Document Detail


The concurrent validity and responsiveness of the high-level mobility assessment tool for measuring the mobility limitations of people with traumatic brain injury.
MedLine Citation:
PMID:  16500181     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To investigate the concurrent validity and responsiveness of the High-Level Mobility Assessment Tool (HiMAT) in people after traumatic brain injury (TBI). DESIGN: This study compared the concurrent validity and responsiveness of the motor subsection of the FIM instrument and the gross function component of the Rivermead Motor Assessment (RMA) with the HiMAT, a new measure of high-level mobility developed for use in TBI. SETTING: A major rehabilitation hospital. PARTICIPANTS: A convenience sample of 103 participants with TBI were recruited from a major rehabilitation hospital. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: HiMAT, motor FIM, and the gross function RMA. RESULTS: The correlation between the HiMAT and motor FIM was moderate (r=.53, P<.001), largely because of a ceiling effect in the motor FIM. The correlation between the HiMAT and gross function RMA was strong (r=.87, P<.001), yet the gross function RMA was also susceptible to a ceiling effect, with 51.5% of subjects achieving the maximum score. The HiMAT was more responsive than the motor FIM and the gross function RMA on all indices. CONCLUSIONS: The HiMAT is a new unidimensional scale with moderate concurrent validity for measuring high-level mobility. The HiMAT is more responsive and has less of a ceiling effect than either the motor FIM or the gross function RMA.
Authors:
Gavin Williams; Val Robertson; Ken Greenwood; Patricia Goldie; Meg E Morris
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Validation Studies    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  87     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-27     Completed Date:  2006-04-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  437-42     Citation Subset:  AIM; IM    
Affiliation:
Epworth Hospital, Victoria, Australia; School of Physiotherapy, La Trobe University, Victoria, Australia. gavin.williams@epworth.org.au
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Brain Injuries / physiopathology*
Humans
Neuropsychological Tests*
Outcome Assessment (Health Care)
Psychomotor Performance / physiology*
Recovery of Function / physiology
Reproducibility of Results
Walking / physiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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