Pepper
Study / Date Completed / Assessor / Subject ID / Study ID
M / M / D / D / Y / Y / Y / Y / # / # / # / # / # / # / # / # / # / # / # / # / # / # / # / #

Assessment: 1 Baseline

Figure of 8 Walk

The Figure of 8 Walk was designed to measure motor skill (speed, amplitude and accuracy of movement) in walking. The test involves walking a figure of eight pattern about two markers placed 5 feet apart. Starting in the middle between the two markers, the individual walks

around one marker, then between the markers and around the other marker, finishing where the walk started between the markers. Performance is scored based on the time to complete the figure 8 walk (speed), the number of steps to complete the walk (amplitude), and whether the walker remained within a space, 2 feet or less from the markers in all directions (accuracy). Smoothness will also be rated by an observer, based on:

·  changes in pace (1 point for consistent pace for entire walk pattern)
completing the walk without stopping (1 point)
·  hesitancy, such as submovements to adjust position or complete curve about a marker (1 point for no hesitation)
·  changes in pace (1 point for consistent pace for entire walk pattern)

Performance:

Time to complete figure of 8 walk fwwalk / ______seconds
Number of steps to complete figure of 8 walk fwsteps / ______steps
Walk completed within a 2-foot space about markers (estimated) fw2ft / 1 Yes 0 No

Smoothness: Smoothness rating scores will range from 0– 3 points; higher scores indicating greater smoothness.

Walk completed without stopping fwstop / 1 Yes 0 No / ______(1pt)
Walk completed without hesitancy
(no adjusting position / path) fwhesit / 1 Yes 0 No / ______(1pt)
Walk completed with no changes in pace / 1 Yes 0 No / ______(1pt)
fwpace / Total Score for Smoothness / ______fwtotal

Fiq. 8 Walk / Form Page 1 of 1 Primary Entered by: ______Date: ____/____/____

Version 1, 5/31/06

Secondary Entered by: ______Date: ____/____/____