The psychometric properties and clinical utility of measures of walking and mobility in neurological conditions: a systematic review.

Abstract:

OBJECTIVE:To identify psychometrically robust and clinically feasible measures of walking and mobility in people with neurological conditions. DATA SOURCES:MEDLINE, CINAHL, EMBASE, PEDro and AMED. REVIEW METHODS:Independent reviewers selected and extracted data from articles that assessed the reliability, validity, sensitivity to change or clinical utility of measures of walking and mobility in adult neurological conditions. Measures with 'good' psychometrics and 9/10 clinical utility scores were recommended. RESULTS:Seventeen measures were selected. Of these, the 5-m and 10-m walk tests, six-minute walk test, High Level Mobility Assessment Tool (HiMAT) and the Rivermead Mobility Index (RMI) reached the required standards and are usable in clinical practice. None of the recommended measures assessed wheelchair mobility. The least frequently assessed property was sensitivity to change. Further measures could be recommended if the minimal detectable change were demonstrated. CONCLUSION:The 5-m, 10-m and six-minute walk test, High Level Mobility Assessment Tool and the Rivermead Mobility Index are psychometrically robust measures of walking and mobility and are feasible for use in clinical practice.

journal_name

Clin Rehabil

journal_title

Clinical rehabilitation

authors

Tyson S,Connell L

doi

10.1177/0269215509339004

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

1018-33

issue

11

eissn

0269-2155

issn

1477-0873

pii

0269215509339004

journal_volume

23

pub_type

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