EMG signal No	Loss of EMG signal Not relevant (because I do not use this equipment)
Noise of EMG signal (i.e. detachment of an electrode)	Noise of EMG signal (i.e. detachment of an electrode) Yes	Noise of EMG signal (i.e. detachment of an electrode) No	Noise of EMG signal (i.e. detachment of an electrode) Not relevant (because I do not use this equipment)
Loss of forceplate signals	Loss of forceplate signals Yes	Loss of forceplate signals No	Loss of forceplate signals Not relevant (because I do not use this equipment)
Saturation of forceplate signals	Saturation of forceplate signals Yes	Saturation of forceplate signals No	Saturation of forceplate signals Not relevant (because I do not use this equipment)
Foot placement on forceplate	Foot placement on forceplate Yes	Foot placement on forceplate No	Foot placement on forceplate Not relevant (because I do not use this equipment)
Others	Others Yes	Others No	Others Not relevant (because I do not use this equipment)

Please specify

Question Title

* 39. What do you check before the patient leaves the lab?

	Yes	No	Not relevant (because I do not use this equipment)
Number of satisfactory forceplate strikes available for kinetic analysis	Number of satisfactory forceplate strikes available for kinetic analysis Yes	Number of satisfactory forceplate strikes available for kinetic analysis No	Number of satisfactory forceplate strikes available for kinetic analysis Not relevant (because I do not use this equipment)
Critical loss of markers	Critical loss of markers Yes	Critical loss of markers No	Critical loss of markers Not relevant (because I do not use this equipment)
Critical loss of EMG signal	Critical loss of EMG signal Yes	Critical loss of EMG signal No	Critical loss of EMG signal Not relevant (because I do not use this equipment)
Critical loss of forceplate signals	Critical loss of forceplate signals Yes	Critical loss of forceplate signals No	Critical loss of forceplate signals Not relevant (because I do not use this equipment)
Other(s)	Other(s) Yes	Other(s) No	Other(s) Not relevant (because I do not use this equipment)

Please specify

Question Title

* 40. Do you perform other checks after data acquisition?

	Yes	No
Marker trajectories (quality, number of available trajectories)	Marker trajectories (quality, number of available trajectories) Yes	Marker trajectories (quality, number of available trajectories) No
EMG signal (quality, lost of signal, crosstalk)	EMG signal (quality, lost of signal, crosstalk) Yes	EMG signal (quality, lost of signal, crosstalk) No
Forceplate signal (quality, lost of signal, number of kinetic steps)	Forceplate signal (quality, lost of signal, number of kinetic steps) Yes	Forceplate signal (quality, lost of signal, number of kinetic steps) No
Other	Other Yes	Other No

Please specify

Question Title

* 41. Do you do these steps for data preparation?

	Always	Sometimes	Never	I don't know	Device not used in my lab
Event detection with forceplates and autocorrelation	Event detection with forceplates and autocorrelation Always	Event detection with forceplates and autocorrelation Sometimes	Event detection with forceplates and autocorrelation Never	Event detection with forceplates and autocorrelation I don't know	Event detection with forceplates and autocorrelation Device not used in my lab
Event detection with marker trajectories (e.g. Zeni et al. 2008)	Event detection with marker trajectories (e.g. Zeni et al. 2008) Always	Event detection with marker trajectories (e.g. Zeni et al. 2008) Sometimes	Event detection with marker trajectories (e.g. Zeni et al. 2008) Never	Event detection with marker trajectories (e.g. Zeni et al. 2008) I don't know	Event detection with marker trajectories (e.g. Zeni et al. 2008) Device not used in my lab
Event detection performed manually	Event detection performed manually Always	Event detection performed manually Sometimes	Event detection performed manually Never	Event detection performed manually I don't know	Event detection performed manually Device not used in my lab
Event detection checked manually	Event detection checked manually Always	Event detection checked manually Sometimes	Event detection checked manually Never	Event detection checked manually I don't know	Event detection checked manually Device not used in my lab
Gap filling marker trajectories	Gap filling marker trajectories Always	Gap filling marker trajectories Sometimes	Gap filling marker trajectories Never	Gap filling marker trajectories I don't know	Gap filling marker trajectories Device not used in my lab
Smoothing marker trajectories	Smoothing marker trajectories Always	Smoothing marker trajectories Sometimes	Smoothing marker trajectories Never	Smoothing marker trajectories I don't know	Smoothing marker trajectories Device not used in my lab
Smoothing forceplate signals	Smoothing forceplate signals Always	Smoothing forceplate signals Sometimes	Smoothing forceplate signals Never	Smoothing forceplate signals I don't know	Smoothing forceplate signals Device not used in my lab
Filtering EMG signals	Filtering EMG signals Always	Filtering EMG signals Sometimes	Filtering EMG signals Never	Filtering EMG signals I don't know	Filtering EMG signals Device not used in my lab
Rectification and smoothing to obtain EMG envelope	Rectification and smoothing to obtain EMG envelope Always	Rectification and smoothing to obtain EMG envelope Sometimes	Rectification and smoothing to obtain EMG envelope Never	Rectification and smoothing to obtain EMG envelope I don't know	Rectification and smoothing to obtain EMG envelope Device not used in my lab

	Yes	No	Not relevant for my lab
List of current staff employed	List of current staff employed Yes	List of current staff employed No	List of current staff employed Not relevant for my lab
List of of training of the staff employed	List of of training of the staff employed Yes	List of of training of the staff employed No	List of of training of the staff employed Not relevant for my lab
Protocol to install CGA equipment and software	Protocol to install CGA equipment and software Yes	Protocol to install CGA equipment and software No	Protocol to install CGA equipment and software Not relevant for my lab
Protocol to check the quality of your CGA equipment	Protocol to check the quality of your CGA equipment Yes	Protocol to check the quality of your CGA equipment No	Protocol to check the quality of your CGA equipment Not relevant for my lab
Protocol to check within and between consistency of the staff - Methods to check consistency	Protocol to check within and between consistency of the staff - Methods to check consistency Yes	Protocol to check within and between consistency of the staff - Methods to check consistency No	Protocol to check within and between consistency of the staff - Methods to check consistency Not relevant for my lab
Protocol to check within and between consistency of the staff - Limit of acceptability	Protocol to check within and between consistency of the staff - Limit of acceptability Yes	Protocol to check within and between consistency of the staff - Limit of acceptability No	Protocol to check within and between consistency of the staff - Limit of acceptability Not relevant for my lab
Protocol for lab preparation - Calibration	Protocol for lab preparation - Calibration Yes	Protocol for lab preparation - Calibration No	Protocol for lab preparation - Calibration Not relevant for my lab
Protocol for lab preparation - Checking equipment	Protocol for lab preparation - Checking equipment Yes	Protocol for lab preparation - Checking equipment No	Protocol for lab preparation - Checking equipment Not relevant for my lab
Protocol for patient preparation - Marker placement	Protocol for patient preparation - Marker placement Yes	Protocol for patient preparation - Marker placement No	Protocol for patient preparation - Marker placement Not relevant for my lab
Protocol for patient preparation - Marker attachment on the skin	Protocol for patient preparation - Marker attachment on the skin Yes	Protocol for patient preparation - Marker attachment on the skin No	Protocol for patient preparation - Marker attachment on the skin Not relevant for my lab
Protocol for patient preparation - Skin preparation for EMG	Protocol for patient preparation - Skin preparation for EMG Yes	Protocol for patient preparation - Skin preparation for EMG No	Protocol for patient preparation - Skin preparation for EMG Not relevant for my lab
Protocol for patient preparation - EMG placement	Protocol for patient preparation - EMG placement Yes	Protocol for patient preparation - EMG placement No	Protocol for patient preparation - EMG placement Not relevant for my lab
Protocol for patient preparation - EMG attachment on the skin	Protocol for patient preparation - EMG attachment on the skin Yes	Protocol for patient preparation - EMG attachment on the skin No	Protocol for patient preparation - EMG attachment on the skin Not relevant for my lab
Protocol for patient preparation - IMU sensor placement/calibration/attachment on the skin	Protocol for patient preparation - IMU sensor placement/calibration/attachment on the skin Yes	Protocol for patient preparation - IMU sensor placement/calibration/attachment on the skin No	Protocol for patient preparation - IMU sensor placement/calibration/attachment on the skin Not relevant for my lab
Protocol for data collection - Instructions for patients	Protocol for data collection - Instructions for patients Yes	Protocol for data collection - Instructions for patients No	Protocol for data collection - Instructions for patients Not relevant for my lab
Protocol for data collection - Tasks to collect	Protocol for data collection - Tasks to collect Yes	Protocol for data collection - Tasks to collect No	Protocol for data collection - Tasks to collect Not relevant for my lab
Protocol for data collection - Number of trials/cycles	Protocol for data collection - Number of trials/cycles Yes	Protocol for data collection - Number of trials/cycles No	Protocol for data collection - Number of trials/cycles Not relevant for my lab
Protocol for data collection - Number of cycles on forceplates	Protocol for data collection - Number of cycles on forceplates Yes	Protocol for data collection - Number of cycles on forceplates No	Protocol for data collection - Number of cycles on forceplates Not relevant for my lab
Protocol for data collection - Checking of marker trajectories	Protocol for data collection - Checking of marker trajectories Yes	Protocol for data collection - Checking of marker trajectories No	Protocol for data collection - Checking of marker trajectories Not relevant for my lab
Protocol for data collection - Checking of EMG	Protocol for data collection - Checking of EMG Yes	Protocol for data collection - Checking of EMG No	Protocol for data collection - Checking of EMG Not relevant for my lab
Protocol for data collection - Criteria to categorize a useful or not useful trial	Protocol for data collection - Criteria to categorize a useful or not useful trial Yes	Protocol for data collection - Criteria to categorize a useful or not useful trial No	Protocol for data collection - Criteria to categorize a useful or not useful trial Not relevant for my lab
Protocol for data processing including methods and software - Event detection	Protocol for data processing including methods and software - Event detection Yes	Protocol for data processing including methods and software - Event detection No	Protocol for data processing including methods and software - Event detection Not relevant for my lab
Protocol for data processing including methods and software - Spatio-temporal data	Protocol for data processing including methods and software - Spatio-temporal data Yes	Protocol for data processing including methods and software - Spatio-temporal data No	Protocol for data processing including methods and software - Spatio-temporal data Not relevant for my lab
Protocol for data processing including methods and software - 2D kinematics data	Protocol for data processing including methods and software - 2D kinematics data Yes	Protocol for data processing including methods and software - 2D kinematics data No	Protocol for data processing including methods and software - 2D kinematics data Not relevant for my lab
Protocol for data processing including methods and software - Marker trajectory reconstruction (residual, gap filling, etc)	Protocol for data processing including methods and software - Marker trajectory reconstruction (residual, gap filling, etc) Yes	Protocol for data processing including methods and software - Marker trajectory reconstruction (residual, gap filling, etc) No	Protocol for data processing including methods and software - Marker trajectory reconstruction (residual, gap filling, etc) Not relevant for my lab
Protocol for data processing including methods and software - Marker labelling	Protocol for data processing including methods and software - Marker labelling Yes	Protocol for data processing including methods and software - Marker labelling No	Protocol for data processing including methods and software - Marker labelling Not relevant for my lab
Protocol for data processing including methods and software - Marker filtering	Protocol for data processing including methods and software - Marker filtering Yes	Protocol for data processing including methods and software - Marker filtering No	Protocol for data processing including methods and software - Marker filtering Not relevant for my lab
Protocol for data processing including methods and software - EMG (e.g. filtering techniques used, gait timing identification)	Protocol for data processing including methods and software - EMG (e.g. filtering techniques used, gait timing identification) Yes	Protocol for data processing including methods and software - EMG (e.g. filtering techniques used, gait timing identification) No	Protocol for data processing including methods and software - EMG (e.g. filtering techniques used, gait timing identification) Not relevant for my lab
Protocol for data processing including methods and software - 3D Kinematics data	Protocol for data processing including methods and software - 3D Kinematics data Yes	Protocol for data processing including methods and software - 3D Kinematics data No	Protocol for data processing including methods and software - 3D Kinematics data Not relevant for my lab
Protocol for data processing including methods and software - 3D Kinetics data	Protocol for data processing including methods and software - 3D Kinetics data Yes	Protocol for data processing including methods and software - 3D Kinetics data No	Protocol for data processing including methods and software - 3D Kinetics data Not relevant for my lab
Protocol for data processing including methods and software - Plantar Pressure data	Protocol for data processing including methods and software - Plantar Pressure data Yes	Protocol for data processing including methods and software - Plantar Pressure data No	Protocol for data processing including methods and software - Plantar Pressure data Not relevant for my lab
Biomechanical model used with potential sources of error in their calculation	Biomechanical model used with potential sources of error in their calculation Yes	Biomechanical model used with potential sources of error in their calculation No	Biomechanical model used with potential sources of error in their calculation Not relevant for my lab
Protocol to check data quality	Protocol to check data quality Yes	Protocol to check data quality No	Protocol to check data quality Not relevant for my lab
Protocol for physical examination	Protocol for physical examination Yes	Protocol for physical examination No	Protocol for physical examination Not relevant for my lab
Protocol for reporting	Protocol for reporting Yes	Protocol for reporting No	Protocol for reporting Not relevant for my lab
Protocol for interpretation	Protocol for interpretation Yes	Protocol for interpretation No	Protocol for interpretation Not relevant for my lab
Protocol for cleaning the equipment used in CGA	Protocol for cleaning the equipment used in CGA Yes	Protocol for cleaning the equipment used in CGA No	Protocol for cleaning the equipment used in CGA Not relevant for my lab
Protocol for data storage (place,backed up, duration)	Protocol for data storage (place,backed up, duration) Yes	Protocol for data storage (place,backed up, duration) No	Protocol for data storage (place,backed up, duration) Not relevant for my lab
Protocol for filenames and formats	Protocol for filenames and formats Yes	Protocol for filenames and formats No	Protocol for filenames and formats Not relevant for my lab
Protocole for safety procedures, serious adverse events occurring during CGA	Protocole for safety procedures, serious adverse events occurring during CGA Yes	Protocole for safety procedures, serious adverse events occurring during CGA No	Protocole for safety procedures, serious adverse events occurring during CGA Not relevant for my lab

Survey 2 - ESMAC Standard

Question Title

* 1. What is the name of your gait lab?

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* 2. Where is your gait laboratory? (country)

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* 3. Where is your gait laboratory? (city)

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* 4. In what type of institution is your Gait Lab located?

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* 5. How many patients did you assess using instrumented 3-D gait analysis during the last 5 years?

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* 6. How many patients did you assess using only video analysis during the last 5 years?

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* 7. In your lab which age groups of patients do you assess?

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* 8. Which patient populations come into your lab for Clinical Gait Analysis (CGA)? Neurological problems:

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* 9. Which patient populations come into your lab for Clinical Gait Analysis (CGA)? Non-neurological problems:

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* 10. Which patient population do you see the most in your lab for CGA? Neurological problems:

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* 11. Which patient population do you see the most in your lab for CGA? Non-neurological problems:

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* 12. How often do you use CGA when:Scale 0-10 for each item (0-never, 10-always)

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* 13. How much (in Euros) does a Clinical Gait Analysis in your institution cost?

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* 14. Do you use one of the best practice guidelines for CGA?

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* 15. How many people in your lab are members of one of these societies? Please write a number.

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* 16. Does your lab have a licence to conduct CGA?

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* 17. How many people in each of the following disciplines work in the gait lab team? Please write a number.

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* 18. Who is the head of the gait lab?

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* 19. In which of the following tasks are the staff working in the CGA involved?

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* 20. How often do staff receive training in the following tasks?

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* 21. How often do you test within and between consistency of the personnel for the following tasks?

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* 22. What time (in minutes) allocation do you allow for the following tasks related to the CGA? Please write down a number in scale 0 - 180 mins.

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* 23. What are the physical dimensions of your gait lab? Size of room (in metres)

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* 24. Do your gait lab facilities include the following?

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* 25. Which equipment do you use for CGA and how much of each device do you use in your lab? Please type 0 if none.

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* 26. Which equipment used in your lab for CGA has a medical CE marking?

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* 27. What is the measurement frequency in Hertz of acquisition of the equipment that you use in your lab for CGA? Please type 0 if not used in my lab.

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* 28. Which of the following devices of your lab are synchronized to each other?

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* 29. How often do you collect the following datasets during CGA?

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* 30. Do you use additional measurements on top of the standard CGA for specific treatments and/or pathologies? If so, which ?

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* 31. What is the minimal number of gait cycles that you consider it necessary to collect to satisfactorily interpret CGA for (please type 0 if none):

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* 32. Do an external company (e.g. the manufacturer) perform a technical calibration of the systems used for CGA?

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* 33. Do an external company (e.g. the manufacturer) perform a quality control assessment of the systems used for CGA?

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* 34. Do you have documentation (written or electronic) in your CGA including the following

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* 35. Are your documents...?

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* 36. In order to review your documents and your practice, does your lab have appointed auditors?

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* 37. Which equipment is checked before data acquisition?

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* 38. What do you check during data acquisition?

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* 39. What do you check before the patient leaves the lab?

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* 12. How often do you use CGA when:
Scale 0-10 for each item (0-never, 10-always)